{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:41:19Z","timestamp":1775601679114,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Around 15% of patients at clinical high risk for psychosis (CHR\u2010P) experience symptomatic remission and functional recovery at follow\u2010up, yet the definition of a good outcome (GO) in this population requires further development. Outcomes are typically designed and rated by clinicians rather than patients, to measure adverse as opposed to GOs. Here we investigate how CHR\u2010P subjects define a GO, with the aim of developing a checklist that could be used to measure GO in this clinical group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A set of GO\u2010focused questions were designed in collaboration with a service\u2010user. CHR\u2010P patients (n = 48) were asked to rate the importance of items that could indicate short\u2010term (1 year) and long\u2010term (5\u2009years) GO. These items were then ranked using the relative importance index (RII).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients rated improvement in subjective wellbeing (RII = 0.829) and non\u2010specific presenting symptoms (RII = 0.817) amongst the factors most important for indicating GO in the short\u2010term, and improved resilience (RII = 0.879) and negative symptoms (RII = 0.858) as key items for indicating long\u2010term GO. Patients regarded building resilience (RII = 0.842) and having support from mental health services (RII = 0.833) as being protective for their mental health. These measures were included in a preliminary 12\u2010item GO checklist (GO\u201012) for assessing GO in CHR\u2010P subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient\u2010defined measures of GO included items that are not incorporated into conventional measures of outcomes in CHR\u2010P subjects, such as subjective wellbeing and resilience. Integrating patient\u2010defined metrics of GO may improve the assessment of outcomes in the CHR\u2010P population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12991","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T12:44:30Z","timestamp":1590497070000},"page":"606-615","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Examining <scp>service\u2010user<\/scp> perspectives for the development of a good outcome checklist for individuals at clinical high risk for psychosis"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0802-0941","authenticated-orcid":false,"given":"Natalia","family":"Petros","sequence":"first","affiliation":[{"name":"Department of Psychosis Studies, Institute of Psychiatry, Psychology &amp; Neuroscience King's College London  London 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