Facilitating treatment engagement for early psychosis through peer-delivered decision support: intervention development and protocol for pilot evaluation.
Facilitating treatment engagement for early psychosis through peer-delivered decision support: intervention development and protocol for pilot evaluation.
复制标题
DOI：
10.1186/s40814-021-00927-8
复制
发表时间：
2021-10-24
影响因子：
1.7
通讯作者：
Salzer MS
中科院分区：
文献类型：
--
作者：
Thomas EC;Suarez J;Lucksted A;Siminoff LA;Hurford I;Dixon LB;O'Connell M;Penn DL;Salzer MS
新兴成人早期精神病表现出很高的服务脱离率从关键的早期干预服务。决策支持干预和同伴支持都被证明可以提高服务参与度，但在这一人群中还没有得到充分的研究。本文的目的是描述一种针对这一人群的新型同伴传递决策指导干预的发展，并报告一项试点研究的计划，该研究旨在收集有关其可行性、可接受性和潜在影响的初步数据。该干预措施是在形成性定性数据的基础上，与由研究人员、关键利益相关者和专家顾问组成的多元化团队合作开发的。试点试验将采用单组（N = 20），前后融合混合方法设计，以探索干预是否以及如何解决决策需求（主要干预目标）。干预对次要结果的影响（例如，参与项目）也将被评估。此外，通过同伴决策教练和研究参与者的观察和反馈，我们将评估研究和干预程序的可行性，以及同伴决策教练提供的信息和支持的可接受性。同伴提供的决策指导干预有望帮助年轻人就他们的护理做出知情和价值观一致的决定，并有可能提高这一传统上难以参与的人群的服务参与。如果干预证明了可行性和可接受性，并且试点数据显示其改善治疗决策的潜力，我们的工作也将为早期干预团队中同行专家的作用奠定新的证据基础。该试验于2020年8月28日在ClinicalTrials.gov（标识符：NCT04532034）注册为天普大学协议记录261047，促进参与早期精神病的循证治疗。
Emerging adults with early psychosis demonstrate high rates of service disengagement from critical early intervention services. Decision support interventions and peer support have both been shown to enhance service engagement but are understudied in this population. The purposes of this article are to describe the development of a novel peer-delivered decision coaching intervention for this population and to report plans for a pilot study designed to gather preliminary data about its feasibility, acceptability, and potential impact. The intervention was developed based on formative qualitative data and in collaboration with a diverse team of researchers, key stakeholders, and expert consultants. The pilot trial will utilize a single-group (N = 20), pre-post, convergent mixed-methods design to explore whether and how the intervention addresses decision-making needs (the primary intervention target). The impact of the intervention on secondary outcomes (e.g., engagement in the program) will also be assessed. Additionally, through observation and feedback from the peer decision coach and study participants, we will evaluate the feasibility of research and intervention procedures, and the acceptability of information and support from the peer decision coach. The peer-delivered decision coaching intervention holds promise for assisting young people with making informed and values-consistent decisions about their care, and potentially enhancing service engagement within this traditionally difficult-to-engage population. If the intervention demonstrates feasibility and acceptability, and pilot data show its potential for improving treatment decision-making, our work will also lay the foundation for a new evidence base regarding roles for peer specialists on early intervention teams. This trial was registered with ClinicalTrials.gov (Identifier: NCT04532034) on 28 August 2020 as Temple University Protocol Record 261047, Facilitating Engagement in Evidence-Based Treatment for Early Psychosis.
登录
查看更多内容
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.5
作者：
Bracke, Piet;Christiaens, Wendy;Verhaeghe, Mieke
通讯作者：
Verhaeghe, Mieke
影响因子：
5.3
作者：
Cloutier, Martin;Aigbogun, Myrlene Sanon;Wu, Eric
通讯作者：
Wu, Eric
DOI：
10.1177/0194599815620558
发表时间：
2016-03
期刊：
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
影响因子：
--
作者：
Boss EF;Mehta N;Nagarajan N;Links A;Benke JR;Berger Z;Espinel A;Meier J;Lipstein EA
通讯作者：
Lipstein EA
影响因子：
5.4
作者：
Charles, C;Gafni, A;Whelan, T
通讯作者：
Whelan, T