OA Lal 2023 Digital health innovation to prevent relapse and support recovery in young people with first-episode psychosis : A pilot study of Horyzons-Canada
Journal article
Lal, Shalini, Gleeson, John F., D'Alfonso, Simon D., Lee, Hajin, Etienne, Geraldine, Joober, Ridha, Lepage, Martin and Alvarez-Jimenez, Mario. (2023). OA Lal 2023 Digital health innovation to prevent relapse and support recovery in young people with first-episode psychosis : A pilot study of Horyzons-Canada. Schizophrenia. 9(1), p. Article 21. https://doi.org/10.1038/s41537-023-00352-1
Authors | Lal, Shalini, Gleeson, John F., D'Alfonso, Simon D., Lee, Hajin, Etienne, Geraldine, Joober, Ridha, Lepage, Martin and Alvarez-Jimenez, Mario |
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Abstract | Digital health innovations may help to improve access to psychosocial therapy and peer support; however, the existence of evidence-based digital health interventions for individuals recovering from a first-episode psychosis (FEP) remains limited. This study aims to investigate the feasibility, acceptability, safety, and pre-post outcomes of Horyzons-Canada (HoryzonsCa), a Canadian adaptation of a digital mental health intervention consisting of psychosocial interventions, online social networking, and clinical and peer support moderation. Using a convergent mixed-methods research design, we recruited participants from a specialized early intervention clinic for FEP in Montreal, Canada. Twenty-three participants (mean age = 26.8) completed baseline assessments, and 20 completed follow-up assessments after 8 weeks of intervention access. Most participants provided positive feedback on general experience (85%, 17/20) and the utility of Horyzons for identifying their strengths (70%, 14/20). Almost all perceived the platform as easy to use (95%, 19/20) and felt safe using it (90%, 18/20). There were no adverse events related to the intervention. Participants used HoryzonsCa to learn about their illness and how to get better (65%, 13/20), receive support (60%, 12/20), and access social networking (35%, 7/20) and peer support (30%, 6/20). Regarding adoption, 65% (13/20) logged in at least 4 times over 8 weeks. There was a nonsignificant increase in social functioning and no deterioration on the Clinical Global Impression Scale. Overall, HoryzonsCa was feasible to implement and perceived as safe and acceptable. More research is needed with larger sample sizes and using in-depth qualitative methods to better understand the implementation and impact of HoryzonsCa. |
Year | 2023 |
Journal | Schizophrenia |
Journal citation | 9 (1), p. Article 21 |
Publisher | Nature Publishing Group |
ISSN | 2754-6993 |
Digital Object Identifier (DOI) | https://doi.org/10.1038/s41537-023-00352-1 |
PubMed ID | 37029168 |
Scopus EID | 2-s2.0-85152801658 |
PubMed Central ID | PMC10082074 |
Open access | Published as ‘gold’ (paid) open access |
Page range | 1-10 |
Funder | Fonds de recherche du Québec-Santé |
Canadian Institutes of Health Research | |
Canada Research Chairs Program | |
National Health and Medical Research Council (NHMRC) | |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 07 Apr 2023 |
Publication process dates | |
Accepted | 22 Mar 2023 |
Deposited | 12 Sep 2023 |
Grant ID | 1177235 |
https://acuresearchbank.acu.edu.au/item/8z9vq/oa-lal-2023-digital-health-innovation-to-prevent-relapse-and-support-recovery-in-young-people-with-first-episode-psychosis-a-pilot-study-of-horyzons-canada
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Publisher's version
OA_Lal_2023_Digital_health_innovation_to_prevent_relapse.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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