School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, QC H3C 3J7, Canada.
Youth Mental Health and Technology Lab, Health Innovation and Evaluation Hub, CHUM Research Centre, Montréal, QC H2X 0A9, Canada.
Int J Environ Res Public Health. 2023 May 8;20(9):5745. doi: 10.3390/ijerph20095745.
Horyzons is a digital health intervention designed to support recovery in young people receiving specialized early intervention services for first-episode psychosis (FEP). Horyzons was developed in Australia and adapted for implementation in Canada based on input from clinicians and patients (Horyzons-Canada Phase 1) and subsequently pilot-tested with 20 young people with FEP (Horyzons-Canada Phase 2).
To understand the experiences of young adults with FEP who participated in the pilot study based on focus group data.
Among the twenty individuals that accessed the intervention, nine participated across four focus groups. Three team members were involved in data management and analysis, informed by a thematic analysis approach. A coding framework was created by adapting the Phase 1 framework to current study objectives, then revised iteratively by applying it to the current data. Once the coding framework was finalized, it was systematically applied to the entire dataset.
Four themes were identified: (1) Perceiving Horyzons-Canada as helpful for recovery; (2) Appreciating core intervention components (i.e., peer networking; therapeutic content; moderation) and ease of use; (3) Being unaware of its features; and (4) Expressing concerns, suggestions, and future directions.
Horyzons-Canada was well received, with participants wanting it to grow in scale, accessibility, and functionality.
Horyzons 是一种数字健康干预措施，旨在为接受首发精神病（FEP）专门早期干预服务的年轻人提供康复支持。Horyzons 在澳大利亚开发，并根据临床医生和患者的意见进行了调整，以便在加拿大实施（Horyzons-Canada Phase 1），随后与 20 名 FEP 年轻人进行了试点测试（Horyzons-Canada Phase 2）。
根据焦点小组数据，了解参与试点研究的年轻 FEP 患者的体验。
在接受干预的二十个人中，有九个人参加了四个焦点小组。三名团队成员参与了数据管理和分析，方法是采用主题分析方法。通过将第一阶段的框架改编为当前研究目标，创建了一个编码框架，然后通过将其应用于当前数据进行迭代修订。一旦编码框架定稿，就会系统地将其应用于整个数据集。
确定了四个主题：（1）认为 Horyzons-Canada 对康复有帮助；（2）赞赏核心干预组件（即同伴网络；治疗内容；适度）和易用性；（3）不知道其功能；（4）表达关注、建议和未来方向。
Horyzons-Canada 受到了好评，参与者希望它在规模、可及性和功能方面得到发展。
