Addictions Research Program, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, Toronto, Canada.
Early Interv Psychiatry. 2021 Aug;15(4):828-836. doi: 10.1111/eip.13018. Epub 2020 Aug 3.
Individuals with psychotic disorders have poorer health outcomes and die earlier due to cardiovascular diseases when compared to healthy populations. Contributing factors include low levels of physical activity, poor nutrition and tobacco smoking. Currently, patients navigate a fragmented health-care system to seek physical and mental health services, often without access to evidence-based health promotion interventions, especially in non-academic settings or rural areas, increasing client barriers at the individual and provider level. To address these gaps, we wish to test the feasibility and impact of a Technology-Enabled Collaborative Care for Youth (TECC-Y) model to improve healthy behaviours among youth with early psychosis. The model addresses geographical barriers and maldistribution of physical and mental health care.
A randomized controlled trial, including youth (ages of 16-29) with early psychosis (diagnosed in the past 5 years) residing in Ontario, Canada. Our primary outcome is client engagement. Secondary outcomes include smoking status, physical health and nutrition. Participants are randomly assigned to either a health coach supervised by a virtual care team, or a self-directed learning group (e-platform with psychoeducational materials). Assessments are conducted at baseline, 6, 12 and 24 weeks.
This paper presents the protocol of the study. Recruitment commenced in August 2018. This study was registered on 16 July 2018 on clinicaltrials.gov (Registry ID: NCT03610087).
TECC-Y will determine if a technology-based collaborative care model engages youth with early psychosis, and whether this will be associated with changes in smoking, physical health and nutrition.
与健康人群相比，患有精神病的个体由于心血管疾病而导致健康状况较差，寿命更短。致病因素包括身体活动水平低、营养状况差和吸烟。目前，患者需要通过支离破碎的医疗保健系统来寻求身心健康服务，通常无法获得基于证据的健康促进干预措施，尤其是在非学术环境或农村地区，这增加了患者在个人和医疗服务提供者层面的障碍。为了解决这些差距，我们希望测试一种基于技术的青年协同护理（TECC-Y）模式的可行性和影响，以改善早期精神病患者的健康行为。该模式解决了地理障碍和精神与身体健康护理分布不均的问题。
这是一项包括加拿大安大略省的患有早期精神病（过去 5 年内确诊）的青年（16-29 岁）在内的随机对照试验。我们的主要结果是客户参与度。次要结果包括吸烟状况、身体健康和营养状况。参与者被随机分配到由虚拟护理团队监督的健康教练或自我指导学习小组（具有心理教育材料的电子平台）。评估在基线、6 周、12 周和 24 周进行。
本文介绍了该研究的方案。招募工作于 2018 年 8 月开始。该研究于 2018 年 7 月 16 日在 clinicaltrials.gov 上注册（注册号：NCT03610087）。
TECC-Y 将确定基于技术的协同护理模式是否能够吸引早期精神病患者，并确定这是否与吸烟、身体健康和营养状况的变化有关。
