Developing and testing unconditional cash transfer strategies among young adults with first-episode psychosis in South Africa: a study protocol for a pilot randomised control trial (PRS-FEP trial).

Journal: BMJ open

Volume: 12

Issue: 12

Year of Publication: 2022

Affiliated Institutions:  Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa mlay.joyce@yahoo.com. Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, University of the Witwatersrand Johannesburg Faculty of Health Sciences, Johannesburg, Gauteng, South Africa. Discipline of Psychiatry, University of KwaZulu-Natal Nelson R Mandela School of Medicine, Durban, KwaZulu-Natal, South Africa. Discipline of Behavioural Medicine, University of KwaZulu-Natal School of Nursing and Public Health, Durban, KwaZulu-Natal, South Africa. Centre for the Aids Programme of Research in South Africa, Durban, KwaZulu-Natal, South Africa. KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa.

Abstract summary 

Access to mental health services is a challenge, especially for young people who are over-represented in the unemployment and poverty index in South Africa. Therefore, continuing care is a problem after hospital discharge for young people with first-episode psychosis (FEP) due to a lack of clinical engagement and follow-up, for which they need support, including financial, to improve their outcomes. This pilot randomised control trial (RCT) aims to assess the feasibility and acceptability of financial support, in the form of an unconditional cash transfer (UCT), among young patients with FEP to prevent relapse.This study will use a 1:1 ratio two-arm open-label pilot RCT of 60 young participants (18-29 years) with FEP in remission, who will be recruited from specialised psychiatric facilities in KwaZulu-Natal Province, South Africa. This study will implement an UCT and assess its feasibility, acceptability and preliminary clinical outcomes (ie, medication adherence, relapse, quality of life, personal and social function). The follow-up time will be 3 months, the outcomes being measured at baseline, months 1 and 3. Descriptive and conventional content analysis will be done for quantitative and qualitative data, respectively.The study obtained provisional approval from the Biomedical Research Ethics Committee at the University of KwaZulu-Natal(#BREC/00004117/2022). Also is registered on the South African National clinical trial registry (#DOH-27-092022-5894) and approved by the KwaZulu-Natal department of health (#NHRD Ref: KZ_2002209_033). The results from this investigation will be actively disseminated through peer-reviewed journal publications, conference presentations and stakeholder engagement.DOH-27-092022-5894.

Authors & Co-authors:  Mlay Joyce Protas JP Jamieson Lise L Ntlantsana Vuyokazi V Naidu Thirusha T Bhengu Busisiwe Siphumelele BS Paruk Saeeda S Burns Jonathan K JK Chiliza Bonginkosi B Lessells Richard R Tomita Andrew A

Study Outcome 

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Statistics
Citations :  Breitborde NJK, Srihari VH, Woods SW. Review of the operational definition for first-episode psychosis. Early Interv Psychiatry 2009;3:259–65. 10.1111/j.1751-7893.2009.00148.x
Authors :  10
Identifiers
Doi : e067026
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
EPIDEMIOLOGY;PSYCHIATRY;PUBLIC HEALTH
Study Design
Case Control Trial,Descriptive Study,Cross Sectional Study
Study Approach
Quantitative,Qualitative
Country of Study
South Africa
Publication Country
England