Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures
Background This study compares the effectiveness of a new early intervention service for firstepisode psychosis (FEP) in patients under conventional treatment. Six primary and 10 secondary outcome measures are used to better characterize the comparative effectiveness between two FEP groups. Methods...
| Autores: | , , , , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2023 |
| País: | España |
| Recursos: | Universidad Pública de Navarra |
| Repositorio: | Academica-e. Repositorio Institucional de la Universidad Pública de Navarra |
| OAI Identifier: | oai:academica-e.unavarra.es:2454/53694 |
| Acesso em linha: | https://hdl.handle.net/2454/53694 |
| Access Level: | acceso abierto |
| Palavra-chave: | First-episode psychosis Schizophrenia Early intervention service Recovery Effectiveness |
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Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measuresGarcía de Jalón, ElenaAriz, Mari CruzAquerreta, AinhoaAranguren Conde, LidiaGutiérrez, GerardoCorrales, AsierSánchez Torres, Ana MaríaGil Berrozpe, Gustavo JoséPeralta Martín, VíctorCuesta, Manuel J.PEPsNa GroupFirst-episode psychosisSchizophreniaEarly intervention serviceRecoveryEffectivenessBackground This study compares the effectiveness of a new early intervention service for firstepisode psychosis (FEP) in patients under conventional treatment. Six primary and 10 secondary outcome measures are used to better characterize the comparative effectiveness between two FEP groups. Methods This study plans to enroll 250 patients aged 15-55 years with FEP from all inpatient and outpatient mental health services and primary health care from January 2020 until December 2022. The control group will be composed of 130 FEP patients treated in mental health centers in the 2 years prior to the start of PEPsNa (Programa de Primeros Episodios de Psicosis de Navarra). The primary outcome measures are symptomatic remission, functional recovery, personal recovery, cognitive performance, functional capacity in real-world settings, and costs. The secondary outcome measures are duration of untreated psychosis, substance abuse rate, antipsychotic monotherapy, minimal effective dose of antipsychotic drugs, therapeutic alliance, drop-out rate, number of relapses, global mortality and suicidality, resource use, and general satisfaction in the program. Discussion This study arises from the growing need to broaden the scope of outcome measures in FEP patients and to account for unmet needs of recovery for FEPs. It aims to contribute in the dissemination of the NAVIGATE model in Europe and to provide new evidence of the effectiveness of early intervention services for stakeholders of the National Health Service.This study was funded by a grant from the Carlos III Health Institute of the Ministry of Science and Innovation of the Government of Spain (PI19/01698).ElsevierCiencias de la SaludOsasun Zientziak2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2454/53694reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglésinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI19%2F01698© 2022 Sociedad Espanola de Psiquiatría y Salud Mental (SEPSM). Published by Elsevier España, S.L.U. This manuscript version is made available under the CC-BY-NC-ND 4.0.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/536942026-06-17T12:41:47Z |
| dc.title.none.fl_str_mv |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| title |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| spellingShingle |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures García de Jalón, Elena First-episode psychosis Schizophrenia Early intervention service Recovery Effectiveness |
| title_short |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| title_full |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| title_fullStr |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| title_full_unstemmed |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| title_sort |
Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): broadening the scope of outcome measures |
| dc.creator.none.fl_str_mv |
García de Jalón, Elena Ariz, Mari Cruz Aquerreta, Ainhoa Aranguren Conde, Lidia Gutiérrez, Gerardo Corrales, Asier Sánchez Torres, Ana María Gil Berrozpe, Gustavo José Peralta Martín, Víctor Cuesta, Manuel J. PEPsNa Group |
| author |
García de Jalón, Elena |
| author_facet |
García de Jalón, Elena Ariz, Mari Cruz Aquerreta, Ainhoa Aranguren Conde, Lidia Gutiérrez, Gerardo Corrales, Asier Sánchez Torres, Ana María Gil Berrozpe, Gustavo José Peralta Martín, Víctor Cuesta, Manuel J. PEPsNa Group |
| author_role |
author |
| author2 |
Ariz, Mari Cruz Aquerreta, Ainhoa Aranguren Conde, Lidia Gutiérrez, Gerardo Corrales, Asier Sánchez Torres, Ana María Gil Berrozpe, Gustavo José Peralta Martín, Víctor Cuesta, Manuel J. PEPsNa Group |
| author2_role |
author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Ciencias de la Salud Osasun Zientziak |
| dc.subject.none.fl_str_mv |
First-episode psychosis Schizophrenia Early intervention service Recovery Effectiveness |
| topic |
First-episode psychosis Schizophrenia Early intervention service Recovery Effectiveness |
| description |
Background This study compares the effectiveness of a new early intervention service for firstepisode psychosis (FEP) in patients under conventional treatment. Six primary and 10 secondary outcome measures are used to better characterize the comparative effectiveness between two FEP groups. Methods This study plans to enroll 250 patients aged 15-55 years with FEP from all inpatient and outpatient mental health services and primary health care from January 2020 until December 2022. The control group will be composed of 130 FEP patients treated in mental health centers in the 2 years prior to the start of PEPsNa (Programa de Primeros Episodios de Psicosis de Navarra). The primary outcome measures are symptomatic remission, functional recovery, personal recovery, cognitive performance, functional capacity in real-world settings, and costs. The secondary outcome measures are duration of untreated psychosis, substance abuse rate, antipsychotic monotherapy, minimal effective dose of antipsychotic drugs, therapeutic alliance, drop-out rate, number of relapses, global mortality and suicidality, resource use, and general satisfaction in the program. Discussion This study arises from the growing need to broaden the scope of outcome measures in FEP patients and to account for unmet needs of recovery for FEPs. It aims to contribute in the dissemination of the NAVIGATE model in Europe and to provide new evidence of the effectiveness of early intervention services for stakeholders of the National Health Service. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 |
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info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
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article |
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acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2454/53694 |
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https://hdl.handle.net/2454/53694 |
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Inglés |
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Inglés |
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info:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI19%2F01698 |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf |
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Elsevier |
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Elsevier |
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reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra instname:Universidad Pública de Navarra |
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Universidad Pública de Navarra |
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Academica-e. Repositorio Institucional de la Universidad Pública de Navarra |
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Academica-e. Repositorio Institucional de la Universidad Pública de Navarra |
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