UNIVERSITY OF SAN JOSE-RECOLETOS

SCHOOL OF ALLIED MEDICAL SCIENCES

NURSING

ANNOTATED READING
Name: Sonia S. Aliviado

I.TITLE: Enhancing Adherence: Using Mobile Health Technology to Improve

Self-Management for Individuals With Schizophrenia
Mobile health technology has been used to improve monitoring for and enhance
self-management of individuals who have schizophrenia or another serious mental
illness. For example, ecological momentary assessment (EMA) and ecological
momentary intervention (EMI) are technologies used to track fluctuations in experiences
and prompt behavioral responses within the context of a person’s daily life. Online and
smartphone-based delivery modalities offer simple, accessible interventions. EMA and
EMI have potential applications for management of mental disorders, capitalizing on key
capabilities of mobile technologies to provide a means of accurate assessment. Such
assessments and reminders may be especially beneficial for individuals with
schizophrenia, because difficulties with memory and executive functioning that
frequently accompany this disorder can limit accurate perception and recall of past
events and impair motivation. EMI can also be used to remind patients of intervention
strategies in the moments when they are needed. For example, these technologies may
cue individuals to report symptoms, take medications, and provide guidance regarding
health-promoting behavior. They also typically allow patients to easily request
information and assistance. Mobile technology may assist with regular self-monitoring,
which has been demonstrated to improve symptoms of psychosis. Thus, mobile
technology has the potential to empower patients with serious mental illness to take a
more active role in their own mental health management as a key element of their
recovery. Regular remote monitoring of information populated by individuals with
serious mental illness may also help to identify signs of relapse, which may then trigger
more active clinical intervention and support.
II. INSIGHT:

Mobile technology has recently provided more communication platforms in the

healthcare industry. Thus, in healthcare, mobile technology has increased convenience,
significantly contributing to time management and reducing healthcare costs at all
levels, including hospital visits and private appointments with doctors. Advances in
mobile technology and the growing number of mobile phone users have created new
opportunities for using mobile phones in patient care. Smartphones and tablets, among
other mobile devices, provide physicians, researchers, and the general public with new
ways of offering and receiving clinical treatment, tracking progress, and expanding
understanding of psychiatric diseases. Care for the patient with schizophrenia has been
improved through using these mobile applications such as ecological momentary
assessment (EMA) and ecological momentary intervention (EMI) to monitor changes in
experiences and elicit behavioral responses in the context of an individual's daily life.
These monitoring data will be useful for staff involved in self-monitoring and patient care
to assess the strength of clinical support a patient needs. It would be better if the mobile
technology interventions will combine with a team approach to care, patients can be
more actively involved in treatment decisions and more engaged in symptom control. So
that the treatment personnel who are also data monitors can be prepared to meet the
patient where he or she is in terms of symptoms and clinical care needs. Engaging
patients and the mental health team in discussions about the benefits and drawbacks of
digital monitoring is critical in planning for both the benefits and the issues that digital
engagement presents.

References:

Stubbe, D. E. (2020). Enhancing Adherence: Using Mobile Health Technology to

Improve Self-Management for Individuals With Schizophrenia. FOCUS, 18(4),

424–427. https://doi.org/10.1176/appi.focus.20200028