Enhancing Community Participation Through Peer-Delivered Decision Support

Not Applicable

Recruiting

• Conditions: Severe Mental Disorder
• Interventions: Behavioral: Peer decision coaching

• Registration Number: NCT06492434
• Lead Sponsor: Temple University

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.

Study Timeline

• Status Verified: 2024-07
• Study Start: 2024-07-01
• Study First Submitted: 2024-07-02
• Study First Submitted QC: 2024-07-02
• Study First Posted: 2024-07-09
• Last Update Submitted: 2025-04-07
• Last Update Posted: 2025-04-10
• Primary Completion: 2025-08-31
• Study Completion: 2025-08-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Peer decision coaching arm	Peer decision coaching	All participants will engage in the Peer Decision Coaching intervention.

Primary Outcome Measures

Name	Time	Method
Change in Temple University Community Participation Measure (sufficiency)	Baseline, through intervention completion (up to 3 months)	Sufficiency scores on the Temple University Community Participation Measure assess how satisfied individuals are with their amount of community participation in areas that are important to them. Possible scores range from 0-100, with higher scores indicating a better outcome.
Change in Temple University Community Participation Measure (breadth ratio)	Baseline, through intervention completion (up to 3 months)	Breadth ratio scores on the Temple University Participation Measure assess breadth of participation in areas considered important to a person. Possible scores range from 0-100, with higher scores indicating a better outcome.
Decision Satisfaction Scale Score at post-intervention	Post-intervention (up to 3 months post-baseline)	The Decision Satisfaction Scale assesses a person's satisfaction with a health decision. Possible scores range from 6-30, with higher scores indicating a better outcome.
Change in decision self-efficacy scale	Baseline, through intervention completion (up to 3 months)	The Decision Self-Efficacy Scale assesses confidence in making an informed choice. Possible scores range from 0 to 44, with higher scores indicating a better outcome.
Change in decisional conflict scale	Baseline, through intervention completion (up to 3 months)	The Factors Contributing to Uncertainty subscale of the Decisional Conflict Scale measures decision-making needs. Possible scores range from 0 to 36, with higher scores indicating a worse outcome.
Decision-making behaviors at post-intervention	Post-intervention (up to 3 months post-baseline)	Number of behaviors (range: 0-6) endorsed on Decision-Making Behaviors scale at post-intervention.

Trial Locations

Locations (2)

Temple University; 🇺🇸 Philadelphia, Pennsylvania, United States

Copeland Center for Wellness and Recovery; 🇺🇸 Brattleboro, Vermont, United States