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Understanding Implementation of a Digital Self-Monitoring Intervention for Relapse Prevention in Psychosis: Protocol
Stephanie Allan1, Hamish Mcleod1, Simon Bradstreet1
1Mental Health & Wellbeing, University of Glasgow, Glasgow, United Kingdom.
JMIR Research Protocols
|December 11, 2019
Summary
This study evaluates the EMPOWER digital intervention for psychosis relapse prevention. It details the process evaluation protocol to understand implementation facilitators and barriers for future trials.
Area of Science:
- Mental Health
- Digital Health Interventions
- Psychosis Relapse Prevention
Background:
- Relapse in psychosis is common and linked to negative outcomes.
- Early warning signs (EWS) precede relapse, offering prevention opportunities.
- Barriers exist to utilizing EWS monitoring; digital interventions like EMPOWER aim to address this.
Purpose of the Study:
- To describe the protocol for the process evaluation of the EMPOWER trial.
- To develop a framework for process evaluation sensitive to service users, staff, and carers.
- To outline aims, studies, and integration plans for process evaluation results.
Main Methods:
- A mixed-methods approach across 6 substudies.
- Utilizing qualitative methodologies in 4 substudies.
- Employing mixed and quantitative methodologies in remaining substudies.
Main Results:
- Data analysis is ongoing; initial results expected December 2019.
- Triangulation of results will yield key implementation lessons.
- The study focuses on the protocol, not yet presenting findings.
Conclusions:
- Findings will identify facilitators and barriers to EMPOWER implementation.
- Insights will inform decisions on upscaling and optimizing definitive trials.
- This process evaluation is crucial for the successful deployment of digital interventions in psychosis care.

