63 research outputs found
Psychosocial family interventions for relatives of people living with psychotic disorders in the Arab world:systematic review
Predictors of change in social networks, support and satisfaction following a first episode psychosis: a cohort study
Improving mental health literacy among young people aged 11-15Â years in Java, Indonesia: the co-development of a culturally-appropriate, user-centred resource (The IMPeTUs Intervention).
From Europe PMC via Jisc Publications RouterHistory: ppub 2021-10-01, epub 2021-10-07Publication status: PublishedFunder: medical research council; Grant(s): MR/R022151/1Funder: Medical Research Council; Grant(s): MR/R022151/1BackgroundMany mental health problems emerge in late childhood and contribute significantly to the global burden of disease. Adverse outcomes can extend into adulthood if left untreated. This impact is exacerbated in low- and middle-income countries where significant treatment gaps persist. Improving mental health literacy may offer an effective strategy for early intervention but remains underexplored in these contexts.MethodsAn intervention was co-developed with children and young people (CYP) by undertaking a needs analysis combined with stakeholder consensus activities. A systematic review of mental health literacy interventions in South-East Asia was undertaken in addition to semi-structured interviews with 43 children and young people (19 with and 24 without experience of anxiety and depression), 19 parents of children with experience of mental health problems and 25 education and health professionals. A focus group was also held with 8 key stakeholders immersed nationally in policy and practice. Interview schedules explored participants' experiences of mental health, unmet needs and priorities for intervention. Data were synthesised and presented at a 3-day co-production workshop. Attendees included 13 CYP, 6 parents/guardians, 2 teachers, 8 health professionals, 2 academics and 3 game designers. Consensus exercises were utilised to identify the preferred format, content and delivery of the intervention. A smaller group of patient and public involvement contributors worked with designers to further iterate the intervention.ResultsAn immersive storyline digital application was co-developed for young people aged 11-15 with the primary aim of improving mental health literacy and self-management. The intervention comprises two chapters; one depression focussed, and the other anxiety focussed. The storyline format is interspersed with interactive games and exercises to promote engagement and encourage self-management. CYP also take part in group sessions delivered by trained facilitators before and after intervention use to discuss outcomes of and issues raised during the game.ConclusionThe IMPeTUs intervention has been co-designed for CYP aged 11-15 to improve mental health literacy and enhance self-management abilities. To the best of our knowledge, this is the first Indonesian digital intervention to improve mental health literacy and self-management for this population. Implementation, acceptability, and impact are currently being explored in a multi-site case study evaluation
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Predictors of change in social networks, support and satisfaction following a first episode psychosis: A cohort study
Background
Diminished social networks are common in psychosis but few studies have measured these comprehensively
and prospectively to determine how networks and support evolve during the early phase. There is little
information regarding perceived support in the early phase of illness. The aim of this study was to describe
social support, networks and perceived satisfaction, explore the clinical correlates of these outcomes and
examine whether phases of untreated psychosis are linked with social network variables to determine potential
opportunities for intervention.
Methods
During the study period, we assessed 222 people with first-episode psychosis at entry into treatment using valid
and reliable measures of diagnosis, positive and negative symptoms, periods of untreated psychosis and
prodrome and premorbid adjustment. For follow-up we contacted participants to conduct a second assessment (n
= 158). There were 97 people who participated which represented 61% of those eligible. Social network and
support information obtained at both time points included the number of friends, self-reported satisfaction with
support and social network size and clinician’s evaluation of the degree of support received through networks.
Mixed effects modelling determined the contribution of potential explanatory variables to social support
measured.
Results
A number of clinical variables were linked with social networks, support and perceived support and satisfaction.
The size of networks did not change over time but those with no friends and duration of untreated psychosis was
significantly longer for those with no friends at entry into treatment (n = 129, Median = 24.5mths, IQR = 7.25 –
69.25; Mann-Whitney U = 11.78, p = 0.008). Social support at baseline and at one year was predicted by
homelessness (t = -2.98, p = 0.001, CI -4.74 to -1.21), duration of untreated psychosis (t = -0.86, p = 0.031, CI -
1.65 to -0.08) and premorbid adjustment (t = -2.26, p = 0.017, CI -4.11 to -0.42). Social support improved over
time but the duration of untreated psychosis was not linked with the rate of improvement in this outcome.
Conclusions
Improved social support could indicate greater reliance on social support or becoming more adept at mobilising
resources to meet social needs. Particularly vulnerable groups with very long duration of untreated psychosis
confirm the need for earlier intervention or targeted social network interventions to preserve social
connectedness
Improving mental health literacy among young people aged 11-15years in Java, Indonesia: co-development and feasibility testing of a culturally-appropriate, user-centred resource (IMPeTUs) - a study protocol
Developing a culturally adapted family intervention for relatives living with schizophrenia in Oman
Health professionals' perspectives on shared decision-making in secondary mental healthcare:a qualitative study
Patients' perspectives on shared decision making in secondary mental healthcare in Taiwan:A qualitative study
Exploring the experience of relatives living with individuals diagnosed with schizophrenia in Oman: A qualitative study
Exploring views of relatives and mental health professionals to inform the cultural adaptation of a family intervention for schizophrenia in Oman:A qualitative study
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