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

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BMC Psychiatry

, 16:312

Psychotic disorders


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.

KeywordsRandomised controlled trial RCT Psychosis Schizophrenia Digital health e-therapy Tablet computers Peer support Illness self-management Personal recovery AbbreviationsAQoL-8DAssessment of quality of life - 8 dimension


DASS-21Depression anxiety stress scale 21

DSM-IV-TRDiagnostic and statistical manual of mental disorders IV text revision

GSESGeneralised self-efficacy scale

HRECHuman research ethics committee

IQIntelligence quotient

ISMIInternalised stigma of mental illness scale


MMRMMixed-model repeated measures

PANSSPositive and negative syndrome scale

QALYQuality adjusted life years

QPRProcess of recovery questionnaire

RCTRandomised Controlled Trial

RUQResource use questionnaire

SCIDStructured clinical interview for DSM-IV-TR Axis I Disorders

SEPSSubjective experience of psychosis scale

SMARTSelf-management and recovery technology

STARScale to assess therapeutic relationships in community mental health care

UCLAUniversity of California, Los Angeles

WAIS-IIIWechsler adult intelligence scale III

WTARWechsler test of adult reading

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Autor: Neil Thomas - John Farhall - Fiona Foley - Susan L. Rossell - David Castle - Emma Ladd - Denny Meyer - Cathrine Mihalopou

Fuente: https://link.springer.com/

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