A Family Peer Navigator Model to Increase Access and Initial Engagement in Coordinated Specialty Care Programs Among Black Families
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Washington State University
- Enrollment
- 36
- Locations
- 3
- Primary Endpoint
- Client Satisfaction Questionnaire-8 (CSQ-8)
Study Overview
Brief Summary
Building upon formative research, this mixed methods study will be conducted in three phases to develop, refine, and pilot-test a multi-component Family Peer Navigator model designed to increase access to and initial engagement in coordinated specialty care for early psychosis among Black/African American families.
Detailed Description
The overall goal of this mixed methods study will be conducted in three phases to develop, refine, and pilot-test a multi-component Family Peer Navigator model designed to increase access to and engagement in coordinated specialty care programs among Black/African American families. Phase II will recruit 10 family member participants to complete a four-month open trial to refine the Family Peer Navigator model. During Phase III, a total of 40 Black/African American families will be recruited to participate in a randomized pilot trial of the Family Peer Navigator model against a low-intensive care coordination in two coordinated specialty care programs to assess acceptability, feasibility, and preliminary impact.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •≥ 18 years of age
- •Identifies as Black/African American
- •Loved one who meets criteria for risk of psychosis with a total score of ≥ 3 on the Prodromal Questionnaire- Brief Version
Exclusion Criteria
- •Family members who cannot understand the consent process
- •Non-English speaking adults
- •Black/African American families referred to coordinated specialty care and who have already been determined eligible for services by providers.
Arms & Interventions
Care Coordination Phase III
Family member participants randomized to the active control will receive two brief psychoeducation sessions, two brief check ins across one month and linked to appropriate services.
Intervention: Care Coordination (Behavioral)
Family Peer Navigator model Psychosis Phase III
Family member participants randomized to the Family Peer Navigator condition will participate in two sessions for introduction/assessment, four individual psychoeducation sessions, and six brief check ins delivered by Family Peer Navigators.
Intervention: Family Peer Navigator for Early Psychosis (Behavioral)
Outcomes
Primary Outcomes
Client Satisfaction Questionnaire-8 (CSQ-8)
Time Frame: Months 1 through 3 of treatment period; repeated measure to assess change in acceptability through study completion, average of 4 months
Self-report measure to assess acceptability, a brief measure for family member participant. Items are scored from 1 to 4. Possible total scores range from 8 to 32, with higher scores (\>23) indicating greater satisfaction.
Rate of Retention to measure feasibility
Time Frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
The percentage of families that drop out (family declined or missed 3 consecutive appointments).
Number of Referrals (Recruitment) to assess feasibility
Time Frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
The number of family member participants recruited and referrals received categorized by where they originated.
Level of Engagement to measure feasibility
Time Frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
Total number of sessions attended, the number of contact hours with families and by which method (videoconference, in person, text, email etc.) and the number of completed measures.
Youth Services Survey-Families (YSS-F)
Time Frame: Baseline and Month 3 of treatment period; repeated measure to assess change in acceptability through study completion, average of 4 months
Self-report measure to assess acceptability in the following domains: appropriateness, participation, cultural sensitivity, social connectedness, and outcomes. Items in a domain are summed and divided by the total number of items, and scores greater than 3.5 are reported in the positive range for the domain.
Secondary Outcomes
- Youth Services Survey for Families - Cultural Sensitivity Subscale(Baseline through study completion; repeated measure to assess change through study completion, average of 4 months)
- Youth Services Survey for Families - Social Connectedness Subscale(Baseline through study completion; repeated measure to assess change through study completion, average of 4 months)
- Scale to Assess Therapeutic Relationships in Community Mental Health Care (STAR)(Baseline through study completion; repeated measure to assess change through study completion, average of 4 months)
- General Self-Efficacy scale(Baseline through study completion; repeated measure to assess change through study completion, average of 4 months)
- Culturally-adapted Knowledge about Psychosis questionnaire (CaKAP)(Baseline through study completion; repeated measure to assess change through study completion, average of 4 months)
Investigators
Oladunni Oluwoye
Assistant Professor
Washington State University