Table 1.

Key Components of MedActive Smartphone Intervention

IMB-Skills Model: Adherence information Personalized reminders for patient to take antipsychotic medication at prescribed times User-friendly displays on phone of summary adherence, antipsychotic side effects, and positive psychotic symptoms data input by patient

IMB-Skills Model: Adherence motivation Patient queried about whether each dose of antipsychotic medication taken as prescribed ◦ Patient queried about reasons for not taking antipsychotic medication as prescribed and provided with brief, motivational feedback tailored to reason for nonadherence ◦ Patient provided with positive reinforcement/ motivational feedback when medication is taken as prescribed Display on clinician interface for review by prescriber of real-time summary report of patient’s self-reported adherence to antipsychotic medication and daily occurrence of antipsychotic side effects and positive psychotic symptoms

IMB-Skills Model: Adherence behavioral skills Patient responds to prompts on phone to take antipsychotic medication at scheduled times Patient is queried about daily occurrence of antipsychotic side effects and a rating of how distressing the side effects are ◦ Patient can choose to view brief advice for self-managing antipsychotic side effects Patient is queried about daily occurrence of positive psychotic symptoms and a rating of how distressing the symptoms are Patient is provided with user-friendly way of sending brief, pre-formatted messages to prescriber via clinician interface regarding the need to discuss occurrence of antipsychotic side effects or positive psychotic symptoms at their next face-to-face visit