Evidence map›Paper›PMID 38408135›Full record

Trial reportSchizophrenia bulletin2024

Examining the Effectiveness of a Digital Media Campaign at Reducing the Duration of Untreated Psychosis in New York State: Results From a Stepped-wedge Randomized Controlled Trial.

Michael L Birnbaum, Chantel Garrett, Amit Baumel, Nicole T Germano, Danny Sosa, Hong Ngo, Majnu John, Lisa Dixon, John M Kane

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Michael L BirnbaumThe Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA.
Chantel GarrettStrong365 Lab, Orinda, CA, USA.
Amit BaumelDepartment of Community Mental Health, University of Haifa, Haifa, Israel.
Nicole T GermanoThe Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA.
Danny SosaThe Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA.
Hong NgoDepartment of Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Majnu JohnThe Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA.
Lisa DixonDepartment of Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
John M KaneThe Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA.ORCID 0000-0002-2628-9442

Funding

Using Digital Media Advertising to Reduce the Duration of Untreated PsychosisR34MH120790 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI BIRNBAUM, MICHAEL LEO · 2019 to 2021
$765k
NIMH NIH HHS R34 MH120790NIMH NIH HHS R34MH120790; NCT03975400
6 · The paper itself

Abstract

background and hypothesisLonger duration of untreated psychosis (DUP) predicts worse outcomes in First Episode Psychosis (FEP). Searching online represents one of the first proactive step toward treatment initiation for many, yet few studies have informed how best to support FEP youth as they engage in early online help-seeking steps to care. STUDY

designUsing a stepped-wedge randomized design, this project evaluated the effectiveness of a digital marketing campaign at reducing DUP and raising rates of referrals to FEP services by proactively targeting and engaging prospective patients and their adult allies online. STUDY

resultsThroughout the 18-month campaign, 41 372 individuals visited our website, and 371 advanced to remote clinical assessment (median age = 24.4), including 53 allies and 318 youth. Among those assessed (n = 371), 53 individuals (14.3%) reported symptoms consistent with psychotic spectrum disorders (62.2% female, mean age 20.7 years) including 39 (10.5%) reporting symptoms consistent with either Clinical High Risk (ie, attenuated psychotic symptoms; n = 26) or FEP (n = 13). Among those with either suspected CHR or FEP (n = 39), 20 (51.3%) successfully connected with care. The campaign did not result in significant differences in DUP.

conclusionThis study highlights the potential to leverage digital media to help identify and engage youth with early psychosis online. However, despite its potential, online education and professional support alone are not yet sufficient to expedite treatment initiation and reduce DUP.

Indexed as

Psychotic DisordersAdolescentAdultFemaleHumansInternetMaleNew YorkPatient Acceptance of Health CareReferral and ConsultationTelemedicineYoung Adultclinical high riskdigital mediaduration of untreated psychosisearly psychosisfirst episode psychosisinternetonline services

Identifiers

PMID38408135
PMCPMC11059796

What OpenQuestion holds

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Registered trials

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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.