TY - JOUR
T1 - Promoting personal recovery in people with persisting psychotic disorders
T2 - Development and pilot study of a novel digital intervention
AU - Thomas, Neil
AU - Farhall, John
AU - Foley, Fiona
AU - Leitan, Nuwan Dominic
AU - Villagonzalo, Kristi Ann
AU - Ladd, Emma
AU - Nunan, Cassy
AU - Farnan, Sue
AU - Frankish, Rosalie
AU - Smark, Tara
AU - Rossell, Susan L.
AU - Sterling, Leon
AU - Murray, Greg
AU - Castle, David Jonathon
AU - Kyrios, Michael
N1 - Publisher Copyright:
© 2016 Thomas, Farhall, Foley, Leitan, Villagonzalo, Ladd, Nunan, Farnan, Frankish, Smark, Rossell, Sterling, Murray, Castle and Kyrios.
PY - 2016
Y1 - 2016
N2 - Background: For people with persisting psychotic disorders, personal recovery has become an important target of mental health services worldwide. Strongly influenced by mental health service consumer perspectives, personal recovery refers to being able to live a satisfying and contributing life irrespective of ongoing symptoms and disability. Contact with peers with shared lived experience is often cited as facilitative of recovery. We aimed to develop and pilot a novel recovery-based digitally supported intervention for people with a psychotic illness. Methods: We developed a website to be used on a tablet computer by mental health workers to structure therapeutic discussions about personal recovery. Central to the site was a series of video interviews of people with lived experience of psychosis discussing how they had navigated issues within their own recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment model of recovery. We examined the feasibility and acceptability of an 8-session low intensity intervention using this site in 10 participants with persisting psychotic disorders and conducted a proof-of-concept analysis of outcomes. Results: All 10 participants completed the full course of sessions, and it was possible to integrate use of the website into nearly all sessions. Participant feedback confirmed that use of the website was a feasible and acceptable way of working. All participants stated that they would recommend the intervention to others. Post-intervention, personal recovery measured by the Questionnaire for the Process of Recovery had improved by an average standardized effect of d = 0.46, 95% CI [0.07, 0.84], and 8 of the 10 participants reported that their mental health had improved since taking part in the intervention. Conclusion: In-session use of digital resources featuring peer accounts of recovery is feasible and acceptable and shows promising outcomes. A randomized controlled trial is the next step in evaluating the efficacy of this low intensity intervention when delivered in conjunction with routine mental health care.
AB - Background: For people with persisting psychotic disorders, personal recovery has become an important target of mental health services worldwide. Strongly influenced by mental health service consumer perspectives, personal recovery refers to being able to live a satisfying and contributing life irrespective of ongoing symptoms and disability. Contact with peers with shared lived experience is often cited as facilitative of recovery. We aimed to develop and pilot a novel recovery-based digitally supported intervention for people with a psychotic illness. Methods: We developed a website to be used on a tablet computer by mental health workers to structure therapeutic discussions about personal recovery. Central to the site was a series of video interviews of people with lived experience of psychosis discussing how they had navigated issues within their own recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment model of recovery. We examined the feasibility and acceptability of an 8-session low intensity intervention using this site in 10 participants with persisting psychotic disorders and conducted a proof-of-concept analysis of outcomes. Results: All 10 participants completed the full course of sessions, and it was possible to integrate use of the website into nearly all sessions. Participant feedback confirmed that use of the website was a feasible and acceptable way of working. All participants stated that they would recommend the intervention to others. Post-intervention, personal recovery measured by the Questionnaire for the Process of Recovery had improved by an average standardized effect of d = 0.46, 95% CI [0.07, 0.84], and 8 of the 10 participants reported that their mental health had improved since taking part in the intervention. Conclusion: In-session use of digital resources featuring peer accounts of recovery is feasible and acceptable and shows promising outcomes. A randomized controlled trial is the next step in evaluating the efficacy of this low intensity intervention when delivered in conjunction with routine mental health care.
KW - Digital health
KW - Low intensity interventions
KW - Mental health services
KW - Peer support
KW - Personal recovery
KW - Psychosis
KW - Schizophrenia
KW - Tablet computers
UR - http://www.scopus.com/inward/record.url?scp=85009205027&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2016.00196
DO - 10.3389/fpsyt.2016.00196
M3 - Article
SN - 1664-0640
VL - 7
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
IS - DEC
M1 - 196
ER -