TY  - JOUR
AU  - D'Arcey, Jessica
AU  - Collaton, Joanna
AU  - Kozloff, Nicole
AU  - Voineskos, Aristotle N
AU  - Kidd, Sean A
AU  - Foussias, George
PY  - 2020
DA  - 2020/4/2
TI  - The Use of Text Messaging to Improve Clinical Engagement for Individuals With Psychosis: Systematic Review
JO  - JMIR Ment Health
SP  - e16993
VL  - 7
IS  - 4
KW  - SMS
KW  - text messaging
KW  - psychosis
KW  - schizophrenia
KW  - bipolar disorder
KW  - engagement
KW  - medication adherence
KW  - attendance
KW  - patient appointments
AB  - Background: Individuals experiencing psychosis are at a disproportionate risk for premature disengagement from clinical treatment. Barriers to clinical engagement typically result from funding constraints causing limited access to and flexibility in services. Digital strategies, such as SMS text messaging, offer a low-cost alternative to potentially improve engagement. However, little is known about the efficacy of SMS text messaging in psychosis. Objective: This review aimed to address this gap, providing insights into the relationship between SMS text messaging and clinical engagement in the treatment of psychosis. Methods: Studies examining SMS text messaging as an engagement strategy in the treatment of psychosis were reviewed. Included studies were published from the year 2000 onward in the English language, with no methodological restrictions, and were identified using 3 core databases and gray literature sources. Results: Of the 233 studies extracted, 15 were eligible for inclusion. Most studies demonstrated the positive effects of SMS text messaging on dimensions of engagement such as medication adherence, clinic attendance, and therapeutic alliance. Studies examining the feasibility of SMS text messaging interventions found that they are safe, easy to use, and positively received. Conclusions: Overall, SMS text messaging is a low-cost, practical method of improving engagement in the treatment of psychosis, although efficacy may vary by symptomology and personal characteristics. Cost-effectiveness and safety considerations were not adequately examined in the studies included. Future studies should consider personalizing SMS text messaging interventions and include cost and safety analyses to appraise readiness for implementation. 
SN  - 2368-7959
UR  - https://mental.jmir.org/2020/4/e16993
UR  - https://doi.org/10.2196/16993
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32238334
DO  - 10.2196/16993
ID  - info:doi/10.2196/16993
ER  -