Exploring the Implementation of Cognitive Screening in First-Episode
Psychosis Settings: The CogScreen Implementation Study
Abstract
Accurate and appropriate cognitive screening has the potential to
significantly enhance early psychosis care, yet no screening tools have
been validated for the early psychosis population and little is known
about current screening practices, experiences, or factors that may
influence implementation. Using a hybrid type 1 design, the CogScreen
study aims to validate two promising screening tools with young people
with first episode psychosis (primary aim) and to understand the context
for the implementation of cognitive screening in early psychosis
settings (secondary aim). The present protocol outlines the
implementation study, which aims to explore the experiences and
practices, acceptability, feasibility, and determinants of cognitive
screening in early psychosis settings from the perspective of key
stakeholders. Young people with first episode psychosis (n=350),
caregivers (minimum n=10), and service providers (minimum n=12) will be
recruited from primary and specialist early psychosis services in
Melbourne, Adelaide, and Sydney, Australia. Grounded in implementation
science, two theoretical frameworks inform data collection and analysis:
the Theoretical Framework of Acceptability and the Consolidated
Framework for Implementation Research. A mixed methods design will be
employed to collect and analyse data from questionnaires with young
people with first episode psychosis, interviews with all stakeholder
groups, and administrative processes. Quantitative data will be analysed
using descriptive statistics. Qualitative data will be analysed through
content analysis using deductive and inductive coding. Together with
accuracy findings, results from the present implementation study will
provide new insights about the practices, experiences, enablers and
barriers to cognitive screening in early psychosis services.