Evidence map›Paper›PMID 32720904›Full record

ArticleJMIR mental health2020

Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study.

Lee Valentine, Carla McEnery, Imogen Bell, Shaunagh O'Sullivan, Ingrid Pryor, John Gleeson, Sarah Bendall, Mario Alvarez-Jimenez

Abstract read
In one paragraph

Article in JMIR mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lee ValentineOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0001-7481-6537
Carla McEneryOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0001-9145-9068
Imogen BellOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0001-7567-0517
Shaunagh O'SullivanOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0002-5234-5727
Ingrid PryorOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0003-4667-8610
John GleesonSchool of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia.ORCID https://orcid.org/0000-0001-7969-492X
Sarah BendallOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0003-1486-6190
Mario Alvarez-JimenezOrygen, Melbourne, Australia.ORCID https://orcid.org/0000-0002-3535-9086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care. It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online-offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives.

objectiveThis study aimed to gain young people's perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment.

methodsThis qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data.

resultsThree superordinate themes emerged relating to young people's perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance.

conclusionsWe found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making. Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.

Indexed as

AdolescentBlended TreatmentDigital InterventionmHealthPsychotic DisordersYoung Adults

Identifiers

PMID32720904
PMCPMC7420518

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.