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Development of a Digital Intervention for Psychedelic Preparation (DIPP): a theory- and person-centred approach

Rosalind McAlpine, Katarina Krajnović, Maisha M. Khan, Larisa Morometescu, Otto Simonsson, Matthew D. Sacchet, Sunjeev K. Kamboj

November 22, 2023 preprint DOI: 10.31234/osf.io/9ev27 via OpenAlex

Summary

AI-generated from the abstract

A self-directed, 21-day digital course (Digital Intervention for Psychedelic Preparation, DIPP) was developed to help people prepare for psychedelic experiences. The course is based on a four-factor model of psychedelic preparedness: Knowledge-Expectation, Psychophysical-Readiness, Safety-Planning, and Intention-Preparation. It includes daily meditation, weekly exercises, and mood tracking. Development followed the UK Medical Research Council framework for complex interventions and used a person-centred, co-design approach. Interviews with 19 past retreat attendees and co-design workshops with 28 current retreat attendees shaped the intervention. DIPP offers a scalable, digital solution to enhance preparedness, aiming to limit adverse reactions and improve therapeutic benefits.

Study at a glance

Characteristics Mixed-methods study with qualitative interviews and co-design workshops
Sample size 47
Population Attendees of a high-dose psilocybin retreat (19 interviewed retrospectively; 28 engaged in co-design workshops during an ongoing retreat)
Intervention Digital Intervention for Psychedelic Preparation (DIPP)
Duration 21-day course
Topics Psilocybin
Keywords Psychological intervention Intervention counseling Preparedness Medical education
Key finding A co-produced 21-day digital course (DIPP) organized into four modules—Knowledge-Expectation, Psychophysical-Readiness, Safety-Planning, and Intention-Preparation—was developed to enhance psychedelic preparedness.

Abstract

Psychedelic substances induce profound alterations in consciousness. Careful preparation is therefore essential to limit adverse reactions, enhance therapeutic benefits, and maintain user safety. This paper describes the development of a self-directed, digital intervention for psychedelic preparation. Drawing on elements from the UK Medical Research Council (MRC) framework for developing complex interventions, the design was informed by a four-factor model of psychedelic preparedness, using a person-centred approach. Our mixed-methods investigation consisted of two studies. The first involved interviews with 19 participants who had previously attended a ‘high-dose’ psilocybin retreat, systematically exploring their preparation behaviours and perspectives on the proposed intervention. The second study engaged 28 attendees of an ongoing psilocybin retreat in co-design workshops, refining the intervention protocol using insights from the initial interviews. The outcome is a co-produced 21-day digital course (Digital Intervention for Psychedelic Preparation (DIPP)), that is organised into four modules: Knowledge-Expectation, Psychophysical-Readiness, Safety-Planning, and Intention-Preparation. Fundamental components of the course include daily meditation practice, supplementary exercises tied to the weekly modules, and mood tracking. DIPP provides a comprehensive and scalable solution to enhance psychedelic preparedness, aligning with the broader shift towards digital mental health interventions.

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