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Using a Learning Health System to Integrate Peer Support in Early Intervention Services for Psychosis in Quebec:

Beatrice Todesco1, Srividya N Iyer2, Manuela Ferrari2

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This study protocol outlines the PAIRPEP project, co-designing peer support integration in Quebec

Keywords:
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Area of Science:

  • Health Services Research
  • Implementation Science
  • Psychosis Intervention

Background:

  • Quebec's Early Intervention for Psychosis Services utilize a Rapid Learning Health System (RLHS) called SARPEP since 2019 to bridge the evidence-practice gap.
  • Despite recommendations, peer support services remain underutilized in these programs.
  • The PAIRPEP project (since 2023) aims to address this by co-developing and evaluating peer and family peer support integration.

Purpose of the Study:

  • To describe the co-designed study protocol for the PAIRPEP project.
  • To examine the longitudinal implementation and impact of peer support integration over 3 years.
  • To evaluate the effectiveness of a multimodal capacity-building program within an RLHS.

Main Methods:

  • A 3-year, participatory, mixed-methods study across 12 Early Intervention Services.
  • Utilizing a co-designed capacity-building program based on the MRC framework for complex interventions.
  • Collecting quantitative data via clinician questionnaires and youth/family surveys, supplemented by annual focus groups with eight stakeholder groups.

Main Results:

  • The protocol details the co-design process, implementation procedures, and anticipated outcomes.
  • The study will integrate findings using thematic synthesis and joint displays.
  • Anticipated contributions include informing clinical practice and policy for peer support integration.

Conclusions:

  • Embedding innovative interventions like peer support within an RLHS facilitates real-time feedback and iterative refinement.
  • This approach can effectively inform clinical practice and policy development for early psychosis intervention services.
  • The PAIRPEP protocol provides a framework for large-scale implementation and evaluation of peer support programs.