TY  - JOUR
AU  - Tatar, Ovidiu
AU  - Abdel-Baki, Amal
AU  - Tra, Christophe
AU  - Mongeau-Pérusse, Violaine
AU  - Arruda, Nelson
AU  - Kaur, Navdeep
AU  - Landry, Vivianne
AU  - Coronado-Montoya, Stephanie
AU  - Jutras-Aswad, Didier
PY  - 2021
DA  - 2021/4/5
TI  - Technology-Based Psychological Interventions for Young Adults With Early Psychosis and Cannabis Use Disorder: Qualitative Study of Patient and Clinician Perspectives
JO  - JMIR Form Res
SP  - e26562
VL  - 5
IS  - 4
KW  - psychology
KW  - intervention
KW  - cannabis misuse
KW  - cannabis use disorder
KW  - young adult
KW  - clinician
KW  - psychosis
KW  - schizophrenia
KW  - dual diagnosis
KW  - qualitative
KW  - acceptability
KW  - technology-based
KW  - telemedicine
KW  - mHealth
KW  - digital health
KW  - eHealth
KW  - application
KW  - smartphone
KW  - mobile phone
AB  - Background: The persistence of cannabis use disorder (CUD) in young adults with first-episode psychosis (FEP) is associated with poor clinical and functional outcomes. Face-to-face psychological interventions are effective in treating CUD. However, their use in early intervention services (EISs) for psychosis is inconsistent because of barriers, including high workload and heterogeneity in training of clinicians and lack of motivation for treatment among patients. Tailoring new technology-based psychological interventions (TBPIs) to overcome these barriers is necessary to ensure their optimal acceptability. Objective: The aim of this study is twofold: to explore psychological intervention practices and intervention targets that are relevant for treating CUD in individuals with early psychosis and to explore factors related to the development and implementation of a technology-assisted psychological intervention. Methods: A total of 10 patients undergoing treatment for FEP and CUD in EISs participated in a focus group in June 2019. Semistructured individual interviews were conducted with 10 clinicians working in first-episode clinics in the province of Québec, Canada. A hybrid inductive-deductive approach was used to analyze data. For the deductive analysis, we used categories of promoting strategies found in the literature shown to increase adherence to web-based interventions for substance use (ie, tailoring, reminders, delivery strategies, social support, and incentives). For the inductive analysis, we identified new themes through an iterative process of reviewing the data multiple times by two independent reviewers. Results: Data were synthesized into five categories of factors that emerged from data collection, and a narrative synthesis of commonalities and differences between patient and clinician perspectives was produced. The categories included attitudes and beliefs related to psychological interventions (eg, behavioral stage of change), strategies for psychological interventions (eg, motivational interviewing, cognitive behavioral therapy, psychoeducation, stress management), incentives (eg, contingency management), general interest in TBPIs (eg, facilitators and barriers of TBPIs), and tailoring of TBPIs (eg, application needs and preferences, outcome measures of interest for clinicians). Conclusions: This study provides a comprehensive portrait of the multifaceted needs and preferences of patients and clinicians related to TBPIs. Our results can inform the development of smartphone- or web-based psychological interventions for CUD in young adults with early psychosis. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2021/4/e26562
UR  - https://doi.org/10.2196/26562
UR  - http://www.ncbi.nlm.nih.gov/pubmed/33818397
DO  - 10.2196/26562
ID  - info:doi/10.2196/26562
ER  -