A Mobile Application to Improve Case-management and Patient's Functioning in First Episode Psychosis (PLAN-e-PSY)
Psychosis; Episode
![Hôpital le Vinatier](https://trials-media.s3.amazonaws.com/orgs/hopital-le-vinatier.jpeg)
About this trial
This is an interventional supportive care trial for Psychosis; Episode focused on measuring FEP, case management, smartphone application, User-centered design, Mixed method, RCT
Eligibility Criteria
Inclusion Criteria:
- Men and women aged between 18 and 30 years old enrolled in a specialised FEP service for a first psychotic episode, defined as follows:
Presence of daily psychotic symptoms for more than a week that have been characterised at the clinical examination by a psychiatrist, Initiation of antipsychotic treatment for less than 6 months, A diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder or brief psychotic disorder established according to DSM-5 criteria.
- Mastery of the French language (read and spoken)
- Owning a smartphone
- Adult patients who have given written consent
Exclusion Criteria:
- Patients in psychiatric intensive care units because of severe agitation/disorganisation.
- Patients under guardianship
Sites / Locations
- Ch Le Vinatier
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Usual case management practices
Mobile case-management application
The first-episode psychosis services participating in the study offer case-management, which will correspond to the treatment as usual in the control group. All the centers are part of the National Transition Network (https://idpsy.org/reseau-transition/centres/). Involvement in this network ensures homogeneity of the usual practices which correspond to the internationally standards. Care delivery is based on intensive treatment during the critical period of psychosis, relying on a wide network of caring and non-caregiving professionals, working together with a view to the successful recovery of the patient. The patient and his or her family are at the center of care and receive proposals for psychoeducation and support throughout the different phases of the illness. This is concomitant with a regular evaluation of patients in order to update the care offer according to their clinical needs.
The intervention tested will be a mobile application used during consultations involving the patient and the case manager to define care objectives. The mobile application to be evaluated will result from the process of a co-design phase based on the iterative "user-centered design" approach, involving representatives of carers, patients and caregivers. These stakeholders will define the content and form of the smartphone application during co-building workshops. The main purpose of the final application will be to assist in the definition of patients' goals using an approach rooted in recovery theory, with the monitoring of goal achievement in three phases : 1) defining priorities for the patients, through a recovery oriented discussion with the patient and the case manager 2) Setting the concrete objectives and list concrete actions tho achieve them 3) evaluating the achievements.