'Thriving With Bipolar Disorder': Co-design and Pilot Evaluation of a Peer-Delivered, Quality of Life Focused Group Psychoeducation Program
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Feasibility (Session Attendance)
研究概览
简要总结
Self-management strategies can be used by individuals with bipolar disorder (BD) to cope with symptoms and improve quality of life (QoL). Peer-facilitated education programs have the potential to diversify delivery of self-management information by capitalizing on the expertise of individuals who live well with BD. We have co-designed a novel, peer-facilitated, QoL-focused, group education program for people living with BD. This project will involve administration of the program and an evaluation of the feasibility, acceptability, and efficacy of this program for self-management of BD.
详细描述
Background and Purpose:
Peer support (where individuals with shared lived experience of a mental health condition provide each other with informational, emotional, and social support) may be an acceptable way to disseminate information on self-management strategies, capitalizing on the expertise and knowledge of people who live well with BD.
Peer-facilitated group psychoeducation includes the benefits of evidence-based self-management information and tools, with the added advantage of providing role models for recovery and modelling of self-management skills. Unfortunately, there is a dearth of BD-specific peer-facilitated self-management psychoeducation programs, and corresponding evaluations of their efficacy.
To capitalize on the potential of peer support to enhance the delivery of BD self-management information, content from two, web-based, self-directed psychoeducational interventions was adapted to create a peer-facilitated psychoeducation program using a community-based participatory research (CBPR) framework. The resulting program contains eight, weekly, two-hour sessions. Each session focuses on a topic related to QoL in BD (including Mood, Sleep, Physical Health, Relationships, Money, Self-esteem, and Independence), and contains a combination of education, opportunities for peer-to-peer knowledge exchange, and activities that facilitate practice of self-management strategies. A facilitator and attendee manual have been created for use in this program.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Program facilitators
- •aged 18 or older
- •a self-reported diagnosis of a mood disorder
- •sufficient access to an internet-enabled computer or smartphone device to access the Zoom teleconferencing platform
- •ability to understand, read and write English
- •at least one year of prior experience leading peer support groups or recovery programs through Hope+Me
- •previously received training through Hope+Me
- •completed a Criminal Records Check
- •Program participants
- •aged 18 or older
- •residing in Canada
- •a self-reported diagnosis of BD
- •ability to understand, read and write English
- •sufficient access to an internet-enabled computer or smartphone device to access the Zoom teleconferencing platform
排除标准
- •inability to communicate in written and verbal English to a sufficient level to allow participation in the program and research activities
研究组 & 干预措施
Peer-Delivered Psychoeducation Program
Individuals in this arm will complete the peer-delivered psychoeducation program.
干预措施: Peer Delivered Psychoeducation Program (Behavioral)
结局指标
主要结局
Feasibility (Session Attendance)
时间窗: Every week, from enrollment to the end of the intervention at 8 weeks.
Feasibility will be assessed using program attendance rates. After each session, peer facilitators will complete a brief questionnaire to record the number of participants who attended each session. Feasibility is defined as the proportion of participants achieving the minimum attendance of 62.5% (i.e., five out of eight sessions), based on the median therapeutic dose in a review of group therapy program evaluations.
次要结局
- Patient Health Questionnaire 8 (PHQ-8)(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Quality of Life in Bipolar Disorder (QoL.BD) Scale(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Altman Self-Rating Mania Scale(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Bipolar Recovery Questionnaire(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Stanford's Chronic Disease Self-Efficacy 'Manage Disease in General' Subscale(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Self-Compassion Scale-Short Form(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Internalised Stigma of Mental Illness Scale Brief Version(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Social Provisions Scale Short Form(At enrollment, immediately after the intervention at 8 weeks, and a follow-up 4 weeks after the intervention.)
- Client Satisfaction Questionnaire-8(Immediately after the intervention at 8 weeks.)
- Group Climate Questionnaire Short Form(Every week, from enrollment to the end of the intervention at 8 weeks.)
- Feasibility (Fidelity)(Every week, from enrollment to the end of the intervention at 8 weeks.)
研究者
Erin Michalak
Professor, Department of Psychiatry, Faculty of Medicine
University of British Columbia