Technology-Enabled Collaborative Care for Youth
TECC-Y
1 other identifier
interventional
70
1 country
1
Brief Summary
The overall objective is to develop scalable interventions to address the physical health needs of patients affected by early psychosis. The objective of this project is to conduct a feasibility study of a high intensity technology-enabled collaborative care model (CCM) compared to lower intensity self-help modules and email support for early identification and treatment of cardio-metabolic risk factors in youth, ages 16-29, affected by early psychosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 16, 2018
CompletedStudy Start
First participant enrolled
July 25, 2018
CompletedFirst Posted
Study publicly available on registry
August 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2020
CompletedJuly 15, 2020
July 1, 2020
1.9 years
July 16, 2018
July 13, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Change in patient engagement
The primary outcome is patient engagement will be defined as participant activation in the program measured via self-report levels of perceived benefit from the program.
Baseline, 6-weeks, 12-weeks, and 24-weeks.
Secondary Outcomes (1)
Healthy Behaviour Change
Baseline, 6-weeks, 12-weeks, and 24-weeks.
Study Arms (2)
Low Intensity Intervention
OTHERThe comparison group (low intensity) receives access to the e-platform and given an educational package with information about nutrition, physical activity, and smoking based on the NAVIGATE program (Mueser et al., 2015); i.e., a comprehensive program for implementing coordinated speciality care) with weekly e-mail reminders for 12 weeks. Participants receive access to online resources and free online webinars about these healthy behaviours.
High Intensity Intervention
EXPERIMENTALThe intervention group (high intensity) receives a technology-enabled CCM intervention. Participants receive access to an online platform and infographic modules to learn more about nutrition, physical activity, and smoking cessation. Also, they are assigned a personal health coach who collaboratively schedules weekly virtual sessions via the platform to discuss the educational materials, goal setting and motivation, and provide support in the 12-week program. The participant's health coach reviews the participant's concerns and goals weekly with a virtual care team (VCT; including a psychiatrist, addictions specialist, nutrition specialist, peer mentor, and recreational therapist), who provides individualized recommendations to include in the participant's treatment plan. Participants have access to online resources and online webinars about nutrition, physical activity and smoking.
Interventions
Participants will have access via the online platform to the NAVIGATE self-help modules for physical activity, nutrition and quitting smoking with a list of community resources. Subjects will be sent a standard reminder emails once per week to complete their modules and connect with their main provider for any assistance.
Participants will receive individualized treatment planning, in collaboration with a Care Coordinator, and the Virtual Care Team (VCT). Interactive modules on physical activity, nutrition and quitting smoking will be provided via the online platform. the virtual team will be engaged to provide treatment and/or recommendations regarding the following: increasing physical activity, improving nutrition and diet, smoking cessation (psychosocial support plus medications), and medication adherence. Participants in this arm will have weekly check-ins with their assigned Care Coordinator where they will be able to discuss VCT recommendations, and progress on their goals.
Eligibility Criteria
You may qualify if:
- Ages 16 - 29 years
- Clinician diagnosis of early psychosis (diagnosed in last 5 years)
- Prescribed psychiatric medication, stable for 4 weeks
- Access to telephone or internet through computer or mobile
You may not qualify if:
- Unable to provide consent
- Unable to understand English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Centre for Addiction and Mental Healthlead
- Medical Psychiatry Alliancecollaborator
- Trillium Health Centrecollaborator
- The Hospital for Sick Childrencollaborator
- University of Torontocollaborator
Study Sites (1)
Centre for Addiction and Mental Health
Toronto, Ontario, M5T1P7, Canada
Related Publications (1)
Selby P, Vojtila L, Ashfaq I, Dragonetti R, Melamed OC, Carriere R, LaChance L, Kohut SA, Hahn M, Mulsant BH. Technology-enabled collaborative care for youth with early psychosis: A protocol for a feasibility study to improve physical health behaviours. Early Interv Psychiatry. 2021 Aug;15(4):828-836. doi: 10.1111/eip.13018. Epub 2020 Aug 3.
PMID: 32748501DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Deputy Physician-in-Chief- Education|Clinician Scientist|Chief, Medicine in Psychiatry Division|CAMH|
Study Record Dates
First Submitted
July 16, 2018
First Posted
August 1, 2018
Study Start
July 25, 2018
Primary Completion
June 30, 2020
Study Completion
June 30, 2020
Last Updated
July 15, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share