{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T03:39:33Z","timestamp":1775705973081,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"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":"publisher","id":[{"id":"10.13039\/100015677","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Psychotic disorders are associated with excess morbidity and premature mortality. Contributing factors include tobacco smoking, low physical activity, and poor nutrition. This study tested a Technology\u2010Enabled Collaborative Care model to improve health behaviours among youth with early psychosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A feasibility study among youth (ages 16\u201329) with early psychosis in Ontario, Canada. Participants were randomized to either a health coach supervised by a virtual care team (high intensity, <jats:italic>n<\/jats:italic>\u00a0=\u00a029), or self\u2010directed learning (low intensity, <jats:italic>n<\/jats:italic>\u00a0=\u00a023) for 12\u2009weeks. The primary outcome was participant engagement, defined as self\u2010perceived benefit of changing health behaviours. Secondary outcomes were measures of health behaviours and programme\u2010use metrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Engagement was higher for high intensity participants for physical activity (adjusted group difference in change at 24\u2009weeks\u00a0=\u00a03.4, CI95%\u00a0=\u00a01.9\u20134.9, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and nutrition (adjusted difference\u00a0=\u00a02.9, CI95%\u00a0=\u00a01.2\u20134.6, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.001). No change was observed in health behaviours. Sixty two percent of participants completed 6 or more of the 12 weekly remote individualized health coaching sessions. Nine (39%) low intensity and 12 (41%) high intensity participants completed the final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Personalized health coaching for youth with psychosis is feasible and may have sustained benefits. However, retention with this population for 12\u2009weeks is challenging.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13266","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T10:49:43Z","timestamp":1643712583000},"page":"1143-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Technology\u2010enabled collaborative care for youth with early psychosis: Results of a feasibility study to improve physical health behaviours"],"prefix":"10.1111","volume":"16","author":[{"given":"Osnat","family":"Melamed","sequence":"first","affiliation":[{"name":"Nicotine Dependence Clinic Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"Department of Family and Community Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aristotle","family":"Voineskos","sequence":"additional","affiliation":[{"name":"Slaight 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