Division of Psychiatry, University College London, London, UK.
Camden and Islington NHS Foundation Trust, London, UK.
BMJ Open. 2019 Mar 20;9(3):e025823. doi: 10.1136/bmjopen-2018-025823.
Mental health interventions delivered through digital technology have potential applications in promoting recovery and improving outcomes among people in the early stages of psychosis. Self-management approaches are recommended for the treatment of psychosis and could be delivered via applications (apps) installed on Smartphones to provide low-cost accessible support. We describe the protocol for a feasibility trial investigating a self-management Smartphone app intervention for adults using Early Intervention in Psychosis (EIP) services.
In this feasibility randomised controlled trial, 40 participants will be recruited from EIP services in London and Surrey. Twenty participants will be randomised to receive a supported self-management Smartphone app (My Journey 3) plus Treatment As Usual (TAU), while the other 20 participants will receive TAU only. The primary objective of this study is to evaluate the feasibility of conducting a full-scale trial of this intervention in EIP services. Participant data will be collected at baseline and at two follow-up assessments conducted 4 months and 12 months post-baseline. Analysed outcome measures will include relapse of psychosis (operationalised as admission to a hospital or community acute alternative), mental health and well-being, recovery, quality of life and psychopathology. Semi-structured interviews with participants and EIP service clinicians will additionally explore experiences of using My Journey 3 and participating in the trial and suggestions for improving the intervention.
The App to support Recovery in Early Intervention Services study has been reviewed and approved by the National Research Ethics Service Committee London-Brent (Research Ethics Committee reference: 15/LO/1453). The findings of this study will be disseminated through peer-reviewed scientific journals and conferences, magazines and web publications.
ISRCTN10004994.
通过数字技术提供的心理健康干预措施在促进早期精神病患者康复和改善结果方面具有潜在的应用。自我管理方法被推荐用于治疗精神病,可以通过安装在智能手机上的应用程序(apps)提供低成本的、可及的支持。我们描述了一项可行性试验的方案,该试验调查了一种针对使用早期干预精神病学(EIP)服务的成年人的自我管理智能手机应用程序干预措施。
在这项可行性随机对照试验中,将从伦敦和萨里的 EIP 服务中招募 40 名参与者。20 名参与者将被随机分配接受支持的自我管理智能手机应用程序(My Journey 3)加常规治疗(TAU),而另外 20 名参与者仅接受 TAU。这项研究的主要目的是评估在 EIP 服务中进行这项干预的全面试验的可行性。参与者数据将在基线和两次随访中收集,随访时间分别为基线后 4 个月和 12 个月。分析的结果指标将包括精神病复发(定义为住院或社区急性替代治疗)、心理健康和幸福感、康复、生活质量和精神病理学。此外,还将对参与者和 EIP 服务临床医生进行半结构化访谈,以探讨使用 My Journey 3 的体验、参与试验的体验以及改进干预措施的建议。
支持早期干预服务中康复的应用程序研究已由伦敦布伦特国家研究伦理服务委员会(伦理委员会参考号:15/LO/1453)审查和批准。本研究的结果将通过同行评议的科学期刊和会议、杂志和网络出版物进行传播。
ISRCTN81010206。