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Effect of Digital Health Interventions on Psychotic Symptoms among Persons with Severe Mental Illness in Community: A Systematic Review and Meta-Analysis
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Eunjin Oh, Moonhee Gang
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J Korean Acad Nurs 2023;53(1):69-86. Published online February 28, 2023
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DOI: https://doi.org/10.4040/jkan.22121
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 Abstract
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- Purpose
This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community.
Methods
A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis.
Results
A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11).
Conclusion
These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.
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Citations
Citations to this article as recorded by  - A Review of Mobile App-Based Psychosocial Intervention for Personal and Clinical Recovery for People With Psychosis
Dowon You, Narae Jeong
Korean Journal of Schizophrenia Research.2024; 27(1): 1. CrossRef
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Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia
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Jihye Lee, Moonhee Gang
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J Korean Acad Nurs 2019;49(1):1-13. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.1.1
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Abstract
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- Abstract
Purpose
The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D).
Methods
Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency.
Results
The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88.
Conclusion
The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.
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Citations
Citations to this article as recorded by - Development of a communication self-efficacy scale for nurses: a psychometric validation study
Kuem Sun Han, Jihye Shin, Soo Yeon Lee
Journal of Korean Academy of Nursing.2025; 55(2): 269. CrossRef - The influence of socio-cognitive mindfulness, moral sensitivity and dementia communication behaviors on dementia nursing performance of nurses in long-term care hospitals: a cross-sectional study
Hyun Ju Bong, Mikyoung Lee
BMC Nursing.2024;[Epub] CrossRef - Factors influencing shared decision-making in long-term care facilities
Da Eun Kim, Min Jung Kim
BMC Geriatrics.2023;[Epub] CrossRef - Nursing students' experiences as dementia partners in volunteer activities: An inductive content analysis
Dooree Kim, Yunhee Park
The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 146. CrossRef
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Review of Meta-analysis Research on Exercise in South Korea
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Youngshin Song, Moonhee Gang, Sun-Ae Kim, In-Soo Shin
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J Korean Acad Nurs 2014;44(5):459-470. Published online October 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.5.459
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Abstract
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Purpose
The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes.
Methods
Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and χ2-test.
Results
The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention.
Conclusion
This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.
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Citations
Citations to this article as recorded by - Effectiveness of sensory integration therapy in children, focusing on Korean children: A systematic review and meta-analysis
Seri Oh, Jong-Sik Jang, A-Ra Jeon, Geonwoo Kim, Mihwa Kwon, Bahoe Cho, Narae Lee
World Journal of Clinical Cases.2024; 12(7): 1260. CrossRef - A Methodological Quality Evaluation of Meta-Analyses on Nursing Home Research: Overview and Suggestions for Future Directions
In-Soo Shin, Juh-Hyun Shin, Dong-Eun Jang, Jiyeon Lee
International Journal of Environmental Research and Public Health.2022; 19(1): 505. CrossRef - Methodological Quality Assessment of Meta-Analyses in the Field of Korean Occupational Therapy Using the Korean Journal of Occupational Therapy
Yoo-Im Choi, Se-Yun Kim
Journal of Korean Society of Occupational Therapy.2020; 28(3): 71. CrossRef - Methodological Qualitative Evaluation of Meta-analysis Studies in Sport Management
Sanghyun Park, Minseok Kwag
The Korean Journal of Physical Education.2018; 57(1): 247. CrossRef - Evaluation of methodological quality of meta-analysis studies in early childhood education
PARK SEO-HYUN
Korean Journal of Early Childhood Education.2018; 38(5): 131. CrossRef - The Feature of the Program components in the Meta Analysis Research: Evidence Based Program Development Perspective
In Hae Seo, Kong Gye-Soon
Korean Journal of Social Welfare Studies.2018; 49(3): 247. CrossRef - Trends in Evidence-based Nursing Research in South Korea
Seang Ryu, Sun Weon Yun, Yun Sook Kim
Journal of Korean Academy of Nursing Administration.2017; 23(4): 385. CrossRef - A Quality Assessment of Systematic Review of Oriental Medicine in South Korea
Yun-Young Kim, Hye Sun Hyun
Journal of Digital Convergence.2015; 13(10): 549. CrossRef - Methodological Quality of Meta-Analyses on the Elderly in Korea
송영신, 김선애, 강문희
Korean Journal of Local Government & Administration Studies.2014; 28(4): 349. CrossRef
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767
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