TY - JOUR
T1 - Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis
T2 - SMART-Therapy study protocol
AU - Thomas, Neil
AU - Farhall, John
AU - Foley, Fiona
AU - Rossell, Susan L.
AU - Castle, David
AU - Ladd, Emma
AU - Meyer, Denny
AU - Mihalopoulos, Cathrine
AU - Leitan, Nuwan
AU - Nunan, Cassy
AU - Frankish, Rosalie
AU - Smark, Tara
AU - Farnan, Sue
AU - McLeod, Bronte
AU - Sterling, Leon
AU - Murray, Greg
AU - Fossey, Ellie
AU - Brophy, Lisa
AU - Kyrios, Michael
PY - 2016/9/7
Y1 - 2016/9/7
N2 - Background: Psychosocial interventions have an important role in promoting recovery in people with persisting psychotic disorders such as schizophrenia. Readily available, digital technology provides a means of developing therapeutic resources for use together by practitioners and mental health service users. As part of the Self-Management and Recovery Technology (SMART) research program, we have developed an online resource providing materials on illness self-management and personal recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment (CHIME) framework. Content is communicated using videos featuring persons with lived experience of psychosis discussing how they have navigated issues in their own recovery. This was developed to be suitable for use on a tablet computer during sessions with a mental health worker to promote discussion about recovery. Methods/Design: This is a rater-blinded randomised controlled trial comparing a low intensity recovery intervention of eight one-to-one face-to-face sessions with a mental health worker using the SMART website alongside routine care, versus an eight-session comparison condition, befriending. The recruitment target is 148 participants with a schizophrenia-related disorder or mood disorder with a history of psychosis, recruited from mental health services in Victoria, Australia. Following baseline assessment, participants are randomised to intervention, and complete follow up assessments at 3, 6 and 9 months post-baseline. The primary outcome is personal recovery measured using the Process of Recovery Questionnaire (QPR). Secondary outcomes include positive and negative symptoms assessed with the Positive and Negative Syndrome Scale, subjective experiences of psychosis, emotional symptoms, quality of life and resource use. Mechanisms of change via effects on self-stigma and self-efficacy will be examined. Discussion: This protocol describes a novel intervention which tests new therapeutic methods including in-session tablet computer use and video-based peer modelling. It also informs a possible low intensity intervention model potentially viable for delivery across the mental health workforce. Trial registration: NCT02474524 , 24 May 2015, retrospectively registered during the recruitment phase.
AB - Background: Psychosocial interventions have an important role in promoting recovery in people with persisting psychotic disorders such as schizophrenia. Readily available, digital technology provides a means of developing therapeutic resources for use together by practitioners and mental health service users. As part of the Self-Management and Recovery Technology (SMART) research program, we have developed an online resource providing materials on illness self-management and personal recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment (CHIME) framework. Content is communicated using videos featuring persons with lived experience of psychosis discussing how they have navigated issues in their own recovery. This was developed to be suitable for use on a tablet computer during sessions with a mental health worker to promote discussion about recovery. Methods/Design: This is a rater-blinded randomised controlled trial comparing a low intensity recovery intervention of eight one-to-one face-to-face sessions with a mental health worker using the SMART website alongside routine care, versus an eight-session comparison condition, befriending. The recruitment target is 148 participants with a schizophrenia-related disorder or mood disorder with a history of psychosis, recruited from mental health services in Victoria, Australia. Following baseline assessment, participants are randomised to intervention, and complete follow up assessments at 3, 6 and 9 months post-baseline. The primary outcome is personal recovery measured using the Process of Recovery Questionnaire (QPR). Secondary outcomes include positive and negative symptoms assessed with the Positive and Negative Syndrome Scale, subjective experiences of psychosis, emotional symptoms, quality of life and resource use. Mechanisms of change via effects on self-stigma and self-efficacy will be examined. Discussion: This protocol describes a novel intervention which tests new therapeutic methods including in-session tablet computer use and video-based peer modelling. It also informs a possible low intensity intervention model potentially viable for delivery across the mental health workforce. Trial registration: NCT02474524 , 24 May 2015, retrospectively registered during the recruitment phase.
KW - Digital health
KW - E-therapy
KW - Illness self-management
KW - Peer support
KW - Personal recovery
KW - Psychosis
KW - Randomised controlled trial (RCT)
KW - Schizophrenia
KW - Tablet computers
UR - http://www.scopus.com/inward/record.url?scp=84986216615&partnerID=8YFLogxK
U2 - 10.1186/s12888-016-1024-1
DO - 10.1186/s12888-016-1024-1
M3 - Article
AN - SCOPUS:84986216615
SN - 1471-244X
VL - 16
JO - BMC Psychiatry
JF - BMC Psychiatry
IS - 1
M1 - 312
ER -
