The HORYZONS trial, as published in BMJ Open, presents groundbreaking findings on the efficacy of moderated online social therapy for young people recovering from first-episode psychosis (FEP). This study provides invaluable insights for practitioners looking to improve their skills and deliver better outcomes for their patients. The trial highlights the potential of online social therapy to maintain treatment effects and enhance social functioning post-discharge from specialized FEP services.
According to the study, the HORYZONS platform integrates several key components designed to support long-term recovery:
- Peer-to-peer social networking
- Tailored therapeutic interventions
- Expert and peer moderation
- Strengths and mindfulness-based interventions
These components collectively aim to address the social isolation and functional deficits that many young people with FEP experience, even after receiving specialized care. The trial involved 170 participants aged 16-27, who were randomized to receive either the HORYZONS intervention plus treatment as usual (TAU) or TAU alone. The primary outcome measured was social functioning at 18 months, with secondary outcomes including hospital admissions, vocational status, and psychological well-being.
Key Findings:
- Social Functioning: The HORYZONS group showed significant improvements in social functioning compared to the TAU group.
- Hospital Admissions: Participants in the HORYZONS group had fewer hospital admissions, indicating better management of psychotic symptoms.
- Cost-Effectiveness: The intervention was found to be cost-effective, making it a viable option for extended care.
For practitioners, these findings underscore the importance of integrating online social therapy into their treatment plans for young people with FEP. By leveraging technology, clinicians can provide continuous support that extends beyond the typical two-year specialized care period, thereby promoting sustained recovery.
To implement these insights effectively, practitioners should consider the following steps:
- Adopt Online Platforms: Utilize moderated online social therapy platforms like HORYZONS to offer extended support.
- Focus on Social Recovery: Incorporate strengths and mindfulness-based interventions to enhance social functioning.
- Engage in Continuous Learning: Stay updated with the latest research and technological advancements in mental health care.
Encouraging further research in this area can also lead to more refined and effective treatment modalities. By staying informed and adapting to new evidence-based practices, practitioners can significantly improve the quality of care they provide.
To read the original research paper, please follow this link: HORYZONS trial: protocol for a randomised controlled trial of a moderated online social therapy to maintain treatment effects from first-episode psychosis services.
