PMID- 30479829 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240403 IS - 2055-5784 (Print) IS - 2055-5784 (Electronic) IS - 2055-5784 (Linking) VI - 4 DP - 2018 TI - Co-production and evaluation of an e-learning resource to improve African-Caribbean families' knowledge about schizophrenia and engagement with services: a pilot randomised controlled trial protocol. PG - 174 LID - 10.1186/s40814-018-0368-3 [doi] LID - 174 AB - BACKGROUND: A higher proportion of African-Caribbean people in the UK are diagnosed with schizophrenia spectrum disorders than other ethnic groups. High levels of shame and stigma at individual and community levels contribute to delayed access to care, potentially increasing the duration of untreated psychosis and so worsening outcomes. Inferior access, more coercive care, and worse outcomes have created a 'circle of fear' of mental health services within African-Caribbean communities. This further discourages early engagement with statutory services and increases the burden of care for families living with schizophrenia.Providing tailored and relevant information about psychosis (psychoeducation) has the potential for improving outcomes for patients and families. However, there are no culturally appropriate psychoeducation programmes for African-Caribbeans in the UK. We aim to determine whether an e-learning resource, co-produced with African-Caribbean stakeholders to improve knowledge about psychoses, would be culturally acceptable and accessible to members of this population. METHODS: A pilot randomised controlled trial of the feasibility of co-producing and testing a novel e-learning resource to improve knowledge about and attitudes towards schizophrenia in African-Caribbean families. We will seek to recruit 40 participants, aged >/= 16 years, either to receive the intervention or as controls. They will self-refer or be referred via inpatient and wellbeing services, family and carers' forums, statutory community mental health teams, and voluntary sector/non-governmental agencies (NGOs). Participants will complete the Ca-KAP, ASMI, and SF-12. Acceptability will be explored qualitatively via focus groups and individual semi-structured interviews. DISCUSSION: The proposed trial will demonstrate the feasibility of conducting a fully powered RCT to evaluate the efficacy of an e-learning resource about schizophrenia with African-Caribbean families. Qualitative work will explore the intervention's accessibility and barriers/facilitators to participation, including attitudes to randomisation. These data will facilitate further refinement of the intervention. TRIAL REGISTRATION: ISRCTN11394005, retrospectively registered 20/03/2018. FAU - Lemetyinen, Henna AU - Lemetyinen H AUID- ORCID: 0000-0002-1877-0295 AD - 1Division of Psychology & Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 FAU - Onwumere, Juliana AU - Onwumere J AD - 2King's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, London, UK. ISNI: 0000 0001 2322 6764. GRID: grid.13097.3c AD - 3South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent BR3 3BX UK. GRID: grid.415717.1 FAU - Drake, Richard James AU - Drake RJ AD - 1Division of Psychology & Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 AD - 4Greater Manchester Mental Health NHS Foundation Trust, Bury New Road, Prestwich, Manchester, UK. ISNI: 0000 0004 0581 2008. GRID: grid.451052.7 FAU - Abel, Kathryn AU - Abel K AD - 1Division of Psychology & Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 AD - 4Greater Manchester Mental Health NHS Foundation Trust, Bury New Road, Prestwich, Manchester, UK. ISNI: 0000 0004 0581 2008. GRID: grid.451052.7 FAU - Haigh, Carol AU - Haigh C AD - 5Manchester Metropolitan University, Brook Building, Bonsall Street, Manchester, UK. ISNI: 0000 0001 0790 5329. GRID: grid.25627.34 FAU - Moulton, Georgina AU - Moulton G AD - 6Division of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 FAU - Edge, Dawn AU - Edge D AD - 1Division of Psychology & Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester, UK. ISNI: 0000000121662407. GRID: grid.5379.8 LA - eng GR - PB-PG-0212-27109/DH_/Department of Health/United Kingdom PT - Journal Article DEP - 20181120 PL - England TA - Pilot Feasibility Stud JT - Pilot and feasibility studies JID - 101676536 PMC - PMC6245541 OTO - NOTNLM OT - African-Caribbean OT - Digital health OT - E-learning OT - Psychosis OT - Schizophrenia COIS- We have received an ethical approval (15/LO/0986) from the NHS London-City and East Research Ethics Committee. The project staff and research management group will ensure the study adheres to the NHS ethics code of conduct and Good Clinical Practice guidelines. All participants will be required to give full consent to take part in the study.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/11/28 06:00 MHDA- 2018/11/28 06:01 PMCR- 2018/11/20 CRDT- 2018/11/28 06:00 PHST- 2018/06/22 00:00 [received] PHST- 2018/11/07 00:00 [accepted] PHST- 2018/11/28 06:00 [entrez] PHST- 2018/11/28 06:00 [pubmed] PHST- 2018/11/28 06:01 [medline] PHST- 2018/11/20 00:00 [pmc-release] AID - 368 [pii] AID - 10.1186/s40814-018-0368-3 [doi] PST - epublish SO - Pilot Feasibility Stud. 2018 Nov 20;4:174. doi: 10.1186/s40814-018-0368-3. eCollection 2018.