Clinical trial NCT06492434: Enhancing Community Participation Through Peer-Delivered Decision Support
Official title: Enhancing Community Participation Outcomes Among Young Adults With Serious Mental Illnesses Through Peer-Delivered Decision Support
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Severe Mental Disorder
Keywords: Peer specialists, Decision Support Techniques, Young Adult
Lead sponsor: Temple University
Sponsor class: OTHER
Collaborators: name: National Institute on Disability, Independent Living, and Rehabilitation Research
First posted: 2024-07-09
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illness (SMI).

Detailed description: The overarching goal of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illnesses (SMI). We will use a single-group, pre-post, convergent mixed methods design to explore implementation and whether and how the intervention impacts decision-making and community participation outcomes. We will aim to recruit 40 participants in this intervention study. This design will enable us to link themes regarding participants' experience of the intervention with quantitative measures of decision-making and community participation.

Eligibility criteria: Inclusion Criteria:

* 18-30 years of age;
* Experiencing a SMI, as determined by: (a) self-reported psychiatric diagnosis of schizophrenia-spectrum or major affective disorder, and (b) self-reported current or past functional impairment due to experiencing mental health challenges in one or more major life areas (i.e., work school, social activities)
* Able to identify at least 2 areas of community participation that individuals want to be doing more in in the next 6 months
* Current sufficiency of community participation (i.e., number of important participation areas done enough / number of important participation areas) of 50% or less.

Exclusion Criteria:

* Unable to provide informed consent, as assessed by research staff using an active recall method
* limited ability to act on decisions due to self-reported legal, residential, or guardianship restrictions.

Primary outcomes:
measure: Change in decisional conflict scale
timeFrame: Baseline, through intervention completion (up to 3 months)
measure: Change in decision self-efficacy scale
timeFrame: Baseline, through intervention completion (up to 3 months)
measure: Decision-making behaviors at post-intervention
timeFrame: Post-intervention (up to 3 months post-baseline)
measure: Decision Satisfaction Scale Score at post-intervention
timeFrame: Post-intervention (up to 3 months post-baseline)
measure: Change in Temple University Community Participation Measure (sufficiency)
timeFrame: Baseline, through intervention completion (up to 3 months)
measure: Change in Temple University Community Participation Measure (breadth ratio)
timeFrame: Baseline, through intervention completion (up to 3 months)
Secondary outcomes:
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Temple University
state: Pennsylvania
city: Brattleboro
country: United States
facility: Copeland Center for Wellness and Recovery
state: Vermont
Study officials:
affiliation: Temple University
name: Elizabeth Thomas, PhD
role: PRINCIPAL_INVESTIGATOR
References: