RT Journal Article
T1 Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis
A1 Morales Pillado, Carla
A1 Fernández Castilla, Belén
A1 Sánchez Gutiérrez, Teresa
A1 González Fraile, Eduardo
A1 Barbeito, Sara
A1 Calvo, Ana
AB BackgroundTechnology-based interventions (TBIs) are a useful approach when attempting to provide therapy to more patients with psychosis.MethodsRandomized controlled trials of outcomes of TBIs v. face-to-face interventions in psychosis were identified in a systematic search conducted in PubMed/Ovid MEDLINE. Data were extracted independently by two researchers, and standardized mean changes were pooled using a three-level model and network meta-analysis.ResultsFifty-eight studies were included. TBIs complementing treatment as usual (TAU) were generally superior to face-to-face interventions (g = 0.16, p ≤ 0.0001) and to specific outcomes, namely, neurocognition (g = 0.13, p ≤ 0.0001), functioning (g = 0.25, p = 0.006), and social cognition (g = 0.32, p ≤ 0.05). Based on the network meta-analysis, the effect of two TBIs differed significantly from zero; these were the TBIs cognitive training for the neurocognitive outcome [g = 0.16; 95% confidence interval (CI) 0.09–0.23] and cognitive behavioral therapy for quality of life (g = 1.27; 95% CI 0.46–2.08). The variables educational level, type of medication, frequency of the intervention, and contact during the intervention moderated the effectiveness of TBIs over face-to-face interventions in neurocognition and symptomatology.ConclusionsTBIs are effective for the management of neurocognition, symptomatology, functioning, social cognition, and quality of life outcomes in patients with psychosis. The results of the network meta-analysis showed the efficacy of some TBIs for neurocognition, symptomatology, and quality of life. Therefore, TBIs should be considered a complement to TAU in patients with psychosis.
PB Cambridge University Press
SN 0033-2917
YR 2022
FD 2022-12-06
LK https://hdl.handle.net/20.500.14352/72922
UL https://hdl.handle.net/20.500.14352/72922
LA eng
NO CRUE-CSIC (Acuerdos Transformativos 2022)
NO MINECO
NO Fundación Alicia a Koplowitz
DS Docta Complutense
RD 2 may 2024