Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

BMC Psychiatry

Study Protocol

Leon Sterling¹  Greg Murray²  Fiona Foley²  Nuwan Leitan²  Denny Meyer²  Bronte McLeod²  Michael Kyrios³  Neil Thomas⁴  Susan L. Rossell⁵  Cathrine Mihalopoulos⁶  Ellie Fossey⁷  David Castle⁸  John Farhall⁹  Lisa Brophy^1,10  Sue Farnan^1,11  Rosalie Frankish^1,11  Emma Ladd^1,11  Cassy Nunan^1,11  Tara Smark^1,11 

[1] Centre for Design Innovation, Swinburne University of Technology, 3122, Hawthorn, VIC, Australia;Department of Computing and Information Systems, University of Melbourne, 3052, Parkville, VIC, Australia;Centre for Mental Health, Swinburne University of Technology, PO Box 218, 3122, Hawthorn, VIC, Australia;Centre for Mental Health, Swinburne University of Technology, PO Box 218, 3122, Hawthorn, VIC, Australia;Australian National University, ACT 2601, Canberra, Australia;Centre for Mental Health, Swinburne University of Technology, PO Box 218, 3122, Hawthorn, VIC, Australia;Monash Alfred Psychiatry Research Centre, Monash University and The Alfred, 3004, Melbourne, VIC, Australia;Centre for Mental Health, Swinburne University of Technology, PO Box 218, 3122, Hawthorn, VIC, Australia;Monash Alfred Psychiatry Research Centre, Monash University and The Alfred, 3004, Melbourne, VIC, Australia;Department of Psychiatry, St Vincent’s Hospital, 3065, Fitzroy, VIC, Australia;Centre for Population Health Research, Deakin University, 3125, Burwood, VIC, Australia;Department of Occupational Therapy, Monash University - Peninsula Campus, 3199, Frankston, VIC, Australia;Living with Disability Research Centre, La Trobe University, 3086, Melbourne, VIC, Australia;Department of Psychiatry, St Vincent’s Hospital, 3065, Fitzroy, VIC, Australia;Department of Psychiatry, University of Melbourne, 3052, Parkville, VIC, Australia;Department of Psychology and Counselling, La Trobe University, 3086, Melbourne, VIC, Australia;NorthWestern Mental Health, Royal Melbourne Hospital, 3050, Melbourne, VIC, Australia;Mind Australia, 3084, Heidelberg, VIC, Australia;Melbourne School of Population and Global Health, University of Melbourne, 3052, Parkville, VIC, Australia;Wellways Australia, 3068, Fairfield, VIC, Australia;

关键词: Randomised controlled trial (RCT);    Psychosis;    Schizophrenia;    Digital health;    e-therapy;    Tablet computers;    Peer support;    Illness self-management;    Personal recovery;   

DOI  :  10.1186/s12888-016-1024-1

 received in 2016-08-29, accepted in 2016-08-30,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPsychosocial 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/DesignThis 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.DiscussionThis 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 registrationNCT02474524, 24 May 2015, retrospectively registered during the recruitment phase.

【 授权许可】

CC BY   
© The Author(s). 2016