一项预防复发并支持首次发作精神病青年接受专科服务后康复的数字健康创新：加拿大Horyzons（第二阶段）试点前后混合方法研究方案
A Digital Health Innovation to Prevent Relapse and Support Recovery in Youth Receiving Specialized Services for First-Episode Psychosis: Protocol for a Pilot Pre-Post, Mixed Methods Study of Horyzons-Canada (Phase 2).
作者信息
Lal Shalini, Gleeson John F, D'Alfonso Simon, Etienne Geraldine, Joober Ridha, Lepage Martin, Lee Hajin, Alvarez-Jimenez Mario
机构信息
School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, QC, Canada.
Youth Mental Health and Technology Lab, Health Innovation and Evaluation Hub, University of Montréal Hospital Research Centre, Montréal, QC, Canada.
出版信息
JMIR Res Protoc. 2021 Dec 7;10(12):e28141. doi: 10.2196/28141.
BACKGROUND
Psychotic disorders are among the most disabling of all mental disorders. The first-episode psychosis (FEP) often occurs during adolescence or young adulthood. Young people experiencing FEP often face multiple barriers in accessing a comprehensive range of psychosocial services, which have predominantly been delivered in person. New models of service delivery that are accessible, sustainable, and engaging are needed to support recovery in youth diagnosed with FEP.
OBJECTIVE
In this paper, we describe a protocol to implement and evaluate the acceptability, safety, and potential efficacy of an online psychosocial therapeutic intervention designed to sustain recovery and prevent relapses in young adults diagnosed with FEP. This intervention was originally developed and tested in Australia and has been adapted for implementation and evaluation in Canada and is called Horyzons-Canada (HoryzonsCa).
METHODS
This cohort study is implemented in a single-center and applies a pre-post mixed methods (qualitative-quantitative convergent) design. The study involves recruiting 20 participants from a specialized early intervention program for psychosis located in Montreal, Canada and providing them with access to the HoryzonsCa intervention for 8 weeks. Data collection includes interview-based psychometric measures, self-reports, focus groups, and interviews.
RESULTS
This study received funding from the Brain and Behavior Research Foundation (United States), the Quebec Health Research Funding Agency (Canada), and the Canada Research Chairs Program. The study was approved by the Research Ethics Board of the Centre intégré universitaire de santé et de services sociaux de l'Ouest-de-l'Île-de-Montréal on April 11, 2018 (#IUSMD 17-54). Data were collected from August 16, 2018, to April 29, 2019, and a final sample of 20 individuals participated in the baseline and follow-up interviews, among which 9 participated in the focus groups. Data analysis and reporting are in process. The results of the study will be submitted for publication in 2021.
CONCLUSIONS
This study will provide preliminary evidence on the acceptability, safety, and potential efficacy of using a digital health innovation adapted for the Canadian context to deliver specialized mental health services to youth diagnosed with FEP.
TRIAL REGISTRATION
ISRCTN Registry ISRCTN43182105; https://www.isrctn.com/ISRCTN43182105.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/28141.
背景
精神病性障碍是所有精神障碍中致残性最强的疾病之一。首发精神病（FEP）通常发生在青春期或成年早期。经历FEP的年轻人在获得全面的社会心理服务时往往面临多重障碍，而这些服务主要是面对面提供的。需要新的可获取、可持续且有吸引力的服务提供模式来支持被诊断为FEP的年轻人康复。
目的
在本文中，我们描述了一项实施和评估在线社会心理治疗干预措施的方案，该干预旨在维持被诊断为FEP的年轻人的康复并预防复发。此干预最初在澳大利亚开发和测试，现已改编用于在加拿大实施和评估，称为加拿大地平线（HoryzonsCa）。
方法
这项队列研究在单一中心实施，采用前后混合方法（定性 - 定量收敛）设计。该研究从加拿大蒙特利尔的一个专门的精神病早期干预项目中招募20名参与者，并为他们提供为期8周的HoryzonsCa干预。数据收集包括基于访谈的心理测量指标、自我报告、焦点小组和访谈。
结果
本研究获得了大脑与行为研究基金会（美国）、魁北克卫生研究资助机构（加拿大）和加拿大研究主席计划的资助。该研究于2018年4月11日获得蒙特利尔岛西部大学健康与社会服务综合中心研究伦理委员会批准（#IUSMD 17 - 54）。数据收集时间为2018年8月16日至2019年4月29日，最终样本中有20人参加了基线和随访访谈，其中9人参加了焦点小组。数据分析和报告正在进行中。研究结果将于2021年提交发表。
结论
本研究将为使用适应加拿大背景的数字健康创新手段为被诊断为FEP的年轻人提供专门心理健康服务的可接受性、安全性和潜在疗效提供初步证据。
试验注册
ISRCTN注册库ISRCTN43182105；https://www.isrctn.com/ISRCTN43182105。
国际注册报告标识符（IRRID）：RR1 - 10.2196/28141。
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