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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)
  1. Marchal Mathilde1,2,
  2. Haesebaert Frédéric3,4,
  3. Pavard Amélie4,
  4. Magaud Laurent1,2,
  5. Haesebaert Julie1,2
  1. 1Hospices Civils de Lyon, Public Health center, Research and Clinical Epidemiology Department, F-69003 Lyon, France
  2. 2University Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France
  3. 3PSYR2 Team, INSERM U1028, CNRS UMR5292, Lyon Neuroscience Research Center, Université Claude Bernard Lyon 1, Lyon, France, Lyon, France
  4. 4SUR-CL3R-PEPS, CH Vinatier, Bron, Rhône-Alpes, France

Abstract

Introduction First-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.

Methods We 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.

Results 2 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).

Discussion Participatory 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.

Conclusion A funded randomized controlled trial involving 168 patients will assess the application’s effectiveness in FEP care facilities.

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