Trial Outcomes & Findings for Altitudes for Caregivers (NCT NCT06094647)

Results Overview

This qualitative data will be collected post-treatment from Altitudes participants. Individual interviews will discuss usage of the platform and any feedback participants may have. Feedback from participants will be summarized to include common themes regarding likes and dislikes of the platform, implementation within the clinical setting, and participant ideas for future directions.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Up to 6 months

Results posted on

2025-08-14

Participant Flow

The research team attempted to recruit participants for a treatment as usual condition, but the coordinated specialty care (CSC) programs that were encouraged to refer caregivers indicated that family members of young people with first episode psychosis (FEP) were not interested in completing assessments without the option of joining the Altitudes program (treatment condition). Therefore, no participants were enrolled into the Treatment as Usual Arm.

Participant milestones

Participant milestones
Measure	Altitudes Condition Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Overall Study STARTED	24	0
Overall Study COMPLETED	24	0
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Altitudes for Caregivers

Baseline characteristics by cohort

PRIMARY outcome

Timeframe: Up to 6 months

Population: No participants were enrolled into the Treatment as Usual Arm. Two participants elected not to complete the post-treatment interview.

This qualitative data will be collected post-treatment from Altitudes participants. Individual interviews will discuss usage of the platform and any feedback participants may have. Feedback from participants will be summarized to include common themes regarding likes and dislikes of the platform, implementation within the clinical setting, and participant ideas for future directions.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=22 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Altitudes described as a valuable resource	17 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Clinical moderator was a useful source of support	17 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Life circumstances impacted engagement	14 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Reduced participation due to life demands or intentional avoidance (e.g., topic of psychosis)	9 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Altitudes platform was a space for connection, learning, hope, and/or normalizing their experiences	18 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Therapy materials were appropriated and added to their knowledge/understanding/skills	15 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Altitudes was easy to access, navigate, and use	19 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Caregivers mentioned wanting notifications or reminders	10 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Caregivers interested opportunities to meet other parents/carers	7 Participants	—
Qualitative Summaries of Participant Experience in Post-Treatment Feedback Caregivers note interest in or benefits to tailored supports (like individual therapy)	7 Participants	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: No participants were enrolled into the Treatment as Usual Arm. All data collected are reported. Four participants elected not to complete the post-treatment assessment.

The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 12-item scale. Answers are on a 5-point scale with options "seldom", "sometimes", "fairly often", "very often", and "always." Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater therapeutic alliance. Reported value is the average value at month 6 minus the average value at month 3.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Total Score	0.27 score on a scale Standard Deviation 0.58	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: No participants were enrolled into the Treatment as Usual Arm. All data collected are reported. Four participants elected not to complete the post-treatment assessment.

The Working Alliance Inventory for Guided Internet Interventions (WAI-I) task and goals subscale is an 8-item scale. Answers are on a 5-point scale with options "seldom", "sometimes", "fairly often", "very often", and "always". Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater agreement between the therapist and client on tasks and goals.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Task and Goals Subscale	0.23 score on a scale Standard Deviation 0.74	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: No participants were enrolled into the Treatment as Usual Arm. All data collected are reported. Four participants elected not to complete the post-treatment assessment.

The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 4-item scale. Answers are on a 5-point scale with options "seldom", "sometimes", "fairly often", "very often", and "always". Possible scores are averaged across items and range from 1 to 5. Higher scores indicate stronger bond with the supporting therapist

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Bond Subscale	0.35 score on a scale Standard Deviation 0.77	—

PRIMARY outcome

Timeframe: Baseline, Up to Month 6

Population: No participants were enrolled into the Treatment as Usual Arm.

The Altitudes platform passively collects engagement data, including the number of therapeutic education modules started and completed as well as any posts, reactions, or comments made on the platform. The investigators will provide mean and standard deviation scores for each site usage category, for the Altitudes group only. The data was collected continuously from baseline up to month 6 as a count of occurences with the mean engagement with the Altitudes platform computed across this time frame.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=24 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Engagement With the Altitudes Platform Posts on community page	2.92 number of occurrences Standard Deviation 4.13	—
Mean Engagement With the Altitudes Platform Comments on Other Users' Posts	9.79 number of occurrences Standard Deviation 18.49	—
Mean Engagement With the Altitudes Platform Reactions to Other Users' Posts	21.13 number of occurrences Standard Deviation 33.98	—
Mean Engagement With the Altitudes Platform Comments on the Talk-it-Out Page (e.g., problem-solving)	1.88 number of occurrences Standard Deviation 2.76	—
Mean Engagement With the Altitudes Platform Posts on the Talk-it-Out Page (e.g., problem-solving)	0.29 number of occurrences Standard Deviation 0.46	—
Mean Engagement With the Altitudes Platform Reactions on the Talk-it-Out Page (e.g., problem-solving)	3.54 number of occurrences Standard Deviation 6.39	—
Mean Engagement With the Altitudes Platform Number of Calls Attended with Clinical Moderator	5.71 number of occurrences Standard Deviation 3.10	—
Mean Engagement With the Altitudes Platform Number of Meet-ups attended	3.00 number of occurrences Standard Deviation 1.92	—
Mean Engagement With the Altitudes Platform Number of Journey Steps (therapy content)	16.25 number of occurrences Standard Deviation 15.58	—
Mean Engagement With the Altitudes Platform Number of Explore Steps (therapy content)	18.68 number of occurrences Standard Deviation 18.03	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 15-item scale. Answers are on a 7-point Likert scale (1-7) with options "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 15 to 105 with higher scores reflecting better perceptions of their relationship with Altitudes moderators.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=19 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Health Care Climate Questionnaire (A-HCCQ) - Total Score	0.12 score on a scale Standard Deviation 0.61	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 4-item scale. Answers are on a 7-point Likert scale with options "Not at all true"\[1\], "Somewhat true"\[4\], "Very true"\[7\] with a sliding scale between answers. Possible scores range from 4 to 28. Higher scores indicate stronger perceived competence and ability in using the Altitudes platform.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Perceived Competence Scale (A-PCS) - Total Score	0.19 score on a scale Standard Deviation 0.99	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 20-item scale. The overall impressions of the platform scale is three 7-point Likert scale answers with options of "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 3 to 21. Higher scores indicate better overall impressions of the Altitudes platform.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Usability Questionnaire (AUQ) - Overall Impressions of Platform Subscale	0.50 score on a scale Standard Deviation 1.25	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 20-item scale. The perception of other platform users subscale is four 7-point Likert scale answers with options of "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 4 to 28. Higher scores indicate better perception of interactions with other Altitudes participants.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Usability Questionnaire (AUQ) - Perception of Other Platform Users Subscale	0.30 score on a scale Standard Deviation 1.16	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 20-item scale. The safety and confidentiality subscale is two 7-point Likert scale answers with options of "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 2 to 14. Higher scores indicate higher perceived safety and confidentiality when using the platform.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Usability Questionnaire (AUQ) - Safety and Confidentiality Subscale	0.25 score on a scale Standard Deviation 1.03	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 20-item scale. The moderation and peer support subscale is three 7-point Likert scale answers with options of "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 3 to 21. Higher scores indicate higher regard of the moderators and peer support on the Altitudes platform.

Outcome measures

Outcome measures
Measure	Altitudes Condition n=20 Participants Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from two of the five FEP clinics (OASIS and SHORE) will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. Altitudes USA: Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self-care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.	Treatment as Usual Approximately 30 individuals whose loved ones are experiencing FEP and receiving services from three of the five FEP clinics (Encompass, Eagle, and AEGIS) will be recruited to participate in treatment as usual offered by their respective clinic. Participants will then be asked to complete the same battery of measures as the experimental group at baseline, 3-months, and 6 months.
Mean Change in Altitudes Usability Questionnaire (AUQ) - Moderation and Peer Support Subscale	0.18 score on a scale Standard Deviation 1.19	—

PRIMARY outcome

Timeframe: Month 3, Month 6

Population: Only participants who have completed both assessments have been included in this analysis. No participants were enrolled in the Treatment as Usual Arm.

The Altitudes Health Care Climate Questionnaire is a 20-item scale. The barriers to use subscale is six 7-point Likert scale answers with options of "Strongly Disagree", "Mildly Disagree", "Slightly Disagree", "Neutral", "Slightly Agree", "Mildly Agree", and "Strongly Agree". Possible scores range from 6 to 42. Lower scores indicate less issues with barriers to engaging with the platform.