精神分裂症谱系及精神病性障碍的数字心理健康干预：加拿大地平线研究的实用可行性研究方案

Digital mental health intervention for schizophrenia spectrum and psychotic disorders: Protocol for a pragmatic feasibility study of Horyzons-Canada.

作者信息

Lal Shalini, Gleeson John F, D'Alfonso Simon, Lepage Martin, Joober Ridha, Lee Hajin, Abdel-Baki Amal, Lecomte Tania, 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

Digit Health. 2024 Oct 3;10:20552076241282231. doi: 10.1177/20552076241282231. eCollection 2024 Jan-Dec.

DOI:10.1177/20552076241282231

PMID:39372808

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456180/

Abstract

BACKGROUND

Schizophrenia spectrum and other psychotic disorders (SSPD) are among the most debilitating of all mental disorders. While the evidence for psychosocial interventions such as cognitive behavioral therapy and peer support has significantly improved, access to these services remains limited. This paper describes a protocol for a pragmatic feasibility study of a digital mental health intervention (HoryzonsCa) that provides access to evidence-based psychosocial interventions, social networking, and clinical and peer support services through a secured, web-based platform for adults diagnosed with SSPD.

OBJECTIVE

The objectives are: (1) Adapt and translate HoryzonsCa for implementation in English and French; (2) Develop an implementation and training strategy; (3) Assess the acceptability, safety, and demand of HoryzonsCa; (4) Assess clinical outcomes and perceived impacts; (5) Examine the experiences and process of adapting and implementing HoryzonsCa; (6) Explore the role of sociocultural and demographic factors on HoryzonsCa outcomes and implementation.

METHODS

This feasibility study will use a single-group, pre-post, mixed-methods (QUAN-QUAL convergent) research design, with assessments at baseline and 12 weeks. The study aims to recruit 100 individuals (ages 18-50) diagnosed with SSPD from two healthcare settings in Canada. Data collection includes interview-based psychometric measures, self-reports, focus groups, and interviews with participants. The study will also collect qualitative data from moderators and the research team, and will be conducted entirely remotely.

CONCLUSIONS

This study has been prospectively registered and is underway. It will provide timely information on the feasibility and potential impacts of using digital mental health services for individuals with chronic mental health conditions.

TRIAL REGISTRATION

ISRCTN12561259; https://doi.org/10.1186/ISRCTN12561259 (250/max 250 words).

摘要

背景

精神分裂症谱系及其他精神病性障碍（SSPD）是所有精神障碍中最具致残性的疾病之一。虽然认知行为疗法和同伴支持等心理社会干预措施的证据有了显著改善，但获得这些服务的机会仍然有限。本文描述了一项针对数字心理健康干预措施（HoryzonsCa）的务实可行性研究方案，该干预措施通过一个安全的基于网络的平台，为被诊断患有SSPD的成年人提供循证心理社会干预、社交网络以及临床和同伴支持服务。

目的

目标如下：（1）对HoryzonsCa进行改编和翻译，以便在英语和法语环境中实施；（2）制定实施和培训策略；（3）评估HoryzonsCa的可接受性、安全性和需求；（4）评估临床结果和感知影响；（5）考察改编和实施HoryzonsCa的经验和过程；（6）探讨社会文化和人口因素对HoryzonsCa结果及实施的作用。

方法

这项可行性研究将采用单组、前后测、混合方法（定量-定性聚合）研究设计，在基线和12周时进行评估。该研究旨在从加拿大的两个医疗保健机构招募100名年龄在18至50岁之间、被诊断患有SSPD的个体。数据收集包括基于访谈的心理测量指标、自我报告、焦点小组以及对参与者的访谈。该研究还将从主持人和研究团队收集定性数据，并且将完全远程进行。