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.
Schizophr Bull
; 50(3): 705-716, 2024 Apr 30.
Article
em En
| MEDLINE
| ID: mdl-38408135
ABSTRACT
BACKGROUND AND HYPOTHESIS:
Longer 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. STUDYDESIGN:
Using 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. STUDYRESULTS:
Throughout the 18-month campaign, 41 372 individuals visited our website, and 371 advanced to remote clinical assessment (median ageâ =â 24.4), including 53 allies and 318 youth. Among those assessed (nâ =â 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; nâ =â 26) or FEP (nâ =â 13). Among those with either suspected CHR or FEP (nâ =â 39), 20 (51.3%) successfully connected with care. The campaign did not result in significant differences in DUP.CONCLUSION:
This 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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos Psicóticos
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Schizophr Bull
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos