Skip to main content
Top
Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Biomarkers | Study protocol

ENgage YOung people earlY (ENYOY): a mixed-method study design for a digital transdiagnostic clinical – and peer- moderated treatment platform for youth with beginning mental health complaints in the Netherlands

Authors: M. van Doorn, A. Popma, T. van Amelsvoort, C. McEnery, J. F. Gleeson, F. G. Ory, Jaspers M. W. M., M. Alvarez-Jimenez, D. H. Nieman

Published in: BMC Psychiatry | Issue 1/2021

Login to get access

Abstract

Background

The onset of mental disorders typically occurs between the ages of 12 and 25, and the burden of mental health problems is the most consequential for this group. Indicated prevention interventions to target individuals with subclinical symptoms to prevent the transition to clinical levels of disorders, even leading to suicide, have shown to be effective. However, the threshold to seek help appears to be high. Digital interventions could offer a solution, especially during the Covid-19 pandemic. This implementation study will investigate the digital indicated prevention intervention ENgage YOung people Early (ENYOY), the Dutch version of the original Moderated Online Social Therapy Platform (MOST+) from Australia. In addition, the relationship between stress biomarkers, symptoms and outcome measures of youth using the platform will be investigated in this study.

Methods

The MOST+ platform will be adapted, translated and developed for the situation in the Netherlands in collaboration with a Youth Panel. A prospective cohort of 125 young people (16–25 years) with beginning mental health complaints will be on the platform and followed for a year, of which 10 participants will have an additional smart watch and 10 participants will be asked to provide feedback about the platform. Data will be collected at baseline and after 3, 6 and 12 months. Outcome measures are Psychological Distress assessed with the Kessler Psychological Distress Scale (K10), Social and occupational functioning (measures by the SOFAS), positive mental health indicators measured by the Positive Health Instrument, stress biomarkers with a smart-watch, website journeys of visitors, and feedback of youth about the platform. It will be a mixed-method study design, containing qualitative and quantitative measures.

Discussion

This trial will specifically address young people with emerging mental health complaints, and offers a new approach for treatment in the Netherlands. Considering the waiting lists in (child and adolescent)-psychiatry and the increase in suicides among youth, early low-threshold and non-stigmatizing help to support young people with emerging psychiatric symptoms is of crucial importance. Moreover, this project aims to bridge the gap between child and adolescent and adult psychiatry.

Trial registration

Netherlands Trial Register ID NL8966, retrospectively registered on the 19th of October 2020.
Literature
4.
go back to reference Reeves WC, Strine TW, Pratt LA, Thompson W, Ahluwalia I, Dhingra SS, et al. Mental illness surveillance among adults in the United States. MMWR Suppl. 2011;60(3):1–29.PubMed Reeves WC, Strine TW, Pratt LA, Thompson W, Ahluwalia I, Dhingra SS, et al. Mental illness surveillance among adults in the United States. MMWR Suppl. 2011;60(3):1–29.PubMed
7.
go back to reference de Ruiter G, van Greuningen M, Luijk R. Inzicht in de geestelijke gezondheidszorg. Zorgthermometer GGZ, Vektis. 2017;Enschede: Drukkerij Roelofs:1–38. de Ruiter G, van Greuningen M, Luijk R. Inzicht in de geestelijke gezondheidszorg. Zorgthermometer GGZ, Vektis. 2017;Enschede: Drukkerij Roelofs:1–38.
14.
go back to reference Muntaner C, Ng E, Vanroelen C, Christ S, Eaton WW. Social stratification, social closure and social class as determinants of mental health disparities. In: Aneshensel CS, Phelan JC, Bierman A, editors. Handbook of the Sociology of Mental Health. 2nd ed. Dordrecht: Springer; 2013. p. 205–28.CrossRef Muntaner C, Ng E, Vanroelen C, Christ S, Eaton WW. Social stratification, social closure and social class as determinants of mental health disparities. In: Aneshensel CS, Phelan JC, Bierman A, editors. Handbook of the Sociology of Mental Health. 2nd ed. Dordrecht: Springer; 2013. p. 205–28.CrossRef
18.
go back to reference van Amelsvoort T. Bridging the gap. Tijdschr Psychiatr. 2014;56(10):638–9.PubMed van Amelsvoort T. Bridging the gap. Tijdschr Psychiatr. 2014;56(10):638–9.PubMed
19.
go back to reference Fox S, Southwell A, Stafford N, Goodhue R, Jackson D, Smith C. Better Systems, Better Chances: A Review of Research and Practice for Prevention and Early Intervention. Canberra: Australian Research Alliance for Children and Youth (ARACY); 2015. p1-303. Fox S, Southwell A, Stafford N, Goodhue R, Jackson D, Smith C. Better Systems, Better Chances: A Review of Research and Practice for Prevention and Early Intervention. Canberra: Australian Research Alliance for Children and Youth (ARACY); 2015. p1-303.
21.
go back to reference Shapiro MD, Maron DJ, Morris PB, Kosiborod M, Sandesara PB, Virani SS, et al. Preventive cardiology as a subspecialty of cardiovascular medicine JACC council perspectives. J Am Coll Cardiol. 2019;74(15):1928–42.CrossRef Shapiro MD, Maron DJ, Morris PB, Kosiborod M, Sandesara PB, Virani SS, et al. Preventive cardiology as a subspecialty of cardiovascular medicine JACC council perspectives. J Am Coll Cardiol. 2019;74(15):1928–42.CrossRef
34.
go back to reference Green H, McGinnity Á, Meltzer H, Ford T, Goodman R. Mental health of children and young people in Great Britain. Basingstoke: Palgrave Macmillan; 2005; p. 1-383. Green H, McGinnity Á, Meltzer H, Ford T, Goodman R. Mental health of children and young people in Great Britain. Basingstoke: Palgrave Macmillan; 2005; p. 1-383.
38.
go back to reference Alvarez-Jimenez, M, Rice S, D'Alfonso S, Leicester S, Bendall S, Pryor I, Russon P, McEnery C, Santesteban-Echarri O, Da Costa G, Gilbertson T, Valentine, L, Solves L, Ratheesh A, McGorry PD, Gleeson J. A Novel Multimodal Digital Service (Moderated Online Social Therapy+) for Help-Seeking Young People Experiencing Mental Ill-Health: Pilot Evaluation Within a National Youth E-Mental Health Service. J Med Internet Res. 2020;22(8):e17155. https://doi.org/10.2196/17155. Alvarez-Jimenez, M, Rice S, D'Alfonso S, Leicester S, Bendall S, Pryor I, Russon P, McEnery C, Santesteban-Echarri O, Da Costa G, Gilbertson T, Valentine, L, Solves L, Ratheesh A, McGorry PD, Gleeson J. A Novel Multimodal Digital Service (Moderated Online Social Therapy+) for Help-Seeking Young People Experiencing Mental Ill-Health: Pilot Evaluation Within a National Youth E-Mental Health Service. J Med Internet Res. 2020;22(8):e17155. https://​doi.​org/​10.​2196/​17155.
41.
go back to reference Walker AJ, Kim Y, Price JB, Kale RP, McGillivray JA, Berk M, Tye SJ. Stress, inflammation, and cellular vulnerability during early stages of affective disorders: biomarker strategies and opportunities for prevention and intervention. Front Psychiatry. 2014;5;1-8. https://doi.org/10.3389/fpsyt.2014.00034. Walker AJ, Kim Y, Price JB, Kale RP, McGillivray JA, Berk M, Tye SJ. Stress, inflammation, and cellular vulnerability during early stages of affective disorders: biomarker strategies and opportunities for prevention and intervention. Front Psychiatry. 2014;5;1-8. https://​doi.​org/​10.​3389/​fpsyt.​2014.​00034.
45.
54.
go back to reference Huber M, Jung, H. P., van den Brekel-Dijkstra, K. Handbook Positive Health in General Practice (Handboek Positieve Gezondheid in de Huisartspraktijk). 2021. Huber M, Jung, H. P., van den Brekel-Dijkstra, K. Handbook Positive Health in General Practice (Handboek Positieve Gezondheid in de Huisartspraktijk). 2021.
58.
go back to reference Wolpert M, Gorzig A, Deighton J, Fugard AJB, Newman R, Ford T. Comparison of indices of clinically meaningful change in child and adolescent mental health services: difference scores, reliable change, crossing clinical thresholds and 'added value' - an exploration using parent rated scores on the SDQ. Child Adolesc Ment Health. 2015;20(2):94–101. https://doi.org/10.1111/camh.12080.CrossRefPubMed Wolpert M, Gorzig A, Deighton J, Fugard AJB, Newman R, Ford T. Comparison of indices of clinically meaningful change in child and adolescent mental health services: difference scores, reliable change, crossing clinical thresholds and 'added value' - an exploration using parent rated scores on the SDQ. Child Adolesc Ment Health. 2015;20(2):94–101. https://​doi.​org/​10.​1111/​camh.​12080.CrossRefPubMed
Metadata
Title
ENgage YOung people earlY (ENYOY): a mixed-method study design for a digital transdiagnostic clinical – and peer- moderated treatment platform for youth with beginning mental health complaints in the Netherlands
Authors
M. van Doorn
A. Popma
T. van Amelsvoort
C. McEnery
J. F. Gleeson
F. G. Ory
Jaspers M. W. M.
M. Alvarez-Jimenez
D. H. Nieman
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Biomarkers
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03315-x

Other articles of this Issue 1/2021

BMC Psychiatry 1/2021 Go to the issue