Start Submission Become a Reviewer

Reading: m-RESIST, a modular intervention programme addressed to patients with treatment-resistant sc...

Download

A- A+
Alt. Display

Poster Abstracts

m-RESIST, a modular intervention programme addressed to patients with treatment-resistant schizoprenia

Authors:

Eva Grasa ,

Department of Psychiatry, Institut de Recerca, Hospital Santa Creu i Sant Pau; Universitat Auònoma de Barcelona; CIBERSAM: Barcelona, ES
X close

Anna Alonso-Solís,

Department of Psychiatry, Institut de Recerca, Hospital Santa Creu i Sant Pau; Universitat Auònoma de Barcelona; CIBERSAM: Barcelona, ES
X close

Alejandro Keymer-Gausset,

Department of Psychiatry, Institut de Recerca, Hospital Santa Creu i Sant Pau; Universitat Auònoma de Barcelona; CIBERSAM: Barcelona, ES
X close

Elena Huerta-Ramos,

Research and development Unit, Parc Sanitari Sant Joan de Deu, Fundacio Sant Joan de Deu, CIBERSAM, Barcelona, ES
X close

Zsolt Unoka,

Semmelweis University, Faculty of General Medicine, Department of Psychiatry and Psychotherapy, HU
X close

Kata Fazekas,

Semmelweis University, Faculty of General Medicine, Department of Psychiatry and Psychotherapy, HU
X close

Katya Rubinstein,

The Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Aviv University, IL
X close

Rachelle Kaye,

The Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Aviv University, IL
X close

Erika Jääskeläinen,

Department of Psychiatry, Institute of Clinical Medicine, University of Oulu, Oulu, Finland. Department of Psychiatry, Oulu University Hospital, Oulu, FI
X close

Matti Isohani,

Department of Psychiatry, Institute of Clinical Medicine, University of Oulu, Oulu, Finland. Department of Psychiatry, Oulu University Hospital, Oulu, FI
X close

Matthias Stevens,

IMEC, Gent, BE
X close

Henja Van der Graaf,

IMEC, Gent; Vrije Universiteit Brussels, BE
X close

Jesús Berdún,

TicSalut.Health Department. Generalitat de Catalunya, ES
X close

Margarita Hospedales,

TicSalut.Health Department. Generalitat de Catalunya, ES
X close

Iluminada Corripio

Department of Psychiatry, Institut de Recerca, Hospital Santa Creu i Sant Pau; Universitat Auònoma de Barcelona; CIBERSAM: Barcelona, ES
X close

Abstract

In European Union, between 0.2 and 2.6% of the population suffer from psychotic disorders (Wittchen et al., 2011). The largest group is patients with schizophrenia, and around 40% can be considered resistant to pharmacological treatment (Essock et al., 1996; Kennedy et al., 2014). Standard intervention in patients with treatment-resistant schizophrenia (TRS) is difficult due to the persistence of positive symptoms, extensive periods of hospitalization, and higher risk of comorbidities. The full scope of this scenario generates a financial burden on society because of frequent emergency visits, hospitalizations and chronic use of polytherapy (de Silva et al., 2012), as well as a huge impact in the humanistic burden. This  concerns patients and caregivers, and involves several dimensions such as quality of life, treatment side effects, caregiver burden, social impairment, suicide, violence, and healthy lifestyle among the most important (Millier et al., 2014 )

In this sense, we have developed the m-RESIST, an intervention programme based on m-Health that offer to TRS patients an holistic approach to: i) integrate psychiatric and psychosocial assistance with other medical health-carers; ii) better monitorization of symptoms through a personalised and optimised therapeutic process; iii) promote acceptance and self-management of disease and co-morbidities; and iv) potentiate involvement of patients and their caregivers in the therapeutic process. Moreover, there are no studies in TRS patients that collect real-time information from patients that allow monitoring, evaluation and intervention in the main areas of the disease, as well as in situations of risk. In this regard, m-RESIST brings an excellent opportunity to access this information, as well as permit an immediate and tailored intervention. This program will have integrated a mobile application that will deliver three possible intervention packages: treatment adherence, healthy lifestyle and symptoms management that include training strategies based on cognitive behaviour therapy for psychosis. Clinical algorithms have been created for each intervention package in order to deliver tailored recommendations to patients, caregivers and clinicians, which will be based on clinical and real-time sensor data. Moreover, a risk level ranking system will be used in order to prioritize actions in risk situations. On-going challenges include a pilot test to assess acceptability, usability and satisfaction of patients, caregivers and clinicians with the m-RESIST intervention program.

m-RESIST project is founded by Horizon 2020 Framework Programme of the European Union. PHC26 2014 m-RESIST “Mobile Therapeutic Attention for patients with Treatment Resistant Schizophrenia”. The authors listed in this abstract are only a part of the m-RESIST Group.

How to Cite: Grasa E, Alonso-Solís A, Keymer-Gausset A, Huerta-Ramos E, Unoka Z, Fazekas K, et al.. m-RESIST, a modular intervention programme addressed to patients with treatment-resistant schizoprenia. International Journal of Integrated Care. 2017;17(5):A578. DOI: http://doi.org/10.5334/ijic.3898
45
Views
20
Downloads
Published on 17 Oct 2017.

Downloads

  • PDF (EN)

    comments powered by Disqus