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Don't turn your back on the symptoms of psychosis: a community campaign to improve the care pathways of young people with psychosis
ISRCTN ISRCTN45058713
DOI 10.1186/ISRCTN45058713
ClinicalTrials.gov identifier
EudraCT number
Public title Don't turn your back on the symptoms of psychosis: a community campaign to improve the care pathways of young people with psychosis
Scientific title Don’t turn your back on the symptoms of psychosis: a proof-of-principle, quasi-experimental public health trial to reduce the duration of untreated psychosis in Birmingham, UK.
Acronym N/A
Serial number at source N/A
Study hypothesis Will implementation of a psychosis awareness public health campaign, in addition to a youth access pathway for first episode psychosis, significantly reduce duration of untreated psychosis (DUP).
Lay summary Lay summary under review 2
Ethics approval Not provided at time of registration
Study design This is a quasi-experimental, proof-of-principle prospective trial comparing an intervention area in the south of the city, to the non-intervention remainder of the city.
Countries of recruitment United Kingdom
Disease/condition/study domain First-episode psychosis
Participants - inclusion criteria All new cases of first episode psychosis accepted by the Early Intervention in psychosis Service.
Participants - exclusion criteria Patients considered at ultra-high risk of psychosis are excluded. Since this is a pragmatic trial focussing on reducing DUP in patients managed within an EIS, there will be no other exclusions
Anticipated start date 07/01/2012
Anticipated end date 07/09/2013
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants A proof-of–principle trial, key outcome will be an estimate for a definitive trial. The population of our intervention are the size of the community we are trying to target (308,150)
Interventions 1. Psychosis Awareness Campaign
To improve the help-seeking of young people and their carers, who are experiencing symptoms of first-episode psychosis providing information about when, where and how to seek help. Individuals are encouraged to access a helpline and a bespoke website.
The campaign will comprise of the following elements:
1.1. Advertising in high use settings.
1.2. Leaflet drops
1.3. Advertising in community press
1.4. Advertising on community websites
1.5. Attendance at community events
1.6. Promotion of www.youthspace.me/psychosis
1.7. The Psychosis Information line
1.8. Youth Advisors
1.9. Psychosis Awareness Training
2. Youth mental health care pathway - to improve the care pathway.
Primary outcome measure(s) DUP is routinely assessed for all young people entering services as part of their clinical assessment. Incident cases of first episode psychosis will be determined and their DUP and care pathways ascertained over the 18 months period.
Secondary outcome measure(s) 1. Increase in referrals of young people diagnosed with a psychotic disorder from the intervention area into EIS.
2. We also benefit from historical DUP data (National EDEN) 19 (August 2005 – June 2009) for both target and control areas
Sources of funding NIHR CLAHRC Programme for Birmingham and the Black Country (UK)
Trial website
Publications 1. 2013 protocol in http://www.ncbi.nlm.nih.gov/pubmed/23432935
Contact name Prof  Max  Birchwood
  Address University of Birmingham
School of Psychology
Frankland Building
Edgbaston
  City/town Birmingham
  Zip/Postcode B15 2TT
  Country United Kingdom
  Email m.j.birchwood.20@bham.ac.uk
Sponsor National Institute of Health Research [NIHR] (UK)
  Address Room 132
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NS
  Country United Kingdom
  Email enquiries@nihr.ac.uk
  Sponsor website: http://www.nihr.ac.uk/
Date applied 22/11/2012
Last edited 28/02/2013
Date ISRCTN assigned 30/11/2012
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