# Improving Engagement among Families Experiencing First-Episode Psychosis

> **NIH NIH K01** · WASHINGTON STATE UNIVERSITY · 2021 · $154,814

## Abstract

ABSTRACT
Coordinated specialty care (CSC) interventions have demonstrated effectiveness in improving the short-
and long-term outcomes of youth and young adults for first-episode psychosis (FEP). Youth with FEP have better
outcomes when their families are involved in care. As a result, all CSC interventions for FEP include family
psychoeducation as a core evidence-based component. Despite this fact, CSC programs generally report low
levels (<50%) of engagement in family psychoeducation, and engagement of racial and ethnic minority families
is even lower (<20%). Lack of family involvement is often driven by low motivation, cultural, logistical, and
perceptual barriers, and perceived irrelevance of treatment. My preliminary findings among families of youth with
FEP indicate that family members desired frequent communication and positive exchanges with clinicians and
more assertive engagement and support. The proposed mixed-methods research project will further document
the barriers to CSC. Using this information and input from a family and client Advisory Committee, I will develop,
implement, and pilot-test a brief clinician-led family engagement intervention that will coincide with family
psychoeducation for CSC programs for youth experiencing FEP. The framework for this study will blend core
components of the Promoting Action on Research Implementation in Health Services (PARiHS), a collaborative
implementation framework, and Intervention Mapping to ensure that the family engagement intervention fits
within the context of CSC programs. The survey of family barriers and the family engagement intervention will
be grounded in the Self-Determination Theory. I will first survey 200 family members of patients receiving CSC
and assess demographic, cultural, perceptual, and logistical barriers and motivators that influence engagement
in CSC programs for FEP. Then I will develop and assess the feasibility of the family engagement intervention
in a CSC program and make modifications to improve the intervention. Finally, I will conduct a site-based
stepped-wedge trial with 50 family members of youth with FEP recruited from five CSC programs to assess
intervention acceptability and feasibility, as well as the impact of the intervention on engagement. The proposed
study has the potential to address family engagement issues, with important implications for CSC programs and
improved FEP outcomes for clients that will be further tested in a subsequent large R01 study. My proposed
research plan integrates activities, formal training, and mentorship from experts (Drs. Michael McDonell,
Leopoldo Cabassa, Michael Compton, Roberto Lewis-Fernández, Sterling McPherson, and Dennis Dyck) in
FEP, family-focused evidence-based practices, family engagement, implementation science, and mixed-
methodology. This
Mentored Research Scientist Development Award (
K01) will build upon my previous training
to allow me to pursue my long-term career goal to become an independent inves...

## Key facts

- **NIH application ID:** 10241941
- **Project number:** 5K01MH117457-03
- **Recipient organization:** WASHINGTON STATE UNIVERSITY
- **Principal Investigator:** Oladunni Oluwoye
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $154,814
- **Award type:** 5
- **Project period:** 2019-08-15 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10241941

## Citation

> US National Institutes of Health, RePORTER application 10241941, Improving Engagement among Families Experiencing First-Episode Psychosis (5K01MH117457-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10241941. Licensed CC0.

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