Evaluation of a hybrid asynchronous-synchronous delivery model for family intervention in psychosis: the psychosis REACH program - Report - MDSpire

Assessment of a Combined Asynchronous-Synchronous Approach for Family Interventions in Psychosis: Insights from the Psychosis REACH Initiative

  • By

  • Sarah L. Kopelovich

  • Jennifer Blank

  • Akansha Vaswani-Bye

  • Victoria Shepard

  • Helen Teresa Buckland

  • Kate Hardy

  • Douglas Turkington

  • July 21, 2026

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Clinical Report: Assessment of a Combined Asynchronous-Synchronous Approach for Family Interventions in Psychosis

Overview

The Psychosis REACH initiative evaluated a hybrid digital approach to family interventions for psychosis, demonstrating high feasibility and acceptability among caregivers.

Background

Family interventions for psychosis are crucial for improving outcomes for both patients and caregivers. However, access to these interventions is often limited due to various barriers. The Psychosis REACH initiative aims to address these challenges by providing a hybrid model that combines asynchronous and synchronous training for caregivers.

Data Highlights

OutcomePost-Training4-Month Follow-Up
Completion of Online CourseNearly 100%N/A
Completion of Virtual Workshop85%N/A
Intention to Follow-Up with pRFA66.7%N/A
Improvements in Psychiatric SymptomsSignificantN/A
Reduction in Caregiver BurdenSignificantN/A

Key Findings

  • The hybrid model was rated as highly feasible and acceptable by participants.
  • Nearly all participants completed the online course, with 85% attending the virtual workshop.
  • 66.7% of participants expressed intention to follow up with a Psychosis REACH Family Ambassador.
  • Significant improvements were noted in caregiver burden and expressed emotion.
  • Participants reported increased confidence in CBT-informed skills post-training.

Clinical Implications

The findings suggest that a hybrid digital training model can effectively deliver family interventions for psychosis, potentially increasing access for caregivers. This approach may serve as a viable alternative to traditional in-person training methods.

Conclusion

The Psychosis REACH initiative highlights the potential of hybrid training models in enhancing family support for individuals with psychosis, addressing access barriers while maintaining effective outcomes.

Related Resources & Content

  1. BMC Psychiatry (Springer), 2025 -- Effectiveness of implementing family involvement on patient outcomes in individuals with psychotic disorders: a pragmatic cluster randomised controlled trial
  2. Frontiers in Digital Health, 2026 -- Co-creating a program theory and evaluability assessment for an Irish single-session, synchronous chat-based youth mental health intervention: implications for outcome evaluation
  3. Frontiers in Psychiatry, 2026 -- Clinical practice guidelines and quality standards for early intervention in psychosis: an AGREE II appraisal and systematic review of service components
  4. Cochrane, 2024 -- Are interventions aimed at people with schizophrenia and their families more effective than standard care?
  5. BMC Psychiatry (Springer) — Stepped care involving cognitive behavioral therapy for young people at clinical high-risk for psychosis in community settings: longitudinal intervention study protocol
  6. NICE Guidelines on Psychosis and Schizophrenia
  7. American Psychiatric Association Practice Guideline for Schizophrenia
  8. Are interventions aimed at people with schizophrenia and their families more effective than standard care? | Cochrane
  9. Systematic review and meta-analysis of family-based interventions for early psychosis: Carer and patient outcomes - ScienceDirect
  10. Frontiers | Evaluation of a hybrid asynchronous-synchronous delivery model for family intervention in psychosis: the psychosis REACH program
  11. FAQ | Psychosis REACH
  12. Pilot randomized controlled trial of Bolster, an mHealth intervention for caregivers to young people with early psychosis - ScienceDirect

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