Supplement: Facilitating Emerging Adult Engagement in Evidence-Based Treatment for Early Psychosis through Peer-Delivered Decision.

项目总结/摘要 我的长期职业目标是成为一名独立的临床科学家，进行研究，以促进 治疗决策和参与以证据为基础的做法，在新兴的成年人与早期 精神病通过同行提供服务。我的培训目标包括：1）发展新的知识 服务参与框架和治疗决策模型，并将这些知识应用于 了解和解决新兴的成人脱离协调专科护理（CSC）; 2）进一步扩大 了解一般的同伴支持服务的实施情况，并适用于早期干预， 精神病; 3）干预开发和临床试验方法学培训; 4）混合方法学培训; 5）磨练有效沟通研究所需的沟通、写作和领导技能 研究结果，确保外部资金继续我的研究计划，并管理我自己的研究实验室。我会 通过教学和应用培训活动以及与导师的定期会议来实现这些目标。 本研究计画的具体目标为：1）了解与早期CSC相关的决策需求 参与，以制定同行交付的决策支持干预（研究1），和2）执行 对同行提供的决策支持干预进行初步评估，以便为R 01提供信息和支持 研究（研究2）。研究1是一项定性研究，以确定决策点和相关的决策需求 与参与CSC计划的前六个月有关，随后是干预发展 与我的导师团队、一个关键利益相关者指导委员会和其他顾问一起进行阶段性研究。基于 实验治疗方法，研究2是一种混合方法，初步试验，以评估可行性，可接受性， 以及干预对关键决策目标的潜在影响。该项目的重点是高度 响应NIMH的目标“……最大限度地恢复精神病患者的早期阶段。” 天普大学公共卫生学院（CPH）的环境设备齐全，可以支持我的工作。 培训和研究目标。CPH将为我提供机会，接受来自 在与我的培训和研究计划相关的领域，国际公认的研究人员[Mark Salzer，博士 （教授和康复科学系主任;主要导师），劳拉·西米诺夫，博士。 (Dean的CPH;共同导师）]，并提供教学法，将填补我目前的培训的关键差距。CPH还将 提供成功实施研究所需的空间、设备和技术援助 程序.此外，我将受益于萨尔泽博士与地平线之家公司的长期合作， 其精神病教育，评估，护理和授权（PEACE）计划将提供 开展研究项目所需的基础设施和目标人群。一起支持和保护 从K 08机制和导师，培训和研究相关的资源，我将 使我能够建立一个独立的研究计划，并实现我的长期职业目标。

Project Summary/Abstract My long-term career objective is to become an independent clinical scientist conducting research to facilitate treatment decision-making and engagement in evidence-based practices among emerging adults with early psychosis through peer-delivered services. My training objectives include: 1) develop new knowledge of service engagement frameworks and treatment decision-making models, and apply this knowledge to understand and address emerging adult disengagement in coordinated specialty care (CSC); 2) further expand knowledge of implementation of peer support services in general, and as applied to early intervention in psychosis; 3) train in intervention development and clinical trials methodology; 4) train in mixed methodology; and 5) hone communication, writing, and leadership skills needed to effectively communicate research findings, secure external funding to continue my program of research, and manage my own research lab. I will accomplish these objectives through didactic and applied training activities and regular meetings with mentors. The research project's specific aims are: 1) to understand decision-making needs pertinent to early CSC engagement in order to develop a peer-delivered decision support intervention (Study 1), and 2) to perform a preliminary evaluation of the peer-delivered decision support intervention in order to inform and support an R01 study (Study 2). Study 1 is a qualitative study to identify decision points and related decision-making needs pertaining to the first six months of engagement in a CSC program, followed by an intervention development phase with my mentorship team, a key stakeholder steering committee, and other consultants. Based on an experimental therapeutics approach, Study 2 is a mixed methods, pilot trial to assess feasibility, acceptability, and the intervention's potential impact on key decision-making targets. The focus of the project is highly responsive to NIMH's goal to “…maximize recovery among persons in the earliest stages of psychotic illness.” The environment at the College of Public Health (CPH) at Temple University is well-equipped to support my training and research objectives. CPH will afford me the opportunity to receive in-house mentorship from internationally recognized researchers in areas relevant to my training and research plan [Mark Salzer, Ph.D. (Professor and Chair of the Department of Rehabilitation Sciences; primary mentor), Laura Siminoff, Ph.D. (Dean of CPH; co-mentor)], and offers didactics that will fill critical gaps in my current training. CPH will also provide space, equipment, and technical assistance needed to successfully implement the research procedures. Additionally, I will benefit from Dr. Salzer's longstanding collaboration with Horizon House, Inc., whose Psychosis Education, Assessment, Care and Empowerment (PEACE) program will provide the infrastructure and target population needed to conduct the research project. Together, support and protected time from the K08 mechanism and the mentorship, training, and research-related resources available to me will enable me to establish an independent program of research and accomplish my long-term career objective.