SARPEP, a rapid-learning healthcare system of early intervention services for psychosis in Quebec, Canada: Feasibility, acceptability and early impacts

IF 3.6 2区医学 Q1 PSYCHIATRY

Schizophrenia Research Pub Date : 2025-02-20 DOI:10.1016/j.schres.2025.02.001

Amal Abdel-Baki , Manuela Ferrari , Annie Leblanc , Camille Arbaud , Daniel Rabouin , Marc-André Roy , Srividya N. Iyer

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引用次数: 0

Abstract

Introduction

Despite growing interest in learning health systems, their application and evaluation in mental health have been scarce. This study aimed to evaluate the feasibility, acceptability and early impacts of SARPEP, a rapid learning healthcare system (RLHS) for early intervention services for psychosis in Quebec, Canada.

Methods

SARPEP comprised technology-supported monitoring of program and patient outcomes, feedback and capacity-building. It involved 11 services (128 professionals, 1700+ patients). We descriptively analyzed quantitative data on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) collected in the first two years.

Results

Reach: Patient and family partners, all programs (clinicians, managers), government representatives and the provincial early psychosis association agreed to co-design and implement all SARPEP components. Effectiveness: Data informed program- and provincial-level decision-making. Some quality indicators (e.g., timely access) improved over time. 80 % of youth were satisfied with services. Adoption: All programs collected data on satisfaction and quality, with data collection improving over time. Eight programs and all stakeholder groups participated in most community-of-practice sessions. Implementation: The time required for data collection and providing feedback decreased over time. SARPEP offered rapid, flexible support; tools; and a community of practice that facilitated collecting data, and monitoring and improving practices. Maintenance: All programs remained in SARPEP post study.

Conclusion

Involving all stakeholders, RLHSs can be deployed, adopted, and maintained in mental healthcare and increase the measurement of practices and quality improvement efforts. Strategies are needed to increase the completion of patient-reported measures and to rigorously evaluate the RLHS' effectiveness in improving service quality and outcomes.

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SARPEP，加拿大魁北克省精神病早期干预服务的快速学习医疗保健系统：可行性，可接受性和早期影响

尽管人们对学习卫生系统的兴趣日益浓厚，但它们在精神卫生方面的应用和评估却很少。本研究旨在评估快速学习医疗系统SARPEP在加拿大魁北克省精神病早期干预服务中的可行性、可接受性和早期影响。方法sarpep包括技术支持的项目和患者预后监测、反馈和能力建设。它涉及11项服务（128名专业人员，1700多名患者）。我们描述性地分析了前两年收集的RE-AIM框架（Reach, Effectiveness, Adoption, Implementation, Maintenance）的定量数据。结果：患者及其家属、各项目（临床医生、管理人员）、政府代表和省级早期精神病协会同意共同设计和实施所有SARPEP组件。有效性：数据为项目和省级决策提供依据。一些质量指标（例如，及时获取）随着时间的推移而改进。80%的年轻人对服务感到满意。采用：所有的程序都收集满意度和质量的数据，随着时间的推移，数据收集会不断改进。八个项目和所有利益相关者团体参加了大多数实践社区会议。实现：数据收集和提供反馈所需的时间随着时间的推移而减少。SARPEP提供快速、灵活的支持；工具;以及一个促进收集数据、监测和改进实践的实践社区。维护：所有程序在研究后仍保持在SARPEP中。结论rlhs可在精神卫生领域部署、采用和维持，并可增加实践的测量和质量改进工作。需要制定策略来提高患者报告措施的完成程度，并严格评估RLHS在改善服务质量和结果方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Schizophrenia Research 医学-精神病学

CiteScore

7.50

自引率

8.90%

发文量

429

审稿时长

10.2 weeks

期刊介绍： As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership! Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue. The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.