Effect of Experience Sharing and Mutual Assistance on Insight and Recovery During the First Psychotic Episode

Not Applicable

Recruiting

• Conditions: Psychotic Episode
• Interventions: Other: Insight Scale; Other: Semi-directional interviews; Other: session of mutual assistance with a mediator psychologist; Other: routine care

• Registration Number: NCT06263933
• Lead Sponsor: Centre hospitalier de Ville-Evrard, France

Brief Summary

Controlled, prospective, qualitative and quantitative trial. The goal of this trial is to evaluate the mutual assistance early intervention device efficacy and its impact on insight and personal recovery of participants living with a first psychotic episode. This intervention lasts 5 days with 1 session per day of 1 hour 30 minutes. Three evaluations, before the intervention, after intervention and 1 month after the hospitalization's end.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-11-13
• Status Verified: 2023-12
• Study First Submitted: 2024-01-03
• Study First Submitted QC: 2024-02-14
• Last Update Submitted: 2024-02-14
• Study First Posted: 2024-02-16
• Last Update Posted: 2024-02-16
• Primary Completion: 2024-11-13
• Study Completion: 2025-11-13

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Man or woman between 18 and 40 years old
• First psychotic episode under the guidance of a doctor
• Brief psycotic trouble (SM-V)
• Presenting a first psychiatry hospitalization (all modalities hospitalizations combined)
• Fluent in French language (read and written)
• Patient affiliated to a social protection system or beneficiary of Medical Aid of State
• Patient having signed informed consent for his participation in the protocol

Exclusion Criteria

• Patients whose clinical condition does not allow them to participate in research
• Patients placed in isolation rooms during the intervention

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	Insight Scale	Patients are followed in routine care.
DIPEM group	session of mutual assistance with a mediator psychologist	Patients have 5 session of mutual assistance with a mediator psychologist, during five days, with 1 session per day. Each session lasts 1h30, with 45 min for atelier, 15 min for pause and 30 min about collective discussion.
Control group	routine care	Patients are followed in routine care.
DIPEM group	Semi-directional interviews	Patients have 5 session of mutual assistance with a mediator psychologist, during five days, with 1 session per day. Each session lasts 1h30, with 45 min for atelier, 15 min for pause and 30 min about collective discussion.
Control group	Semi-directional interviews	Patients are followed in routine care.
DIPEM group	Insight Scale	Patients have 5 session of mutual assistance with a mediator psychologist, during five days, with 1 session per day. Each session lasts 1h30, with 45 min for atelier, 15 min for pause and 30 min about collective discussion.

Primary Outcome Measures

Name	Time	Method
The level of the increasing of The INSIGHT scale	at baseline (T0) and at 5 days after the intervention's beginning (T1).	Used the "Echelle de conscience de trouble" - insight scale. There are 8 items, with 3 choices for each items : agree, disagree, unsure. The time is 5 minutes.; Maximum score = 12, very good Insight Minimum score= 0, No Insight 9 and more= good insight

Secondary Outcome Measures

Name	Time	Method
The semi-structured interview	At baseline (T0) and at 1 month after the hospitalization's end (T2).	For the first semi-structured interview, with 11 questions on 3 themes : the crisis course and the hospitalization, the role of peers during hospitalization and finally afterwards hospitalization. For the second semi-structured interview, there are 13 questions with 4 themes : the hospitalization living, psychosocial functioning, trouble awareness and management of symptoms.
The increase of Recovery Scale	At baseline (T0) and at 5 days after the intervention's beginning (T1).	Scale of recovery "Stage of recovery instrument" (STORI). The time is 25 minutes. There are 5 dimensions of recovery, with 10 groups of questions, with 50 items in total. There is 5 choices for each items, with "0" to "2" for "not at all true currently" and "3" to "5" is "completely true currently".

Trial Locations

Locations (1)

Etablissement Public de Santé de Ville-Evrard; 🇫🇷 Neuilly-sur-Marne, France