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dc.contributor.authorMcCombe, Geoff
dc.contributor.authorHarrold, Aine
dc.contributor.authorBrown, Katherine
dc.contributor.authorHennessy, Liam
dc.contributor.authorClarke, Mary
dc.contributor.authorHanlon, David
dc.contributor.authorO'Brien, Sinead
dc.contributor.authorLyne, John
dc.contributor.authorCorcoran, Ciaran
dc.contributor.authorMcGorry, Patrick
dc.contributor.authorCullen, Walter
dc.date.accessioned2019-10-04T13:43:57Z
dc.date.available2019-10-04T13:43:57Z
dc.date.issued2019-07-10
dc.identifier.issn1929-0748
dc.identifier.pmid31293240
dc.identifier.doi10.2196/13115
dc.identifier.urihttp://hdl.handle.net/10147/626851
dc.descriptionBackground: Studies have demonstrated that, for patients with psychosis, a majority of the decline in health status and functioning emerges during the first few years after the onset of illness. This knowledge led to the development of specialized early intervention services (EISs) targeting patients experiencing their first episode of psychosis. The central component of EISs is often assertive case management delivered by a multidisciplinary team, where an appointed key worker is responsible for coordinating treatment and delivering various psychosocial interventions to service users. Objective: This paper outlines the protocol for a feasibility study examining how key workers may enhance physical health by supporting integration between primary and secondary care. Methods: Semistructured interviews were conducted with key stakeholder groups (General Practitioners and health care professionals working in mental health services). The interviews informed the development of the complex intervention involving a longitudinal pre-post intervention in 8 general practices in 2 regions in Ireland (one urban and one rural). Patients with first episode psychosis (FEP) will be identified from clinical records at general practices and mental health services. Results: Baseline and follow-up data (at 6 months) will be collected, examining measures of feasibility, acceptability, and intervention effect size. Conclusions: Study findings will inform future practice by examining feasibility of key workers enhancing physical health through improved interaction between primary and secondary care. By identifying issues involved in enhancing recruitment and retention, as well as the likely effect size, the study will inform a future definitive intervention.en_US
dc.language.isoenen_US
dc.subjecthealthen_US
dc.subjectprimary careen_US
dc.subjectpsychosisen_US
dc.subjectreviewen_US
dc.subjectsecondary careen_US
dc.subjectKEY WORKERen_US
dc.subjectPHYSICAL HEALTHen_US
dc.titleKey Worker-Mediated Enhancement of Physical Health in First Episode Psychosis: Protocol For a Feasibility Study in Primary Care.en_US
dc.typeArticleen_US
dc.source.journaltitleJMIR research protocols
refterms.dateFOA2019-10-04T13:43:57Z


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