Investigating the effectiveness of online narrative intervention using both qualitative and quantitative methods in patients with first episode of psychosis
The effectiveness of the intervention of online narrative experiences in the two study groups using qualitative and quantitative data analysis methods
Design
This study includes two experimental groups and two control groups, which are selected from patients with the first episode of schizophrenia and people diagnosed with Attenuated psychosis based on random replacement. The sample in each group consists of 30 people and the initial differences between the subjects are analyzed by the method of control covariance analysis and Mancova statistical method.
Settings and conduct
The place of collection of patients' narratives is Razi Hospital in Tehran, and their registration and storage is done in compliance with ethical principles and obtaining informed consent by completing the form in writing. The data are analyzed both qualitatively and quantitatively (reflective- thematic narrative analysis method and Mankova statistical method). The method of collecting narratives is done with the help of semi-structured and unstructured interviews and questionnaires.
Participants/Inclusion and exclusion criteria
The selection of the sample is done based on the DSM-5 structured clinical interview, completion of questionnaires and demographic information by the main researcher..
Intervention groups
The intervention consists of a password-controlled online link that presents narratives of mental health recovery. In the present study, the narratives are obtained through interviews with schizophrenic patients in the phase of symptom subsidence. First, the recorded narratives of recovered patients are selected by the feature list of recovery stories, and after the approval of the ethics committee, they are made available online to the experimental groups.
Main outcome variables
Narratives of patients with first episode of psychosis and reduced psychosis syndrome
General information
Reason for update
Acronym
NEON
IRCT registration information
IRCT registration number:IRCT20230405057823N1
Registration date:2023-07-30, 1402/05/08
Registration timing:registered_while_recruiting
Last update:2023-07-30, 1402/05/08
Update count:4
Registration date
2023-07-30, 1402/05/08
Registrant information
Name
maryam amini fasakhoudi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 4470 2905
Email address
amini.maryam329@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-07-23, 1402/05/01
Expected recruitment end date
2024-06-19, 1403/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the effectiveness of online narrative intervention using both qualitative and quantitative methods in patients with first episode of psychosis
Public title
Investigating the effectiveness of online narrative intervention using both qualitative and quantitative methods in patients with first episode of psychosis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
These patients must be in their first episode of psychosis and have not experienced or reported any history of diagnosis and treatment of schizophrenia in the past.
No history of mood disorders
No history of taking Antipsychotic drugs
No drug abuse
Failure to diagnose severe learning and mental disabilities and medical or neurological diseases that cause symptoms of psychosis.
The criteria for entering the sample with the first episode of schizophrenia are: meeting the conditions based on the criteria of DSM-5-TR and the duration of the diagnosis period of at least 6 months
Exclusion criteria:
Lack of access or support to access the Internet through a personal computer or mobile device
Individuals who were experiencing a crisis or who were otherwise unable to participate in the research were excluded.
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
In the present study, after selecting the subjects using the purposeful sampling method in qualitative studies, in the next step, we assign the people to two experimental and control groups using the random number table method from numbers 1 to 30. Also, the subjects will not know about the implementation of the intervention and its process until the end of the treatment and it is done in a blind way. After the end of the intervention, the subjects of the control group are suggested to use several treatment sessions.
Blinding (investigator's opinion)
Single blinded
Blinding description
In our study, the intervention is done in a blind way for the subjects. Then, at the end of the intervention, the subjects of the control group are suggested to use several treatment sessions.
Placebo
Not used
Assignment
Other
Other design features
Making a treatment application based on the defined algorithm
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of shahid beheshti of Medical Sciences
Street address
Floor 13, Block A, Ministry of Health & Medical Education Headquarters, Between Zarafashan & South Falamak, Qods Town
City
tehran
Province
Tehran
Postal code
1985717443
Approval date
2023-03-11, 1401/12/20
Ethics committee reference number
IR.SBMU.MSP.REC.1401.699
Health conditions studied
1
Description of health condition studied
Schizophrenia
ICD-10 code
F20
ICD-10 code description
The schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained although
Primary outcomes
1
Description
Lived experiences
Timepoint
Before the start of the intervention and the end of the intervention (qualitative part)
Method of measurement
Semi-structured and unstructured interview
Secondary outcomes
1
Description
Mental health trust scale
Timepoint
Week 1, 12 and 52 (quantitative part)
Method of measurement
Questionnaire
2
Description
Quality of Life
Timepoint
Week 1, 12 and 52 (quantitative part)
Method of measurement
Questionnaire
3
Description
Hope
Timepoint
Week 1, 12 and 52 (quantitative part)
Method of measurement
Questionnaire
4
Description
Psychotic attachment
Timepoint
Week 1, 12 and 52 (quantitative part)
Method of measurement
Questionnaire
5
Description
Personal recovery
Timepoint
Week 1, 12 and 52 (quantitative part)
Method of measurement
Questionnaire
Intervention groups
1
Description
Experimental group: receiving the intervention of online narrative experiences The Online Narrative Experiences Intervention is a large-scale research study running from 2017 to 2023 that seeks to recruit participants who are current users of any mental health service and mental health workers to design and test a clinical intervention based on recovery narratives. Made to help. The study team collects stories from a wide range of sources, focusing on the stories of people whose voices are rarely heard by mainstream culture, and brings them together to form the world's largest online repository of mental health recovery stories. They then make these stories available to others to see, hear and read about the NEON intervention and evaluate in a randomized controlled trial whether people benefit from the neon intervention or not. They will also investigate whether access to these stories can improve the way mental health workers support people with Psychosis. Assessments at weeks 1, 12, and 52 are required for clinical analysis. Also, follow-up assessment at 104 weeks is not required; Because at the end of the intervention, the results are subjected to qualitative analysis in addition to quantitative analysis.
Category
Rehabilitation
2
Description
Control group: no treatment
Category
Lifestyle
Recruitment centers
1
Recruitment center
Name of recruitment center
Razi psychiatric hospital
Full name of responsible person
maryam amini fasakhoudi
Street address
Taghi Abad Road - Shahid Rostgar Blvd - Razi Psychiatry Training and Treatment Center
City
Tehran
Province
Tehran
Postal code
1867612016
Phone
+98 21 3340 1220
Email
razi@uswr.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
maryam amini fasakhoudi
Street address
Valenjak, Student Blvd., Arabi St., Shahid Beheshti University of Medical Sciences
City
Tehran
Province
Tehran
Postal code
1985717443
Phone
+98 21 23871
Email
info@sbmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Shahid Beheshti University of Medical Sciences-100 million toman sponsorship of product-oriented theses
Proportion provided by this source
25
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Maryam Amini Fasakhoudi
Position
Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
No. 1, Dibashargi Alley, ,Gol Azin St.,Golestan town
City
Tehran
Province
Tehran
Postal code
1493946761
Phone
+98 21 4470 2905
Email
amini.maryam329@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Maryam Amini Fasakhoudi
Position
Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
No. 1, Dibashargi Alley, Gol Azin St, Golestan town
City
Tehran
Province
Tehran
Postal code
1493946761
Phone
+98 21 4470 2905
Email
amini.maryam329@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Maryam Amini Fasakhoudi
Position
Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
No. 1 , Dibashargi Alley,Gol Azin St.,Golestan town
City
Tehran
Province
Tehran
Postal code
1493946761
Phone
+98 21 4470 2905
Email
amini.maryam329@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
The publication program is related to the printing of the article
When the data will become available and for how long
2 years
To whom data/document is available
Only the researchers of the present study
Under which criteria data/document could be used
Analysis and interpretation
From where data/document is obtainable
Principal investigator
What processes are involved for a request to access data/document
Research researchers are in contact with each other