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Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis



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Morales Pillado, Carla and Fernández Castilla, Belén and Sánchez Gutiérrez, Teresa and González Fraile, Eduardo and Barbeito, Sara and Calvo, Ana (2022) Efficacy of technology-based interventions in psychosis: a systematic review and network meta-analysis. Psychological Medicine . pp. 1-12. ISSN 0033-2917

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Official URL: https://doi.org/10.1017/S0033291722003610


Technology-based interventions (TBIs) are a useful approach when attempting to provide therapy to more patients with psychosis.

Randomized 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.

Fifty-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.

TBIs 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.

Item Type:Article
Additional Information:

CRUE-CSIC (Acuerdos Transformativos 2022)

Uncontrolled Keywords:eHealth; internet; mHealth; online interventions; psychosis; smartphone
Subjects:Medical sciences > Medicine > Psychiatry
Medical sciences > Biology > Biotechnology
ID Code:76511
Deposited On:06 Feb 2023 11:50
Last Modified:06 Feb 2023 11:54

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