SARPEP, A Rapid-Learning Healthcare System of Early Intervention Services for Psychosis in Quebec, Canada: Feasibility, Acceptability and Early Impacts. - Chaire-réseau de recherche sur la jeunesse du Québec

Notice bibliographique

Abdel-Baki, A., Ferrari, M., LeBlanc, A., Arbaud, C., Rabouin, D., Roy, M.-A. et Iyer, S. N. (2024). SARPEP, A Rapid-Learning Healthcare System of Early Intervention Services for Psychosis in Quebec, Canada: Feasibility, Acceptability and Early Impacts. Schizophrenia Research, 277, 20-30.

Résumé

Introduction: Despite growing interest in learning health systems, their application and evaluation in mental health have been scarce. This study aimed to evaluate the feasibility, acceptability and early impacts of SARPEP, a rapid learning healthcare system (RLHS) for early intervention services for psychosis in Quebec, Canada.

Methods: SARPEP comprised technology-supported monitoring of program and patient outcomes, feedback and capacity-building. It involved 11 services (128 professionals, 1700+ patients). We descriptively analyzed quantitative data on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) collected in the first two years.

Results: Reach: Patient and family partners, all programs (clinicians, managers), government representatives and the provincial early psychosis association agreed to co-design and implement all SARPEP components. Effectiveness: Data informed program- and provincial-level decision-making. Some quality indicators (e.g., timely access) improved over time. 80 % of youth were satisfied with services. Adoption: All programs collected data on satisfaction and quality, with data collection improving over time. Eight programs and all stakeholder groups participated in most community-of-practice sessions. Implementation: The time required for data collection and providing feedback decreased over time. SARPEP offered rapid, flexible support; tools; and a community of practice that facilitated collecting data, and monitoring and improving practices. Maintenance: All programs remained in SARPEP post study.

Conclusion: Involving all stakeholders, RLHSs can be deployed, adopted, and maintained in mental healthcare and increase the measurement of practices and quality improvement efforts. Strategies are needed to increase the completion of patient-reported measures and to rigorously evaluate the RLHS’ effectiveness in improving service quality and outcomes.