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Protocol for a systematic review of telephone delivered psychosocial interventions on relapse prevention, adherence to psychiatric medication and health risk behaviours in adults with a psychotic disorder

机译：对精神病患者的预防复发，遵守精神药物和健康风险行为进行电话心理社会干预的系统评价协议

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Introduction The mental and physical health of individuals with a psychotic illness are typically poor. When adhered to, medication can reduce relapse. However, despite adherence, relapse remains common and functional outcomes often remain compromised. Compliance is also typically low. Cardiovascular-related morbidity and mortality is also elevated, along with several important modifiable health risk behaviours. Access to psychosocial interventions is therefore important, but currently limited. Telephone delivered interventions represent a promising solution, although further clarity is needed. Accordingly, we aim to provide an overview and critical analysis of the current state of evidence for telephone delivered psychosocial interventions targeting key health priorities in adults with a psychotic disorder, including (1) relapse, (2) adherence to psychiatric medication and/or (3) modifiable cardiovascular health risk behaviours. Methods and analysis Our methods are informed by published guidelines. The review is registered and any protocol amendments will be tracked. Ten electronic peer-reviewed and four grey literature databases have been identified. Preliminary searches have been conducted for literature on psychosocial telephone interventions targeting relapse, medication adherence and/or health risk behaviours in adults with a psychotic disorder. Articles classified as \u27evaluation\u27 will be assessed against standardised criteria and checked by an independent assessor. The searches will be re-run just before final analyses and further studies retrieved for inclusion. A narrative synthesis will be reported, structured around intervention type and content, population characteristics and outcomes. Where possible, \u27summary of findings\u27 tables will be generated for each comparison. For the primary outcome of each trial, when data are available, we will calculate a risk ratio and its 95% CI (dichotomous outcomes) and/or effect size according to Cohen\u27s formula (continuous outcomes). Ethics and dissemination No ethical issues are foreseen. Findings will be disseminated widely to clinicians and researchers via journal publication and conference presentation(s).
机译：简介患有精神病的人的身心健康通常较差。坚持使用药物可以减少复发。但是，尽管坚持治疗，但复发仍然很常见，功能结局通常仍然很差。依从性通常也很低。心血管相关的发病率和死亡率也随着一些重要的可改变的健康风险行为而升高。因此，获得社会心理干预的途径很重要，但目前受到限制。通过电话进行的干预是一个很有前途的解决方案，尽管还需要进一步明确。因此，我们旨在提供针对精神病患者的主要健康重点的电话心理心理干预的证据的现状的概述和批判性分析，包括（1）复发，（2）坚持使用精神药物和/或（ 3）可改变的心血管健康风险行为。方法和分析我们的方法以公开的指南为依据。审查已注册，将跟踪任何协议修订。已经确定了十个电子同行评审的数据库和四个灰色文献数据库。初步搜索了针对精神病患者的复发，用药依从性和/或健康风险行为针对心理社会电话干预的文献。分类为\ u27evaluation \ u27的文章将根据标准化标准进行评估，并由独立的评估人员进行检查。搜索将在最终分析和进一步研究被纳入之前重新进行。将叙述一个叙述性综合，围绕干预类型和内容，人群特征和结果进行组织。如有可能，将为每个比较生成调查结果摘要表。对于每个试验的主要结果，如果有可用数据，我们将根据Cohen公式（连续结果）计算风险比及其95％CI（二分结果）和/或效应大小。道德与传播没有预见到道德问题。研究结果将通过期刊出版和会议介绍广泛地传播给临床医生和研究人员。

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