The Development and Piloting of an Early Youth‐Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study
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2024
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| author | Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety |
| author_facet | Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety |
| collection | Wiley Open Access |
| contents | The Development and Piloting of an Early Youth‐Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety Early Intervention in Psychiatry ABSTRACTAimPsychosis is associated with significant health and societal costs. Early intervention in psychosis services (EIP) are highly effective in promoting recovery, yet substantial proportions of young people disengage. The current study aimed to develop and evaluate a novel engagement intervention in EIP services.MethodA qualitative investigation of facilitators and barriers to engagement in 68 first episode psychosis patients, family members and young people, and a Delphi consultation with 27 regional and national youth and psychosis service leads informed the development of the intervention.A mixed‐methods feasibility‐pilot study then compared engagement outcomes in 298 EIP service users in two cohorts: standard EIP versus standard EIP plus the novel early youth‐engagement (EYE) intervention. A qualitative study explored intervention experiences in 22 randomly selected service users, carers and clinicians. A process evaluation explored delivery.ResultsDisengagement was 24% in the standard EIP cohort compared to 14.5% in the standard EIP plus EYE intervention cohort. A 95% Bayesian credibility interval revealed a 95% probability that the true reduction in disengagement lay somewhere between 0% and 18%. The number needed to treat was 11, 95% CI [5, 242]. Use of the EYE resources was associated with engagement. Qualitiative feedback supported effects on communication, social network engagement, service user goals, mental health and well‐being outcomes.ConclusionThe EYE intervention was designed from a service user, young person and carer perspective. Both qualitative and quantitative data support impacts on engagement. We now need to evaluate effectiveness, cost‐effectiveness and implementation in a multi‐site randomised controlled trial. 10.1111/eip.13623 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1111/eip.13623 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_eip_13623 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The Development and Piloting of an Early Youth‐Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety Early Intervention in Psychiatry The Development and Piloting of an Early Youth‐Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study Kathryn Greenwood Ruth Chandler Kirsty Labuschagne Emmanuelle Peters Katie Alford Richard de Visser Andy Field Luke Slater Philippa Garety Early Intervention in Psychiatry ABSTRACTAimPsychosis is associated with significant health and societal costs. Early intervention in psychosis services (EIP) are highly effective in promoting recovery, yet substantial proportions of young people disengage. The current study aimed to develop and evaluate a novel engagement intervention in EIP services.MethodA qualitative investigation of facilitators and barriers to engagement in 68 first episode psychosis patients, family members and young people, and a Delphi consultation with 27 regional and national youth and psychosis service leads informed the development of the intervention.A mixed‐methods feasibility‐pilot study then compared engagement outcomes in 298 EIP service users in two cohorts: standard EIP versus standard EIP plus the novel early youth‐engagement (EYE) intervention. A qualitative study explored intervention experiences in 22 randomly selected service users, carers and clinicians. A process evaluation explored delivery.ResultsDisengagement was 24% in the standard EIP cohort compared to 14.5% in the standard EIP plus EYE intervention cohort. A 95% Bayesian credibility interval revealed a 95% probability that the true reduction in disengagement lay somewhere between 0% and 18%. The number needed to treat was 11, 95% CI [5, 242]. Use of the EYE resources was associated with engagement. Qualitiative feedback supported effects on communication, social network engagement, service user goals, mental health and well‐being outcomes.ConclusionThe EYE intervention was designed from a service user, young person and carer perspective. Both qualitative and quantitative data support impacts on engagement. We now need to evaluate effectiveness, cost‐effectiveness and implementation in a multi‐site randomised controlled trial. 10.1111/eip.13623 http://creativecommons.org/licenses/by/4.0/ |
| title | The Development and Piloting of an Early Youth‐Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study |
| topic | Early Intervention in Psychiatry |
| url | https://onlinelibrary.wiley.com/doi/10.1111/eip.13623 |