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Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care
BACKGROUND: Studies have demonstrated that, for patients with psychosis, a majority of the decline in health status and functioning emerges during the first few years after the onset of illness. This knowledge led to the development of specialized early intervention services (EISs) targeting patient...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6652125/ https://www.ncbi.nlm.nih.gov/pubmed/31293240 http://dx.doi.org/10.2196/13115 |
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author | McCombe, Geoff Harrold, Aine Brown, Katherine Hennessy, Liam Clarke, Mary Hanlon, David O'Brien, Sinead Lyne, John Corcoran, Ciaran McGorry, Patrick Cullen, Walter |
author_facet | McCombe, Geoff Harrold, Aine Brown, Katherine Hennessy, Liam Clarke, Mary Hanlon, David O'Brien, Sinead Lyne, John Corcoran, Ciaran McGorry, Patrick Cullen, Walter |
author_sort | McCombe, Geoff |
collection | PubMed |
description | BACKGROUND: Studies have demonstrated that, for patients with psychosis, a majority of the decline in health status and functioning emerges during the first few years after the onset of illness. This knowledge led to the development of specialized early intervention services (EISs) targeting patients experiencing their first episode of psychosis. The central component of EISs is often assertive case management delivered by a multidisciplinary team, where an appointed key worker is responsible for coordinating treatment and delivering various psychosocial interventions to service users. OBJECTIVE: This paper outlines the protocol for a feasibility study examining how key workers may enhance physical health by supporting integration between primary and secondary care. METHODS: Semistructured interviews were conducted with key stakeholder groups (General Practitioners and health care professionals working in mental health services). The interviews informed the development of the complex intervention involving a longitudinal pre-post intervention in 8 general practices in 2 regions in Ireland (one urban and one rural). Patients with first episode psychosis (FEP) will be identified from clinical records at general practices and mental health services. RESULTS: Baseline and follow-up data (at 6 months) will be collected, examining measures of feasibility, acceptability, and intervention effect size. CONCLUSIONS: Study findings will inform future practice by examining feasibility of key workers enhancing physical health through improved interaction between primary and secondary care. By identifying issues involved in enhancing recruitment and retention, as well as the likely effect size, the study will inform a future definitive intervention. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13115 |
format | Online Article Text |
id | pubmed-6652125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-66521252019-07-30 Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care McCombe, Geoff Harrold, Aine Brown, Katherine Hennessy, Liam Clarke, Mary Hanlon, David O'Brien, Sinead Lyne, John Corcoran, Ciaran McGorry, Patrick Cullen, Walter JMIR Res Protoc Protocol BACKGROUND: Studies have demonstrated that, for patients with psychosis, a majority of the decline in health status and functioning emerges during the first few years after the onset of illness. This knowledge led to the development of specialized early intervention services (EISs) targeting patients experiencing their first episode of psychosis. The central component of EISs is often assertive case management delivered by a multidisciplinary team, where an appointed key worker is responsible for coordinating treatment and delivering various psychosocial interventions to service users. OBJECTIVE: This paper outlines the protocol for a feasibility study examining how key workers may enhance physical health by supporting integration between primary and secondary care. METHODS: Semistructured interviews were conducted with key stakeholder groups (General Practitioners and health care professionals working in mental health services). The interviews informed the development of the complex intervention involving a longitudinal pre-post intervention in 8 general practices in 2 regions in Ireland (one urban and one rural). Patients with first episode psychosis (FEP) will be identified from clinical records at general practices and mental health services. RESULTS: Baseline and follow-up data (at 6 months) will be collected, examining measures of feasibility, acceptability, and intervention effect size. CONCLUSIONS: Study findings will inform future practice by examining feasibility of key workers enhancing physical health through improved interaction between primary and secondary care. By identifying issues involved in enhancing recruitment and retention, as well as the likely effect size, the study will inform a future definitive intervention. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13115 JMIR Publications 2019-07-10 /pmc/articles/PMC6652125/ /pubmed/31293240 http://dx.doi.org/10.2196/13115 Text en ©Geoff McCombe, Aine Harrold, Katherine Brown, Liam Hennessy, Mary Clarke, David Hanlon, Sinead O'Brien, John Lyne, Ciaran Corcoran, Patrick McGorry, Walter Cullen. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 10.07.2019. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Protocol McCombe, Geoff Harrold, Aine Brown, Katherine Hennessy, Liam Clarke, Mary Hanlon, David O'Brien, Sinead Lyne, John Corcoran, Ciaran McGorry, Patrick Cullen, Walter Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title | Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title_full | Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title_fullStr | Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title_full_unstemmed | Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title_short | Key Worker–Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care |
title_sort | key worker–mediated enhancement of physical health in first episode psychosis: protocol for a feasibility study in primary care |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6652125/ https://www.ncbi.nlm.nih.gov/pubmed/31293240 http://dx.doi.org/10.2196/13115 |
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