Bridging Community Gaps Photovoice

Not Applicable

Completed

• Conditions: Social Isolation; Mental Illness
• Interventions: Behavioral: Bridging Community Gaps Photovoice (BCGP)

• Registration Number: NCT03291717
• Lead Sponsor: Boston University Charles River Campus

Brief Summary

The purpose of this study is to test a peer-led intervention intended to promote the community living and participation of individuals with psychiatric disabilities entitled "Bridging Community Gaps Photovoice" (BCGP). The intervention targets increasing community involvement of individuals with psychiatric disabilities through reduction in self-stigma and perceived stigma, enhancing opportunities for community participation, and support to achieve community participation goals.

Detailed Description

The BCGP intervention is 6 months long and the investigators expect that participants will experience lower self and perceived stigma, increased community participation and sense of belonging, and improved psychosocial functioning and personal growth after the intervention. The intervention is comprised of a 12-week class that meets once a week for two hours, followed by three booster sessions - one per month in the three months following the class, and up to 24 sessions of individual support as needed throughout the 6 months provided on a weekly basis either in person or by phone. The purpose of the individual support is to reinforce the class activities and to ensure the participants meets their community participation goal. The proposed study is a randomized trial which will be conducted at Boston University Center for Psychiatric Rehabilitation (BUCPR) in Massachusetts, the Mental Health Center of Denver (MHCD) in Colorado, and the Greater Bridgeport Mental Health Center (GBMHC) in Connecticut.

Study Timeline

• Study Start: 2017-09-05
• Study First Submitted: 2017-09-19
• Study First Submitted QC: 2017-09-21
• Study First Posted: 2017-09-25
• Status Verified: 2020-09
• Primary Completion: 2020-09-11
• Study Completion: 2020-09-11
• Last Update Submitted: 2020-09-12
• Last Update Posted: 2020-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 197

Inclusion Criteria

1. are 18 or older.
2. are recipients of services at research sites due to having a DSM-V diagnosis of mental illness, including dual diagnosis (dual diagnosis refers to co-occurring mental illness and alcohol/ substance use disorder).
3. are interested in enhancing their community participation.
4. are not currently receiving individual peer support services.
5. are able to read and write in English.

Exclusion Criteria

1)Inability to give full and knowing consent.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Bridging Community Gaps Photovoice (BCGP)	Bridging Community Gaps Photovoice (BCGP)	The BCGP program is a 6-month photovoice-based intervention to help individuals with psychiatric disabilities enhance their community participation.

Primary Outcome Measures

Name	Time	Method
UCLA Loneliness Scale	Change from Baseline to 3 months to 6 months to 9 months to 12 months	is a 20-item 4-point Likert-type scale, widely used measure of loneliness and social isolation. Cronbach's alpha coefficients ranging from .89 to .94.
Multi-Dimensional Assessment of Community Participation	Change from Baseline to 3 months to 6 months to 9 months to 12 months	Consists of a set of objective and subjective measures of community belonging, inclusion and participation.

Secondary Outcome Measures

Name	Time	Method
Personal Growth and Recovery Scale	Change from Baseline to 3 months to 6 months to 9 months to 12 months	25-item, 4 point scale (strongly disagree to strongly agree) of items measuring psychosocial functioning and recovery.
Behavior and Symptom Identification Scale (BASIS - R)	Change from Baseline to 3 months to 6 months to 9 months to 12 months	A 24-item scale that measures: mood disturbances, anxiety, interpersonal and role functioning, daily living skills, psychotic symptoms, impulsivity and substance use
The Stigma Scale	Change from Baseline to 3 months, 3 months to 6 months, 6 months to 9 months, 9 months to 12 months	28 item, 5 point scale (strongly disagree to strongly agree) measuring experienced and anticipated stigma.
Internalized Stigma of Mental Illness Scale	Change from Baseline to 3 months to 6 months to 9 months to 12 months	29-item, 4-point scale from (strongly disagree to strongly agree) assesses behaviors, thoughts and feelings that are self-stigmatizing including alienation, stereotype endorsement, social withdrawal, stigma resistance.
Approaches to Coping with Anti-Stigma	Change from Baseline to 3 months to 6 months to 9 months to 12 months	27-item instrument with a 4 point scale (strongly disagree to strongly agree) measuring strategies to cope with stigma: secrecy, withdrawal, educating, challenging, and distancing.
Community Goal Achievement Scale	Change from Baseline to 3 months to 6 months to 9 months to 12 months	adapted from Goal Attainment Scale, provides a structured approach to determining goal achievement regardless of the type or uniqueness of goal .

Trial Locations

Locations (4)

Mental Health Center of Denver; 🇺🇸 Denver, Colorado, United States

Boston University, Center for Psychiatric Rehabilitation; 🇺🇸 Boston, Massachusetts, United States

Greater Bridgeport Mental Health Center; 🇺🇸 Bridgeport, Connecticut, United States

Horizon House- Riverside Community Care; 🇺🇸 Wakefield, Massachusetts, United States