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Reducing the duration of untreated psychosis and its impact in the U.S.: the STEP-ED study

Overview of attention for article published in BMC Psychiatry, December 2014
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (85th percentile)
  • Good Attention Score compared to outputs of the same age and source (79th percentile)

Mentioned by

6 tweeters
1 Facebook page
1 Wikipedia page
1 Google+ user


48 Dimensions

Readers on

115 Mendeley
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Reducing the duration of untreated psychosis and its impact in the U.S.: the STEP-ED study
Published in
BMC Psychiatry, December 2014
DOI 10.1186/s12888-014-0335-3
Pubmed ID

Vinod H Srihari, Cenk Tek, Jessica Pollard, Suzannah Zimmet, Jane Keat, John D Cahill, Suat Kucukgoncu, Barbara C Walsh, Fangyong Li, Ralitza Gueorguieva, Nina Levine, Raquelle I Mesholam-Gately, Michelle Friedman-Yakoobian, Larry J Seidman, Matcheri S Keshavan, Thomas H McGlashan, Scott W Woods


BackgroundEarly intervention services for psychotic disorders optimally interlock strategies to deliver: (i) Early Detection (ED) to shorten the time between onset of psychotic symptoms and effective treatment (i.e. Duration of Untreated Psychosis, DUP); and (ii) comprehensive intervention during the subsequent 2 to 5 years. In the latter category, are teams (`First-episode Services¿ or FES) that integrate several empirically supported treatments and adapt their delivery to younger patients and caregivers. There is an urgent need to hasten access to established FES in the U.S. Despite improved outcomes for those in treatment, these FES routinely engage patients a year or more after psychosis onset. The Scandinavian TIPS study was able to effectively reduce DUP in a defined geographic catchment. The guiding questions for this study are: can a U.S. adaptation of the TIPS approach to ED substantially reduce DUP and improve outcomes beyond existing FES?Methods/DesignThe primary aim is to determine whether ED can reduce DUP in the US, as compared to usual detection. ED will be implemented by one FES (STEP) based in southern Connecticut, and usual detection efforts will continue at a comparable FES (PREPR) serving the greater Boston metropolitan area. The secondary aim is to determine whether DUP reduction can improve presentation, engagement and early outcomes in FES care. A quasi-experimental design will compare the impact of ED on DUP at STEP compared to PREPR over 3 successive campaign years. The campaign will deploy 3 components that seek to transform pathways to care in 8 towns surrounding STEP. Social marketing approaches will inform a public education campaign to enable rapid and effective help-seeking behavior. Professional outreach and detailing to a wide variety of care providers, including those in the healthcare, educational and judicial sectors, will facilitate rapid redirection of appropriate patients to STEP. Finally, performance improvement measures within STEP will hasten engagement upon referral.DiscussionSTEP-ED will test an ED campaign adapted to heterogeneous U.S. pathways to care while also improving our understanding of these pathways and their impact on early outcomes.Trial registrationClinicalTrials.gov: NCT02069925. Registered 20 February 2014.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 115 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 2%
Spain 1 <1%
Unknown 112 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 19 17%
Student > Ph. D. Student 18 16%
Student > Doctoral Student 14 12%
Student > Master 10 9%
Student > Bachelor 10 9%
Other 19 17%
Unknown 25 22%
Readers by discipline Count As %
Psychology 37 32%
Medicine and Dentistry 19 17%
Social Sciences 8 7%
Nursing and Health Professions 5 4%
Business, Management and Accounting 5 4%
Other 10 9%
Unknown 31 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 September 2017.
All research outputs
of 14,535,828 outputs
Outputs from BMC Psychiatry
of 3,390 outputs
Outputs of similar age
of 302,142 outputs
Outputs of similar age from BMC Psychiatry
of 364 outputs
Altmetric has tracked 14,535,828 research outputs across all sources so far. Compared to these this one has done well and is in the 84th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,390 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.1. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 302,142 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 364 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 79% of its contemporaries.