The feasibility and implementation of the Psychosis Risk Prediction Algorithm
- Conditions
- Early Identification of people at risk of psychosis in Primary Care ServicesMental and Behavioural Disorders
- Registration Number
- ISRCTN14087654
- Lead Sponsor
- niversity of Bristol
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 29
Work package 1:
1. GP practices which use EMIS clinical records software
2. All GP practices in the Bristol, North Somerset and South Gloucestershire CCG (BNSSGCCG) region use EMIS software
Work package 3:
GP practices which use EMIS clinical records software.
Work package 4:
1. GPs from BNSSG and the London area
2. Clinicians from the Early Intervention Services within Avon and Wiltshire NHS Foundation Trust and the London area, who provide assessments for people at risk of psychosis
3. Patients who consulted their GP within the last six months for non-psychotic mental health problems
4. Patients' carers
Work package 1:
There are no participant exclusion criteria
Work package 3:
Any patient with an existing coded diagnosis of psychosis either in primary or secondary care EHRs or any recorded prescription for anti-psychotic medication at a dosage appropriate for psychosis
Work package 4:
Inability to provide informed consent
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Coded incident diagnosis of First Episode Psychosis (FEP) or an At-Risk Mental State (ARMS) recorded in primary and/or secondary care EHRs measured using medical records at one timepoint<br>2. Patients' and clinicians' views on the acceptability and potential value and implications of using P Risk in general practice measured using interviews with GPs and focus groups/individuals at one timepoint
- Secondary Outcome Measures
Name Time Method 1. Whether the P Risk threshold for high, medium or low is optimal <br>2. Calibration in two subsamples of patients measured using a coded diagnosis of psychosis at one time point:<br>2.1. Afro-Caribbean ethnicity<br>2.2 Older women (50-65 years of age)), where there is evidence that they are at increased risk