Trial reportSchizophrenia bulletin2026
Autonomy Support from Healthcare Professionals Improves Functioning in Early Psychosis Through Psychological Growth.
Trial report in Schizophrenia bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundEarly psychosis and schizophrenia-spectrum disorders are life-altering conditions, frequently associated with persistent impairments in functioning. Although evidence-based interventions exist, treatment outcomes remain variable. Self-Determination Theory (SDT) posits that autonomy-supportive environments facilitate positive outcomes; however, mediators of this association have been understudied in treatment settings of this clinical population. STUDY
designData were drawn from the Recovery After an Initial Schizophrenia Episode-Early Treatment Program study, a multisite, cluster-randomized controlled trial comparing NAVIGATE (n = 223; 78% male; Mage = 23.18), a coordinated specialty care intervention informed by SDT principles, to community care (CC; n = 180; 66% male; Mage = 23.08). Structural equation modeling was used to test whether perceived autonomy support from healthcare providers predicted overall functioning indirectly through recovery-oriented psychological growth. Models were evaluated separately by treatment condition and by study year, adjusting for baseline group differences. STUDY
resultsModel fit indices indicated adequate fit (RMSEA≤.05, CFI > .95, SRMR<.08, TLI > .95). Among NAVIGATE participants, perceived autonomy support at 3 months predicted functioning at 12 months via recovery-oriented psychological growth processes at 6 months (ß = 1.41, SE = 0.73, abps = 0.063, 95%CI, 0.32-3.05); this indirect effect remained significant at Year 2. Significant full mediation effects were observed. No indirect effects were detected in the CC group.
conclusionsTreatment programs that emphasize autonomy-supportive principles, such as NAVIGATE, lead to improved functional outcomes by fostering recovery-oriented psychological growth. These findings highlight the relevance of SDT in clinical practice, providing a framework to optimize treatment outcomes by cultivating autonomy-supportive environments.
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Registered trials
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