Cardiovascular Risk Factor, Metabolic Disease, Psychosis
Conditions
Brief summary
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.
Interventions
BEHAVIORALLow Intensity Intervention
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.
BEHAVIORALHigh Intensity Intervention
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.
Sponsors
Medical Psychiatry Alliance
Trillium Health Centre
The Hospital for Sick Children
University of Toronto
Centre for Addiction and Mental Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 29 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient engagement | Baseline, 6-weeks, 12-weeks, and 24-weeks. | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Healthy Behaviour Change | Baseline, 6-weeks, 12-weeks, and 24-weeks. | The secondary outcome is to explore whether a CCM will help facilitate healthy behavioral changes in physical activity, nutrition, and smoking. |
Countries
Canada
Outcome results
None listed