Using a Learning Health System to Integrate Peer Support in Early Intervention Services for Psychosis in Quebec: Protocol for a Participatory, Mixed-Methods Study (the PAIRPEP Project)

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-10-14 DOI:10.1111/eip.70092

Beatrice Todesco, Srividya N. Iyer, Manuela Ferrari, Marc-André Roy, Marie-Hélène Morin, Julie Marguerite Deschênes, Camille Arbaud, Gabriel Julien, Annie Bossé, Mary Anne Levasseur, Amal Abdel-Baki

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Abstract

Introduction

Since 2019, SARPEP (Système Apprenant Rapide pour les programmes de Premiers Épisodes Psychotiques), a rapid learning health system (RLHS) for Quebec's Early Intervention for Psychosis Services, operates to bridge the evidence-practice gap across the province. Despite strong stakeholder support and government recommendations, peer support services remained poorly available. To address this gap, since 2023, the PAIRPEP project was co-developed to support and evaluate the implementation of peer support and family peer support. This paper describes the co-designed study protocol, embedded within this RLHS.

Methods

This participatory, mixed-methods study aims to examine the implementation of the PAIRPEP intervention longitudinally over 3 years across 12 Early Intervention Services and its impact on multiple stakeholders. Informed by the Medical Research Council framework for complex interventions, the project includes a co-designed (with multiple stakeholders) multimodal capacity-building program with specific components developed to overcome barriers to integrating peer support and family peer support. Quantitative questionnaires are collected every 4 months from clinicians while youth and families can complete surveys at any convenient time, via QR codes available in clinics, through the RLHS electronic platform. Focus groups are conducted annually over 3 years with eight stakeholder groups. The analysis integrates findings using thematic synthesis and joint displays to assess convergence and divergence across methods and perspectives.

Results and Conclusion

This protocol paper outlines the study's co-design, procedures and anticipated contributions. Embedding large-scale innovative intervention implementation (such as peer support) within an RLHS can foster real-time feedback, iterative refinement and inform clinical practice and policies.

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使用学习型健康系统将同伴支持整合到魁北克省精神病早期干预服务中：参与式混合方法研究协议（PAIRPEP项目）。

简介：自2019年以来，SARPEP （system 学徒Rapide pour les programmes de Premiers Épisodes Psychotiques）是魁北克省精神病早期干预服务的快速学习卫生系统（RLHS），旨在弥合全省的证据实践差距。尽管有利益攸关方的大力支持和政府的建议，同侪支持服务仍然很少。为了解决这一差距，自2023年以来，双方共同开发了PAIRPEP项目，以支持和评估同伴支持和家庭同伴支持的实施情况。本文描述了嵌入在RLHS中的共同设计的研究方案。方法：这项参与式、混合方法的研究旨在考察12个早期干预服务机构在3年内实施PAIRPEP干预的情况及其对多个利益相关者的影响。根据医学研究理事会复杂干预措施框架，该项目包括（与多个利益攸关方）共同设计的多模式能力建设方案，其中制定了具体组成部分，以克服将同伴支持和家庭同伴支持结合起来的障碍。每4个月向临床医生收集定量问卷，青少年和家庭可以在任何方便的时间通过RLHS电子平台通过诊所提供的二维码完成调查。在三年的时间里，每年与八个利益相关者小组进行焦点小组讨论。该分析使用主题综合和联合展示来整合研究结果，以评估不同方法和观点的趋同和分歧。结果和结论：本协议文件概述了本研究的共同设计、程序和预期贡献。在RLHS中嵌入大规模创新干预实施（如同伴支持）可以促进实时反馈，迭代改进并为临床实践和政策提供信息。

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.