eHealth tools and psychotic relapses: an integrative literature review

Amanda Heloisa Santana da Silva*, Larissa Amorim de Freitas, Kelly Graziani Giacchero Vedana, Magdalena Rzewuska, João Mazzoncini de Azevedo-Marques, Ana Carolina Guidorizzi Zanetti

*Corresponding author for this work

Research output: Contribution to conferencePosterpeer-review


Background: Digital technology holds promise for improving prevention and early detection of relapses in psychotic disorders. This study aimed to review evidence on the use of eHealth tools for early detection and/or prevention of relapses among individuals with psychotic disorders. Methods: An integrative literature review was carried out. A systematic literature search was conducted using PubMed, EMBASE, CINAHL Database, Scopus, Web of Science, and Latin American and Caribbean Health Sciences Literature. Original, peer-reviewed research articles published up to January 6, 2021 and available in English, Portuguese or Spanish that addressed the topic of interest were eligible for inclusion. Results were summarised narratively. Results: In total, 30 studies were included in this review, of which majority were feasibility, usability, and acceptability studies. All were published in English and carried out mainly in the United States of America and the United Kingdom. The identified technologies predominantly involved the use of smartphones and web applications aimed at the prevention (e.g., relapse prevention plan; promotion of well-being, physical activity, recovery, and adherence to drug therapy; psychoeducation) and/or early detection of relapses (e.g., symptom monitoring through online assessments and smartphone sensors/resources). Other eHealth tools included the use of short message service to monitor symptoms; and wearables devices for assessing adherence to pharmacological treatment, physiological signs, and sleep patterns. Lately, machine learning model algorithms have been used to predict the risk of relapse among patients with psychosis using information from Facebook and internet search portals. Overall, findings were promising, showing that the use of eHealth technology can be useful as a complementary tool in the treatment of psychosis. However, it faces the challenge of limited evidence on usability and acceptability by some groups (e.g., people with low socioeconomic and educational status, and with cognitive, visual, hearing impairments, and other disabilities) and numerous contextual barriers. Conclusion: More evaluations of these new technologies in real-world contexts is needed, especially in low- and middle-income countries. The tailored approach to intervention design is needed to improve accessibility and side-step contextual barriers.
Original languageEnglish
Number of pages1
Publication statusPublished - 2 Nov 2021
EventICN Congress 2021: Nursing Around the World - Virtual event
Duration: 2 Nov 20214 Nov 2021


ConferenceICN Congress 2021
Internet address


  • digital health
  • psychosis
  • review article


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