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Mobile App-Based Intervention for Adolescents With First-Episode Psychosis: Study Protocol for a Pilot Randomized
Sara Barbeito1, Teresa Sánchez-Gutiérrez1, María Mayoral2
1Faculty of Health Sciences, Universidad Internacional de la Rioja (UNIR), Logroño, Spain.
Frontiers in Psychiatry
|February 27, 2019
Summary
This study tests a mobile app intervention to improve community functioning in adolescents with first-episode psychosis (FEP). The app aims to enhance quality of life and treatment adherence, potentially reducing relapses and hospitalizations.
Area of Science:
- Psychiatry and Mental Health
- Digital Health Interventions
- Adolescent Health
Background:
- First-episode psychosis (FEP) significantly impacts adolescents, affecting their community functioning and quality of life.
- Mobile app-based interventions show promise in improving treatment access and engagement for young patients with FEP.
- Early intervention in FEP is critical for long-term outcomes, including relapse prevention and rehospitalization rates.
Observation:
- This study protocol outlines a single-blind randomized clinical trial (RCT) for adolescents (14-19 years) with FEP.
- The intervention group receives standard care plus a mobile app with modules on psychoeducation, symptom recognition, problem-solving, mindfulness, and support.
- The control group receives standard care only.
Findings:
- The primary outcome is the reduction of psychotic and depressive symptoms.
- Secondary outcomes include treatment adherence, disease awareness, substance use, and quality of life.
- Data will be analyzed using an intention-to-treat (ITT) approach with mixed-effects models to assess group-by-time interactions.
Implications:
- This pilot RCT explores an innovative mobile app-based psychological intervention for adolescents with FEP during a critical developmental period.
- Findings could inform larger-scale studies and facilitate the broader adoption of digital therapeutics for FEP.
- Successful implementation may improve long-term outcomes, reduce healthcare burdens, and enhance the lives of young individuals experiencing psychosis.
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