Enhancing Community Participation Outcomes Among Young Adults With Serious Mental Illnesses Through Peer-Delivered Decision Support
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Severe Mental Disorder
- Sponsor
- Temple University
- Enrollment
- 16
- Locations
- 2
- Primary Endpoint
- Change in Temple University Community Participation Measure (sufficiency)
- Status
- Completed
- Last Updated
- 4 months ago
Overview
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.
Investigators
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.
Outcomes
Primary Outcomes
Change in Temple University Community Participation Measure (sufficiency)
Time Frame: 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)
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: Post-intervention (up to 3 months post-baseline)
Number of behaviors (range: 0-6) endorsed on Decision-Making Behaviors scale at post-intervention.