{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T06:43:45Z","timestamp":1781678625483,"version":"3.54.5"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015677","name":"Medical Psychiatry Alliance","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015677","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Individuals with psychotic disorders have poorer health outcomes and die earlier due to cardiovascular diseases when compared to healthy populations. Contributing factors include low levels of physical activity, poor nutrition and tobacco smoking. Currently, patients navigate a fragmented health\u2010care system to seek physical and mental health services, often without access to evidence\u2010based health promotion interventions, especially in non\u2010academic settings or rural areas, increasing client barriers at the individual and provider level. To address these gaps, we wish to test the feasibility and impact of a Technology\u2010Enabled Collaborative Care for Youth (TECC\u2010Y) model to improve healthy behaviours among youth with early psychosis. The model addresses geographical barriers and maldistribution of physical and mental health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial, including youth (ages of 16\u201029) with early psychosis (diagnosed in the past 5\u2009years) residing in Ontario, Canada. Our primary outcome is client engagement. Secondary outcomes include smoking status, physical health and nutrition. Participants are randomly assigned to either a health coach supervised by a virtual care team, or a self\u2010directed learning group (e\u2010platform with psychoeducational materials). Assessments are conducted at baseline, 6, 12 and 24\u2009weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This paper presents the protocol of the study. Recruitment commenced in August 2018. This study was registered on 16 July 2018 on <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link> (Registry ID: NCT03610087).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TECC\u2010Y will determine if a technology\u2010based collaborative care model engages youth with early psychosis, and whether this will be associated with changes in smoking, physical health and nutrition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13018","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T06:19:46Z","timestamp":1596521986000},"page":"828-836","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["<scp>Technology\u2010enabled<\/scp> collaborative care for youth with early psychosis: A protocol for a feasibility study to improve physical health behaviours"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5401-2996","authenticated-orcid":false,"given":"Peter","family":"Selby","sequence":"first","affiliation":[{"name":"Addictions Research Program Centre for Addiction and Mental Health  Toronto Canada"},{"name":"Dalla Lana School of Public Health  Toronto Canada"},{"name":"Department of Family and Community Medicine  Toronto Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto Canada"},{"name":"Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenka","family":"Vojtila","sequence":"additional","affiliation":[{"name":"Nicotine Dependence Clinic Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqra","family":"Ashfaq","sequence":"additional","affiliation":[{"name":"Nicotine Dependence Clinic Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Dragonetti","sequence":"additional","affiliation":[{"name":"Nicotine Dependence Clinic Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osnat C.","family":"Melamed","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine  Toronto Canada"},{"name":"Nicotine Dependence Clinic Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Carriere","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Toronto  Toronto Canada"},{"name":"Trillium Health Partners  Mississauga Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"LaChance","sequence":"additional","affiliation":[{"name":"St. Mary's Hospital Centre McGill University  Montreal Canada"},{"name":"Department of Psychiatry McGill University  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Ahola","family":"Kohut","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Toronto  Toronto Canada"},{"name":"IBD Centre  Toronto Canada"},{"name":"SickKids Research Institute, Hospital for Sick Children  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Institute of Medical Science  Toronto Canada"},{"name":"Banting and Best Diabetes Centre University of Toronto  Toronto Canada"},{"name":"Mental Health and Metabolism Clinic, Schizophrenia Division Centre for Addiction and Mental Health  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit 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