Technology-Enabled Collaborative Care for Youth (TECC-Y)

Center for Addiction and Mental Health (CAMH)

Status: Completed

Conditions: Psychosis; Metabolic Disease; Cardiovascular Risk Factor

Treatments: Behavioral: Low Intensity Intervention; Behavioral: High Intensity Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT03610087

121-2017

Details and patient eligibility

About

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.

Enrollment: 70 patients

Sex: All

Ages: 16 to 29 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• Unable to provide consent
• Unable to understand English

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

Low Intensity Intervention

Other group

Description:

The 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.

Treatment:

Behavioral: Low Intensity Intervention

High Intensity Intervention

Experimental group

Description:

The 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.

Treatment:

Behavioral: High Intensity Intervention