Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study
BackgroundTimely and comprehensive treatment in the form of early psychosis intervention (EPI) has become the standard of care for youth with psychosis. While EPI services were designed to be delivered in person, the COVID-19 pandemic required many EPI programs to rapidly tra...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-12-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2021/12/e34591 |
| _version_ | 1797735477468463104 |
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| author | Wanda Tempelaar Melanie Barwick Allison Crawford Aristotle Voineskos Donald Addington Jean Addington Tallan Alexander Crystal Baluyut Sarah Bromley Janet Durbin George Foussias Catherine Ford Lauren de Freitas Seharish Jindani Anne Kirvan Paul Kurdyak Kirstin Pauly Alexia Polillo Rachel Roby Sanjeev Sockalingam Alexandra Sosnowski Victoria Villanueva Wei Wang Nicole Kozloff |
| author_facet | Wanda Tempelaar Melanie Barwick Allison Crawford Aristotle Voineskos Donald Addington Jean Addington Tallan Alexander Crystal Baluyut Sarah Bromley Janet Durbin George Foussias Catherine Ford Lauren de Freitas Seharish Jindani Anne Kirvan Paul Kurdyak Kirstin Pauly Alexia Polillo Rachel Roby Sanjeev Sockalingam Alexandra Sosnowski Victoria Villanueva Wei Wang Nicole Kozloff |
| author_sort | Wanda Tempelaar |
| collection | DOAJ |
| description |
BackgroundTimely and comprehensive treatment in the form of early psychosis intervention (EPI) has become the standard of care for youth with psychosis. While EPI services were designed to be delivered in person, the COVID-19 pandemic required many EPI programs to rapidly transition to virtual delivery, with little evidence to guide intervention adaptations or to support the effectiveness and satisfaction with virtual EPI services.
ObjectiveThis study aims to explore the adaptations required to deliver NAVIGATE, a model of coordinated specialty care used in EPI, in a virtual format. This study will evaluate implementation of the NAVIGATE model delivered virtually by describing the nature of the adaptations to the intervention, assessing fidelity to the EPI model and the satisfaction of clients, family members, and care providers. We will investigate barriers and facilitators to virtual NAVIGATE implementation, service engagement, and health equity impacts of this work.
MethodsThe Centre for Addiction and Mental Health (Toronto, Ontario, Canada) transitioned to delivering NAVIGATE virtually early in the COVID-19 pandemic. The Framework for Reporting Adaptations and Modifications for Evidence-Based Interventions will be used to describe the adaptations required to deliver NAVIGATE virtually. Fidelity to the EPI model will be measured using the First Episode Psychosis Services Fidelity Scale and fidelity to NAVIGATE will be assessed by investigating adherence to its core components. Implementation facilitators and barriers will be explored using semistructured interviews with providers informed by the Consolidated Framework for Implementation Research. Satisfaction with virtually delivered NAVIGATE will be assessed with virtual client and provider experience surveys and qualitative interviews with clients, family members, and providers. Service engagement data will be collected through review of medical records, and potential impacts of virtually delivered NAVIGATE on different population groups will be assessed with the Health Equity Impact Assessment.
ResultsVirtual clinical delivery of NAVIGATE started in March 2020 with additional adaptations and data collection is ongoing. Data will be analyzed using descriptive statistics and survival analysis for quantitative data. Qualitative data will be analyzed using thematic content analysis. Integration of qualitative and quantitative data will occur at the data collection, interpretation, and reporting levels following a convergent design.
ConclusionsThis study will provide information regarding the type of intervention adaptations required for virtual delivery of NAVIGATE for youth with early psychosis, ensuring access to high-quality care for this population during the pandemic and beyond by guiding future implementation in similar contexts.
International Registered Report Identifier (IRRID)DERR1-10.2196/34591 |
| first_indexed | 2024-03-12T12:59:37Z |
| format | Article |
| id | doaj.art-8510d59e843d42de9f635383ddbcc3cb |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:59:37Z |
| publishDate | 2021-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-8510d59e843d42de9f635383ddbcc3cb2023-08-28T19:57:13ZengJMIR PublicationsJMIR Research Protocols1929-07482021-12-011012e3459110.2196/34591Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation StudyWanda Tempelaarhttps://orcid.org/0000-0001-7452-8551Melanie Barwickhttps://orcid.org/0000-0002-2478-604XAllison Crawfordhttps://orcid.org/0000-0002-1320-0664Aristotle Voineskoshttps://orcid.org/0000-0003-0156-0395Donald Addingtonhttps://orcid.org/0000-0002-0527-0275Jean Addingtonhttps://orcid.org/0000-0002-8298-0756Tallan Alexanderhttps://orcid.org/0000-0003-1583-0587Crystal Baluyuthttps://orcid.org/0000-0001-6870-8337Sarah Bromleyhttps://orcid.org/0000-0002-7950-2008Janet Durbinhttps://orcid.org/0000-0001-9368-818XGeorge Foussiashttps://orcid.org/0000-0001-6220-519XCatherine Fordhttps://orcid.org/0000-0002-7655-390XLauren de Freitashttps://orcid.org/0000-0002-0660-4492Seharish Jindanihttps://orcid.org/0000-0002-5245-7446Anne Kirvanhttps://orcid.org/0000-0002-2168-0848Paul Kurdyakhttps://orcid.org/0000-0001-8115-7437Kirstin Paulyhttps://orcid.org/0000-0002-1613-392XAlexia Polillohttps://orcid.org/0000-0003-0329-350XRachel Robyhttps://orcid.org/0000-0002-5462-2564Sanjeev Sockalingamhttps://orcid.org/0000-0002-9626-1509Alexandra Sosnowskihttps://orcid.org/0000-0002-9702-525XVictoria Villanuevahttps://orcid.org/0000-0001-8365-068XWei Wanghttps://orcid.org/0000-0002-0336-506XNicole Kozloffhttps://orcid.org/0000-0003-1389-1351 BackgroundTimely and comprehensive treatment in the form of early psychosis intervention (EPI) has become the standard of care for youth with psychosis. While EPI services were designed to be delivered in person, the COVID-19 pandemic required many EPI programs to rapidly transition to virtual delivery, with little evidence to guide intervention adaptations or to support the effectiveness and satisfaction with virtual EPI services. ObjectiveThis study aims to explore the adaptations required to deliver NAVIGATE, a model of coordinated specialty care used in EPI, in a virtual format. This study will evaluate implementation of the NAVIGATE model delivered virtually by describing the nature of the adaptations to the intervention, assessing fidelity to the EPI model and the satisfaction of clients, family members, and care providers. We will investigate barriers and facilitators to virtual NAVIGATE implementation, service engagement, and health equity impacts of this work. MethodsThe Centre for Addiction and Mental Health (Toronto, Ontario, Canada) transitioned to delivering NAVIGATE virtually early in the COVID-19 pandemic. The Framework for Reporting Adaptations and Modifications for Evidence-Based Interventions will be used to describe the adaptations required to deliver NAVIGATE virtually. Fidelity to the EPI model will be measured using the First Episode Psychosis Services Fidelity Scale and fidelity to NAVIGATE will be assessed by investigating adherence to its core components. Implementation facilitators and barriers will be explored using semistructured interviews with providers informed by the Consolidated Framework for Implementation Research. Satisfaction with virtually delivered NAVIGATE will be assessed with virtual client and provider experience surveys and qualitative interviews with clients, family members, and providers. Service engagement data will be collected through review of medical records, and potential impacts of virtually delivered NAVIGATE on different population groups will be assessed with the Health Equity Impact Assessment. ResultsVirtual clinical delivery of NAVIGATE started in March 2020 with additional adaptations and data collection is ongoing. Data will be analyzed using descriptive statistics and survival analysis for quantitative data. Qualitative data will be analyzed using thematic content analysis. Integration of qualitative and quantitative data will occur at the data collection, interpretation, and reporting levels following a convergent design. ConclusionsThis study will provide information regarding the type of intervention adaptations required for virtual delivery of NAVIGATE for youth with early psychosis, ensuring access to high-quality care for this population during the pandemic and beyond by guiding future implementation in similar contexts. International Registered Report Identifier (IRRID)DERR1-10.2196/34591https://www.researchprotocols.org/2021/12/e34591 |
| spellingShingle | Wanda Tempelaar Melanie Barwick Allison Crawford Aristotle Voineskos Donald Addington Jean Addington Tallan Alexander Crystal Baluyut Sarah Bromley Janet Durbin George Foussias Catherine Ford Lauren de Freitas Seharish Jindani Anne Kirvan Paul Kurdyak Kirstin Pauly Alexia Polillo Rachel Roby Sanjeev Sockalingam Alexandra Sosnowski Victoria Villanueva Wei Wang Nicole Kozloff Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study JMIR Research Protocols |
| title | Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study |
| title_full | Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study |
| title_fullStr | Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study |
| title_full_unstemmed | Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study |
| title_short | Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study |
| title_sort | adapting evidence based early psychosis intervention services for virtual delivery protocol for a pragmatic mixed methods implementation and evaluation study |
| url | https://www.researchprotocols.org/2021/12/e34591 |
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