ABSTRACT

Background

Individuals at risk of psychosis typically underutilise mental health services and disengage from clinical trials. Their family context, culture and beliefs about service involvement may influence their motivation and likelihood to engage.

Method

Reflections and quotes collected from research assistants (RAs) on the Individual and Family Cognitive Behavioural Therapy (IFCBT) trial were examined.

Results

Individuals and family members experienced stressful life events. RAs developed strategies to further engage service users, including flexible, after-hours appointments and liaising with family members.

Discussion

Service users’ disengagement may be linked to prior service dissatisfaction, busy lifestyles and positive perceptions of their health. Involving families could help improve and facilitate long-term engagement.

中文翻译：

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使个人处于高度发展的精神病风险中的挑战：随机对照试验中研究助手的反映

摘要

背景

有精神病风险的个体通常未充分利用精神卫生服务，因而无法进行临床试验。他们的家庭背景，文化和有关服务参与的信念可能会影响他们的动机和参与的可能性。

方法

研究人员从研究助理（RA）收集的关于个人和家庭认知行为疗法（IFCBT）试验的思考和报价进行了审查。

结果

个人和家庭成员经历了紧张的生活事件。RA制定了进一步与服务用户互动的策略，包括灵活的下班后约会以及与家庭成员的联系。

讨论区

服务使用者的脱离可能与先前的服务不满，忙碌的生活方式以及对他们的健康的积极看法有关。让家庭参与可以帮助改善和促进长期参与。