Blended care in psychosis - A systematic review.

Blended-care, a psychosocial intervention combining traditional, face-to-face therapy with digital mental health tools, has shown potential for improving therapeutic processes, fostering patient engagement, and augmenting clinical outcomes. This systematic review aimed to evaluate the development and effectiveness of blended-care interventions tailored for adults diagnosed with schizophrenia-spectrum disorders or other conditions with psychotic features. Our search strategy spanned three electronic databases (PsycINFO, Web of Science, and PubMed) in accordance with the reporting guidelines outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We identified 11 papers, each examining the use of one of eight distinct blended-care interventions. Significantly, the majority of these papers (10/11, 91 %) examined these interventions exclusively within controlled research environments, demonstrating both acceptability and favourable impacts on symptomatology and recovery (e.g., 0.22 ≤ Cohen's ds ≤ 1.00). Only one intervention was examined in research settings and real-world conditions, and the shift resulted in low real-world uptake (e.g., only 50 % of practitioners were able to engage at least one of their clients with the intervention) and an inability to reproduce positive changes in clinical outcomes. Additional research is needed to determine the viability of successfully developing and implementing blended-care interventions for psychosis in real-world conditions. An exploration of the developmental processes that could facilitate the transition from research settings to routine clinical practice is vital.

To be an honest person or not to be a cheater: Replicating the effect of messages relating to the self on unethical behaviour.

Previous research has found that negative-valence appeals relating to the self (Don't be a cheater) are more effective at reducing unethical behaviour than appeals relating to behaviour (Don't cheat). We aimed to replicate these findings and examine whether positive-valence appeals relating to the self (Be an honest person) and to behaviour (Answer honestly) could have a similar effect. We ran five experiments with Israeli and U.S. samples, using social interaction and anonymous settings, and different methodologies: Die roll, coin-flip and number choice. A meta-analysis of the five experiments revealed a small effect of the self-appeals relative to the behaviour-appeals. These findings provide additional support for the theoretical explanation offered in terms of the role of the self in regulating unethical behaviour. However, the effect sizes found in our experiments were smaller than the ones previously reported. We discuss the merit in using self-appeals to reduce unethical behaviour, the possible advantage of positive-valence self-appeals, and the possible moderating role of the setting in which the behaviour takes place: Social interaction versus anonymous settings.