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165 Plan-e-psy, a mobile application co-built with end- users to improve case management for patients with first episode psychosis (FEP)
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165 Plan-e-psy, a mobile application co-built with end- users to improve case management for patients with first episode psychosis (FEP)
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165 Plan-e-psy, a mobile application co-built with end- users to improve case management for patients with first episode psychosis (FEP)
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Journal Article
165 Plan-e-psy, a mobile application co-built with end- users to improve case management for patients with first episode psychosis (FEP)
2024
Overview
IntroductionFirst-episode psychosis (FEP) affects 3% of the population worldwide, mainly young adults. International guidelines for FEP are based on the principles of intensive case management (CM). To improve the relevance of CM and thus patient engagement and functional outcomes, goals of care must be not solely clinical, but placed within an individualized ’recovery’ perspective, considering the patient‘s point of view. The use of clinical tools co-constructed by end-users and adapted to recovery objectives seems essential.MethodsWe used a ’user-centered design’ iterative co-building methodology. In the first phase, 4 workshops were conducted to develop the application with end-users. A thematic content analysis was carried out after the workshops to optimize the specifications of a beta version of the mobile application. Direct interviews were conducted after testing the beta version of PLAN-e-PSY and a qualitative analysis was carried out.Results2 patients, 2 case managers, a caregiver, a peer-worker, a developer and an ergonomist participated in the workshops. The architecture and contents of the application were defined. Participants also worked together to define the application’s graphics charter and ergonomics. Interviews conducted with 3 CMs, 2 peer workers, a caregiver and a patient at the end of the beta test helped improve the application and revealed that the beta version of PLAN-e-PSY was easy to use (4.5/5) and perceived as useful (3.5/5).DiscussionParticipatory action research carried out in partnership with end-users enabled us to construct an application relevant to patients, their families and professionals. We hypothesized that it would contribute to improving CM and thus patient engagement and functional outcomes.ConclusionA funded randomized controlled trial involving 168 patients will assess the application’s effectiveness in FEP care facilities.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD
