Table 4: Articles that included technology use in psychiatry with non-Hispanic populations.

First Author, Year
Location
Study Design
Sample Sizes/
Population/Setting
Technology/Intervention Comparators Main Outcomes
Intervention v.
Comparators
Global
Quality
Rating
Agyapong, 2012 [29]
Ireland
RCT (Pilot)
n=54 (I:n=26, C: n=28) adult pts w/depression and ETOH; completers of inpatient program Mobile phone. BID supportive text messages. Thank-you text messages every 2 weeks. Depression and abstinence. Improved. Functioning. Improved. Compulsion to drink. No significant difference. Strong
Aubert, 2003 [35]
USA
Cohort
n=5624 (I: n=505, C1: n=1375, C2: n=3744) adult insurance pharma plan members with depression with new prescription (none in last 180 days) for an antidepressant medication; general population Telephone. Four telephone counseling calls. Five educational mailings. Toll-free number set up for participant questions. 1) Minimal intervention: completed first call but did not consent to continuing interventions. 2) No interventions. Medication adherence. Improved. Therapy continuation. More likely. Refill timeliness. Improved. Symptom burden. Improved. QOL-mental. Improved. QOL-physical. No significant difference. Symptom severity. Improved. Weak
Burda, 2012 [37]
USA, MD
Cohort (Pilot)
n=10 adult homeless dual-Dx'd pts, mostly black, mostly men; FQHC Cell phone IVR. Daily phone calls, two attempts. None Medication adherence. High levels reported. Ability to reach participants. High. Subjective report of communications. Improved. Moderate
Castle, 2012 [38]
USA, PA
Cohort
n=39, 020 (I1: n=293, I2: n=11, 280, I3: n=27, 447) adult insurance pharma plan members newly Rx'd antidepressant medication; general population Telephone IVR. Calls to participants with option to listen then transfer to depression mgmt program. If not reached, msg left with callback number. 3 a posteriori intervention groups: 1) reached, transferred, 2) reached, not transferred, 3) not reached. Medication adherence. Not significantly impacted by intervention. Age was confounder, as increase in adherence seen with increasing age. Weak
Cook, 2008 [39]
USA, CO
CCT
n=202 (I: n=51, C: n=151) adult Medicaid members SPMI, received 2nd gen antipsychotic in last 30 days; mostly women; general population Telephone. Adherence counseling via CBT/MI. F/U written materials upon completion. Not contacted after multiple attempts. ED Utilization. Decreased. Medication adherence. Improved. Moderate
Galloway, 2011 [43]
USA, CA
CCT
n=20 methamphetamine-dependent adults, men and women; general population Cell phone. For 8 weeks, subjects took pictures of daily morning medication at time of administration. Time-stamped photos e'mailed to data collection account. Medication Event Monitoring System (MEMS) caps on bottles, weekly pill counts. Medication adherence. High levels reported. Photos of medication useful in measuring adherence. Weak
Rosen, 2013 [47]
USA, CA
RCT
n=837 (I: n=412, C: n=425) veterans entering residential PTSD treatment; men and women, multi-site, post-discharge Telephone. Standard outpatient care plus bi-weekly phone monitoring and support for 3 months post-discharge. Standard outpatient aftercare: referral to outpatient counselors, psychiatrists, or both. PTSD symptoms, aggressive behaviors, ETOH and drug problems, depression, QOL. time to rehospitalization, engagement in care. No significant differences. Strong

Abbreviations: RCT=Randomized Controlled Trial, I=intervention, C=comparator, ETOH=alcohol, BID=twice daily, pharma=pharmacy, QOL=quality of life, Dx'd=diagnosed, FQHC=Federally qualified health center, IVR=interactive voice response, Rx'd=prescribed, mgmt=management, msg=message, CCT=controlled clinical trial, SPMI=serious and persistent mental illness, 2nd gen=second generation, CBT/MI=cognitive behavioral therapy/motivational interviewing, F/U=follow up, ED=emergency department, PTSD=post-traumatic stress disorder.