Clinical trial NCT06476483: Feasibility and Acceptability of Implementing DIALOG+ in a Psychiatric Rehabilitation Unit
Official title: Implementing the DIALOG Outcome Measure and a Solution-Focused Intervention (DIALOG+) in a Rehabilitation Psychiatric Inpatient Setting: A Mixed Methods Feasibility Study
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Psychological Recovery
Lead sponsor: University of Sheffield
Sponsor class: OTHER
Collaborators: name: National Health Service, United Kingdom
First posted: 2024-06-26
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Feasibility and acceptability study.

A mixed methods design will be used to meet the aims of this study. The study will consist of two parts, firstly quantitative; quasi-experimental group comparison design and secondly a qualitative design with data collection based on focus groups and additional surveys being distributed to patients who participate.

The independent variable will be membership of the comparison (DIALOG) or treatment (DIALOG+) group. The dependent variable will be scores on the DIALOG measure at the end of the intervention period.
Primary purpose: OTHER

Brief summary: This study aims to understand if implementing DIALOG+ in an inpatient psychiatric rehabilitation setting is feasible (can the intervention be implemented) and acceptable (how the intervention is perceived by staff and patient participants). If the intervention is proven to be feasible and acceptable a larger-scale study may take place. This study has been developed in response to the trust-wide implementation of DIALOG outcome measures. DIALOG+ offers additional solution-focused and person-centred follow-up questions to the DIALOG questions and links to multidisciplinary team (MDT) discussions. It is hoped that the conversations had during DIALOG+ meetings will support positive outcomes, and the learning gathered from this study will drive change and improvement for other people requiring psychiatric rehabilitation inpatient admissions in the future. DIALOG+ has been successfully implemented in community settings in the national health service (NHS) but has not been implemented in psychiatric rehabilitation inpatient settings. This study will aim to recruit patient and staff participants from NHS psychiatric rehabilitation inpatient wards. Patient participants who will be eligible to take part are those who can consent, are between the ages of 18-65, and can complete DIALOG and DIALOG+. To understand the feasibility of the intervention, descriptive statistics will be collected and to understand acceptability focus groups will take place and surveys will be collected. Quantitative data collection will take place over 5 months and will be split into 2 groups. Group one will be a comparison group where participants will act as an extended baseline group and biweekly DIALOG outcomes will be collected. Group 2 will be a Treatment group and participants will receive the DIALOG+ intervention intervention, DIALOG outcomes will be collected biweekly as part of the intervention. Finally, there will be a period to gather qualitative feedback from patient participants using surveys, and from staff participants using focus groups or semi-structured interviews.


Eligibility criteria: Inclusion Criteria:

* Aged between 18-65
* Capacity to give informed consent as determined by the MDT and through following informed consent processes.
* Admitted into the inpatient ward
* Can complete DIALOG and DIALOG+

Exclusion Criteria:

* No capacity to consent
* Insufficient command of the English language

Primary outcomes:
measure: Feasibility outcome- Recruitment rate/consent rate
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- Number of eligible participants.
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- Participation rate
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- Completion rate
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- Drop out rate
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcomes- Reasons for drop out
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcomes- Follow up rate
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- The willingness of clinicians to recruit participants
timeFrame: assessed at the end of the study (after 5 months)
measure: Feasibility outcome- Average number of DIALOG+ sessions
timeFrame: assessed at the end of the study (5 months)
measure: Acceptability outcome- Cost
timeFrame: assessed at the end of the study (after 5 months)
measure: Number of staff participants who find DIALOG and DIALOG+ feasible and acceptable to implement in an inpatient rehabilitation setting. Assessed using thematic analysis of focus groups.
timeFrame: assessed at the end of the study (after 5 months)
measure: Number of patients who find it feasible and acceptable to implement DIALOG and DIALOG+ in an inpatient rehabilitation setting. Assessed using thematic analysis and average scores of patient surveys.
timeFrame: assessed at the end of the study (after 5 months)
Secondary outcomes:
measure: DIALOG questionnaire
timeFrame: At the beginning of the study, then biweekly for a duration of 5 months with the final measure taken after 5 months
measure: Demographic information
timeFrame: assessed at the end of the study (5 months)
measure: Length of admission in months
timeFrame: assessed at the end of the study (5 months)
Other outcomes:
Locations:
city: Sheffield
country: United Kingdom
facility: Forest Close
state: South Yorkshire
Study officials:
References: