{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:48:46Z","timestamp":1791481726419,"version":"4.3.4"},"reference-count":41,"publisher":"JMIR Publications Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Ment Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care.  It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online\u2013offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to gain young people\u2019s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three superordinate themes emerged relating to young people\u2019s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making.  Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/18990","type":"journal-article","created":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T04:19:15Z","timestamp":1589775555000},"page":"e18990","source":"Crossref","is-referenced-by-count":49,"title":["Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7481-6537","authenticated-orcid":false,"given":"Lee","family":"Valentine","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9145-9068","authenticated-orcid":false,"given":"Carla","family":"McEnery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7567-0517","authenticated-orcid":false,"given":"Imogen","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5234-5727","authenticated-orcid":false,"given":"Shaunagh","family":"O'Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-8610","authenticated-orcid":false,"given":"Ingrid","family":"Pryor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7969-492X","authenticated-orcid":false,"given":"John","family":"Gleeson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1486-6190","authenticated-orcid":false,"given":"Sarah","family":"Bendall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3535-9086","authenticated-orcid":false,"given":"Mario","family":"Alvarez-Jimenez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"ref1","year":"2013","journal-title":"Diagnostic and statistical manual of mental disorders 5th ed"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201600586"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024104"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1358-0"},{"issue":"33","key":"ref5","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1192\/S0007125000297663","volume":"172","author":"Birchwood, M","year":"1998","journal-title":"Br J Psychiatry Suppl"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2019.305018"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711001504"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.09.007"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.05.007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2011.04.006"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/s0920-9964(01)00239-0"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-019-01681-2"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12317"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.10.009"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-019-00184-w"},{"key":"ref16","unstructured":"CaseyS2016 Nielsen Social Media ReportThe Nielsen Company20172019-04-04https:\/\/www.nielsen.com\/us\/en\/insights\/report\/2017\/2016-nielsen-social-media-report\/"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00072"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/17570"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-019-00182-y"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6588"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1140-0"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1140-0"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201600388"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-24781-2"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-5583-7_311"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315588501"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0706743719828977"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00485"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2019.88"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1979-1"},{"key":"ref31","author":"Kirchner, T","year":"2013","journal-title":"The Wiley-Blackwell Handbook of Addiction Psychopharmacology"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2018.11.001"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.10.026"},{"key":"ref34","author":"Deci, E","year":"2015","journal-title":"International Encyclopedia of the Social & Behavioral Sciences Second Edition"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2019.100299"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22823"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1145\/3301421"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1007\/BF02287377"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2018.86"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1177\/1077800414563803"}],"container-title":["JMIR Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/mental.jmir.org\/2020\/7\/e18990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:24:49Z","timestamp":1782840289000},"score":1,"resource":{"primary":{"URL":"http:\/\/mental.jmir.org\/2020\/7\/e18990\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":41,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2196\/18990","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.18990","asserted-by":"object"}]},"ISSN":["2368-7959"],"issn-type":[{"value":"2368-7959","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}