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A survey of eMedia-delivered interventions for schizophrenia used in randomized controlled trials

Naeem, Farooq; Munschi, Tariq; Xiang, Shuo; Yang, Megan; Shokraneh, Farhad; Syed, Yumeen; Ayub, Muhammad; Adams, Clive E.; Farooq, Saeed

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Farooq Naeem

Tariq Munschi

Shuo Xiang

Megan Yang

Farhad Shokraneh

Yumeen Syed

Muhammad Ayub

Clive E. Adams

Saeed Farooq


Background: Randomized trials evaluating electronic Media (eMedia) delivery of interventions are increasingly frequent in mental health. Although a number of reviews have reported efficacy of these interventions, none has reviewed the type of eMedia interventions and quality of their description. We therefore decided to conduct a survey of eMedia-delivered interventions for schizophrenia.
Methods: We surveyed all relevant trials reliably identified in the Cochrane Schizophrenia Group’s comprehensive register of trials by authors working independently. Data were extracted regarding the size of the trial, interventions, outcomes and how well the intervention was described.
Results: eMedia delivery of interventions is increasingly frequent in trials relevant to the care of people with schizophrenia. The trials varied considerably in sample sizes (mean =123, median =87, range =20–507), and interventions were diverse, rarely evaluating the same approaches and were poorly reported. This makes replication impossible. Outcomes in these studies are limited, have not been noted to be chosen by end users and seem unlikely to be easy to apply in routine care. No study reported on potential adverse effects or cost, end users satisfaction or ease of use. None of the papers mentioned the use of CONSORT eHealth guidelines.
Conclusion: There is a need to improve reporting and testing of psychosocial interventions delivered by eMedia. New trials should comply with CONSORT eHealth guidance on design, conduct and reporting, and existing CONSORT should be updated regularly, as the field is constantly evolving.

Journal Article Type Article
Acceptance Date Oct 12, 2016
Publication Date Jan 27, 2017
Deposit Date Mar 1, 2017
Publicly Available Date Mar 1, 2017
Journal Neuropsychiatric Disease and Treatment
Print ISSN 1176-6328
Electronic ISSN 1178-2021
Publisher Dove Medical Press
Peer Reviewed Peer Reviewed
Volume 13
Pages 233-243
Keywords randomized trials, survey, eMedia, information technology, schizophrenia, methodology
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