Implementation of an Online Mental Health Website for the Early Intervention in Psychosis Services, Developed for the Early Youth Engagement (EYE-2) Trial: A Cross-Sectional Survey Study of Clinical Barriers and Facilitators to Normalisation

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-05-29 DOI:10.1111/eip.70055

Elizabeth Robson, Kathryn Greenwood

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Abstract

Introduction

Disengagement is a problem for early intervention in psychosis (EIP) services. Access to trusted information on a website might help to overcome some of the problems associated with disengagement. Clinician and organisational engagement are integral to the implementation and uptake of online resources.

Aims and Objectives

A theory-driven approach used the normalisation process theory (NPT) to investigate the implementation of an NHS psychoeducational website developed for the Early Youth Engagement Project (EYE-2). The aim was to establish barriers and facilitators to website use.

Methods

A cross-sectional survey study was used; 36 EIP clinicians in Sussex were asked about their attitudes towards introducing the website and using it in appointments. Accessibility, usability and internet skills were also measured.

Results

A key implementation barrier was lack of familiarity with the website and its content, which inhibited use. Poorer scores in the NPT ‘Collective Action’ construct relating to Skillset Workability and Relational Integration (staff confidence and ability) suggested that clinicians lacked confidence in their skills and ability to introduce the website in clinical sessions. Findings suggest that clinicians, might have lower operational skills compared to the general population.

Conclusion

Embedding of nominated digital leads in teams as well as appropriate training is required to promote familiarity, confidence and enhance digital skills. Larger studies are required to establish the replicability of our findings.

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精神病服务早期干预的在线心理健康网站的实施，为早期青少年参与（EYE-2）试验开发：临床障碍和正常化促进因素的横断面调查研究

疏离是精神病早期干预（EIP）服务的一个问题。访问网站上的可信信息可能有助于克服与脱离接触有关的一些问题。临床医生和组织的参与是不可或缺的实施和吸收在线资源。理论驱动的方法使用正常化过程理论（NPT）来调查为早期青年参与项目（EYE-2）开发的NHS心理教育网站的实施情况。其目的是为网站的使用设置障碍和便利条件。方法采用横断面调查法；苏塞克斯郡的36名EIP临床医生被问及他们对介绍该网站并在预约中使用该网站的态度。可访问性、可用性和网络技能也被测量。结果对网站及其内容不熟悉是实施的主要障碍，阻碍了用户的使用。NPT“集体行动”结构中与技能组合可操作性和关系整合（员工信心和能力）相关的得分较低，表明临床医生对他们在临床会议中介绍网站的技能和能力缺乏信心。研究结果表明，与一般人群相比，临床医生的操作技能可能较低。结论需要在团队中嵌入指定的数字主管并进行适当的培训，以促进熟悉度，信心和提高数字技能。需要更大规模的研究来确定我们的发现的可重复性。

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

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.