Technology-Enabled Collaborative Care for Youth

Centre for Addiction and Mental Health70 enrolled

Overview

The overall objective is to develop scalable interventions to address the physical health needs of patients affected by early psychosis. The objective of this project is to conduct a feasibility study of a high intensity technology-enabled collaborative care model (CCM) compared to lower intensity self-help modules and email support for early identification and treatment of cardio-metabolic risk factors in youth, ages 16-29, affected by early psychosis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Psychosis Metabolic Disease Cardiovascular Risk Factor

Interventions

Low Intensity InterventionBEHAVIORAL

Participants will have access via the online platform to the NAVIGATE self-help modules for physical activity, nutrition and quitting smoking with a list of community resources. Subjects will be sent a standard reminder emails once per week to complete their modules and connect with their main provider for any assistance.

High Intensity InterventionBEHAVIORAL

Participants will receive individualized treatment planning, in collaboration with a Care Coordinator, and the Virtual Care Team (VCT). Interactive modules on physical activity, nutrition and quitting smoking will be provided via the online platform. the virtual team will be engaged to provide treatment and/or recommendations regarding the following: increasing physical activity, improving nutrition and diet, smoking cessation (psychosocial support plus medications), and medication adherence. Participants in this arm will have weekly check-ins with their assigned Care Coordinator where they will be able to discuss VCT recommendations, and progress on their goals.

Eligibility

Sex: ALLMin age: 16 YearsMax age: 29 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Ages 16 - 29 years * Clinician diagnosis of early psychosis (diagnosed in last 5 years) * Prescribed psychiatric medication, stable for 4 weeks * Access to telephone or internet through computer or mobile Exclusion Criteria: * Unable to provide consent * Unable to understand English

Locations (1)

Centre for Addiction and Mental Health

Toronto, Ontario, Canada

Outcomes

Primary Outcomes

Change in patient engagement

The primary outcome is patient engagement will be defined as participant activation in the program measured via self-report levels of perceived benefit from the program.

Time frame: Baseline, 6-weeks, 12-weeks, and 24-weeks.

Secondary Outcomes

Healthy Behaviour Change

The secondary outcome is to explore whether a CCM will help facilitate healthy behavioral changes in physical activity, nutrition, and smoking.

Time frame: Baseline, 6-weeks, 12-weeks, and 24-weeks.

Data from ClinicalTrials.gov

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