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)
BackgroundPsychotic 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 psychosoc...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2021-12-01
|
| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2021/12/e28141 |
| _version_ | 1797735488515211264 |
|---|---|
| author | Shalini Lal John F Gleeson Simon D'Alfonso Geraldine Etienne Ridha Joober Martin Lepage Hajin Lee Mario Alvarez-Jimenez |
| author_facet | Shalini Lal John F Gleeson Simon D'Alfonso Geraldine Etienne Ridha Joober Martin Lepage Hajin Lee Mario Alvarez-Jimenez |
| author_sort | Shalini Lal |
| collection | DOAJ |
| description |
BackgroundPsychotic 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.
ObjectiveIn 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).
MethodsThis 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.
ResultsThis 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.
ConclusionsThis 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.
Trial RegistrationISRCTN Registry ISRCTN43182105; https://www.isrctn.com/ISRCTN43182105
International Registered Report Identifier (IRRID)RR1-10.2196/28141 |
| first_indexed | 2024-03-12T12:59:45Z |
| format | Article |
| id | doaj.art-ac6382bc75e346faa2e27c386934abfe |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:59:45Z |
| publishDate | 2021-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-ac6382bc75e346faa2e27c386934abfe2023-08-28T19:57:09ZengJMIR PublicationsJMIR Research Protocols1929-07482021-12-011012e2814110.2196/28141A 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)Shalini Lalhttps://orcid.org/0000-0002-7501-5018John F Gleesonhttps://orcid.org/0000-0001-7969-492XSimon D'Alfonsohttps://orcid.org/0000-0001-7407-8730Geraldine Etiennehttps://orcid.org/0000-0003-2677-1578Ridha Jooberhttps://orcid.org/0000-0003-3492-807XMartin Lepagehttps://orcid.org/0000-0003-4345-6502Hajin Leehttps://orcid.org/0000-0001-8564-0522Mario Alvarez-Jimenezhttps://orcid.org/0000-0002-3535-9086 BackgroundPsychotic 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. ObjectiveIn 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). MethodsThis 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. ResultsThis 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. ConclusionsThis 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. Trial RegistrationISRCTN Registry ISRCTN43182105; https://www.isrctn.com/ISRCTN43182105 International Registered Report Identifier (IRRID)RR1-10.2196/28141https://www.researchprotocols.org/2021/12/e28141 |
| spellingShingle | Shalini Lal John F Gleeson Simon D'Alfonso Geraldine Etienne Ridha Joober Martin Lepage Hajin Lee Mario Alvarez-Jimenez 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 |
| title | 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) |
| title_full | 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) |
| title_fullStr | 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) |
| title_full_unstemmed | 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) |
| title_short | 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) |
| title_sort | 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 |
| url | https://www.researchprotocols.org/2021/12/e28141 |
| work_keys_str_mv | AT shalinilal adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT johnfgleeson adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT simondalfonso adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT geraldineetienne adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT ridhajoober adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT martinlepage adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT hajinlee adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT marioalvarezjimenez adigitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT shalinilal digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT johnfgleeson digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT simondalfonso digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT geraldineetienne digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT ridhajoober digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT martinlepage digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT hajinlee digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 AT marioalvarezjimenez digitalhealthinnovationtopreventrelapseandsupportrecoveryinyouthreceivingspecializedservicesforfirstepisodepsychosisprotocolforapilotprepostmixedmethodsstudyofhoryzonscanadaphase2 |