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)
Journal article
Lal, Shalini, Gleeson, John F., D'Alfonso, Simon, Etienne, Geraldine, Joober, Ridha, Lepage, Martin, Lee, Hajin and Álvarez-Jiménez, Mario. (2021). 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). JMIR Research Protocols. 10(12), p. Article e28141. https://doi.org/10.2196/28141
Authors | Lal, Shalini, Gleeson, John F., D'Alfonso, Simon, Etienne, Geraldine, Joober, Ridha, Lepage, Martin, Lee, Hajin and Álvarez-Jiménez, Mario |
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Abstract | 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. |
Keywords | psychotic disorders; mental health; telemedicine; young adult; mental health services; e–mental health; virtual care; schizophrenia |
Year | 2021 |
Journal | JMIR Research Protocols |
Journal citation | 10 (12), p. Article e28141 |
Publisher | JMIR Publications Inc. |
ISSN | 1929-0748 |
Digital Object Identifier (DOI) | https://doi.org/10.2196/28141 |
PubMed ID | 34879000 |
Scopus EID | 2-s2.0-85121988015 |
PubMed Central ID | PMC8693205 |
Open access | Published as ‘gold’ (paid) open access |
Page range | 1-13 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 07 Dec 2021 |
Publication process dates | |
Accepted | 07 Sep 2021 |
Deposited | 07 Sep 2023 |
https://acuresearchbank.acu.edu.au/item/8z98v/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
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Publisher's version
OA_Lal_2021_A_digital_health_innovation_to_prevent.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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