# Participant and facilitator perspectives on a psychoeducational intervention for individuals at risk of bipolar disorder

## TL;DR

A new online program for youth at risk of bipolar disorder was tested, showing promise but needing improvements for better engagement and outcomes.

## Contribution

A novel telehealth-based psychoeducational program (PREP-BD) for bipolar disorder risk groups was developed and evaluated for feasibility.

## Key findings

- Participants and facilitators found the program informative and engaging, though some wanted more actionable resources.
- Family members desired greater involvement and clearer information about the program.
- The online format was convenient but hindered deeper connections for some participants.

## Abstract

Bipolar disorder often goes unrecognised for several years, leading to delayed treatment and negative outcomes. To help address this, we have developed a novel telehealth-based group psychoeducational and resilience enhancement programme for individuals at high risk for bipolar disorder (PREP-BD), aimed at improving help-seeking among adolescents and young adults at risk of developing bipolar disorder.

The purpose of the current study was to explore the perspectives of at-risk youth, their families and group facilitators who participated in the feasibility trial of PREP-BD.

Group and individual semi-structured feedback sessions were conducted with the participants (n = 21) of the programme, their family members and the facilitators of PREP-BD. The questions covered their experiences, opinions on the programme’s structure and content and suggestions for improvement. Feedback sessions were transcribed and analysed qualitatively using inductive content analysis.

Overall feedback was positive, with participants and facilitators appreciating the informative and engaging nature of the sessions. Some participants desired more actionable resources and complex content. Family members sought greater involvement and information about the programme. The online format was valued for convenience, but was also viewed as a barrier by some to fostering deeper connections.

PREP-BD shows promise as a psychoeducational intervention for individuals at high risk for bipolar disorder. To enhance the programme’s effectiveness, future iterations should incorporate more nuanced content, provide additional practical guidance and address the limitations of the virtual setting. Continued evaluation and optimisation are crucial for ensuring the programme’s effectiveness as a tool for early intervention in bipolar disorder.