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SU125. Momentum: A Novel Online Social Media, Mindfulness, and Strengths-Based Intervention to Promote Functional Recovery in Ultra High Risk (UHR) Patients
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- 자료유형학술지논문
- 저자명Alvarez-Jimenez, M.,Bendall, S.,Rice, S.,D’Alfonso, S.,Eleftheriadis, D.,Russon, P.,Rumney, L.,Mackinnon, J.,McGorry, P.,Nelson, B.
- 학회/출판사/기관명Oxford University Press
- 출판년도2017
- 언어영어
- 학술지명/학위논문주기Schizophrenia Bulletin
- 발행사항Vol.43//SUP1No.-[2017]_x000D_
- ISBN/ISSN0586-7614
- 소개/요약Background: Psychological and pharmacological treatments have been demonstrated to reduce rates of transition to psychosis in Ultra High Risk (UHR) patients. However, recent research shows that UHR patients may have a poor functional outcome regardless of transition to psychosis. This has resulted in calls for new treatments aimed at improving functioning in the UHR group. The aim of this study was to determine the safety, acceptability, and feasibility of an advanced online social media-based intervention specifically designed to enhance social functioning in UHR patients. Methods: Our multidisciplinary team of 35 professionals has developed a novel online social media intervention (Momentum) in close collaboration with end users. Momentum integrates: (1) peer-to-peer social networking, (2) individually tailored therapeutic interventions (including mindfulness and self-compassion), (3) expert and peer-moderation, and (4) a strength-based framework. The acceptability, safety, and feasibility of Momentum were tested through a 2-month pilot study with 15 UHR participants. Results: Thirteen participants were interviewed at follow-up (87%). System usage was high, with a total 270 logins (avg. 18/user), 749 posts (avg. 58/user), 170 therapy modules completed (avg. 12/user), and 67% of users being actively engaged with the online system over the 2-month duration of the trial. All participants reported a positive experience using Momentum and would recommend it to others. Ninety-three percentage considered Momentum to be helpful. There were no incidents during the pilot study and all participants reported feeling safe using Momentum. Analysis revealed a significant increase in social functioning (P < .001; d = 2.39) and satisfaction with life (P = .03; d = 0.48) at follow-up. There was a statistically significant increase in therapy mechanisms directly targeted by Momentum including strengths usage (P = .03; d = 0.46), mindfulness skills (P = .04; d = 0.36), and components of social support. Finally, there were significant correlations between system usage and improvements in social functioning (r = 0.63, P = .02), social support (r = 0.62, P = .02), and strengths usage (r = 0.51, P = .06). Conclusion: Momentum is the first online intervention designed to improve functional outcomes in UHR patients. Momentum is engaging, safe, and may improve social functioning and satisfaction with life in UHR patients. Momentum appeared to specifically improve therapeutic mechanisms directly targeted by the online intervention.
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