Facilitating Emerging Adults Engagement in Evidenced-Based Treatment for Early Psychosis Through Peer-Delivered Decision Support
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Psychotic Disorders
- Sponsor
- Temple University
- Enrollment
- 12
- Locations
- 3
- Primary Endpoint
- Change in Decisional Conflict Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this mixed methods study is to evaluate a peer-delivered decision support intervention with emerging adults newly enrolled in an early intervention program, also known as coordinated specialty care (CSC). It is hypothesized that participants will experience a reduction in decision-making needs after participating in the intervention, and that study and intervention procedures will demonstrate feasibility and acceptability.
Detailed Description
The overarching goal of this study is to pilot test a peer-delivered decision support intervention (in the form of decision coaching) that is designed to enhance emerging adults' treatment decision-making and service engagement after enrollment in a coordinated specialty care (CSC) program. Based on an experimental therapeutics approach, this mixed methods pilot trial will assess feasibility, acceptability, and the intervention's potential impact on key decision-making needs (i.e., decision-making targets). We will track feasibility data related to study and intervention procedures, and collect acceptability and outcome data from 20 emerging adults who will participate in the intervention after enrollment in the CSC program. Quantitative analysis related to decision-making targets will provide preliminary evidence regarding whether the intervention impacts these targets, while qualitative analysis will explain how it may do so. Merged results from these two sets of data will inform intervention refinement by providing a nuanced understanding of the intervention's potential to engage decision-making targets from the perspective of emerging adults.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18-30 years of age
- •Experiencing early psychosis,defined as psychosis lasting 18 months or less between the time when threshold symptom criteria were reached (as determined by the admitting CSC program assessor) and the date of CSC program enrollment
- •Able to speak/understand English
- •Able to provide informed consent as assessed by research staff
- •Enrolled in the CSC program for any period of time
Exclusion Criteria
- •having a legal guardian
- •Diagnosis of dementia, delirium, or intellectual disability as determined by the admitting CSC program psychiatrist
Outcomes
Primary Outcomes
Change in Decisional Conflict Scale
Time Frame: Baseline, through intervention completion (up to 3 months)
Change was calculated as the Decisional Conflict Scale value at intervention completion minus the value at baseline. Total scores on the Decisional Conflict Scale are calculated as: (sum of all items scores / the total number of items) x 25. For this study, 9 items were included. Scores on the Decisional Conflict Scale range from 0-100, with higher scores indicating a worse outcome.