Using Short Message Service as a Means of Clinical Engagement in Early Psychosis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Psychotic Disorders
- Sponsor
- Centre for Addiction and Mental Health
- Enrollment
- 61
- Locations
- 1
- Primary Endpoint
- Service Engagement Scale (SES)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Engagement with clinical services for youth with early psychosis represents a significant challenge, with up to 40% of patients dropping out of treatment in the first year. This has been linked to worse illness outcomes and represents a significant barrier to recovery for these patients. This study aims to evaluate the efficacy of short message service (SMS) as a means of improving clinical engagement in early-episode psychosis populations by bridging contact between appointments with weekly check-ins/reminders. These weekly check-ins during the first year of treatment will serve as an additional opportunity to reach out to patients and give them a chance to do the same with their care teams, with patient responses triggering clinician follow-up if necessary.
Investigators
George Foussias
Clinician Scientist
Centre for Addiction and Mental Health
Eligibility Criteria
Inclusion Criteria
- •between the ages of 16-29
- •a diagnosis of an affective or non-affective psychotic disorder (i.e., Bipolar or Major Depressive Disorders with Psychotic Features, Schizophrenia Spectrum Disorders, Other Specified Psychotic Disorders, Substance Induced Psychosis and Attenuated Psychotic Syndrome)
- •eligible for follow-up within the Slaight Family Centre for Youth in Transition early intervention service
- •within the first 6 months of treatment
Exclusion Criteria
- •involved in another intervention study
- •do not have a personal cell phone number
Outcomes
Primary Outcomes
Service Engagement Scale (SES)
Time Frame: 9 months
Clinician-rated treatment engagement and adherence (minimum score = 0, maximum score = 42, higher score indicates worse service engagement)
Appointment Attendance
Time Frame: 9 months
Percentage of attended clinic appointments
Secondary Outcomes
- Emergency Department Visits(9 months)
- Hospitalizations(9 months)
- Social Functioning Scale (SFS)(9 months)
- Clinical Global Impression (CGI)(9 months)
- Personal and Social Performance Scale (PSP)(9 months)
- Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LESQ-18)(9 months)
- Scale for the Assessment of Negative Symptoms (SANS)(9 months)
- Drug Attitude Inventory (DAI-10)(9 months)
- Brief Psychiatric Rating Scale (BPRS)(9 months)
- Apathy Evaluation Scale (AES)(9 months)
- Scale To Assess Therapeutic Relationships - Patient Version (STAR-P)(9 months)
- Brief Cognitive Assessment Tool for Schizophrenia (B-CATS)(9 months)