Adaptation of STEPPS Program for Addressing Emotional Dysregulation and Self-harming Behaviors in Penitentiary Centers
- Conditions
- Self Harm
- Interventions
- Behavioral: Systems Training for Emotional Predictability & Problem Solving (STEPPS)
- Registration Number
- NCT06297460
- Lead Sponsor
- Universitat Jaume I
- Brief Summary
The overall objective of this study is to assess the feasibility, within the Penitentiary Centers of Catalonia, of adapting the STEPPS program for addressing and preventing emotional dysregulation and self-harming behaviors through an implementation study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 50
- Men or women deprived of liberty serving sentences in a penitentiary center in Catalonia.
- Presence of self-harming behaviors.
- Sufficient understanding and proficiency in Spanish to participate in the STEPPS program.
- Sufficient cognitive competence for study participation.
- Mental capacity to provide informed consent.
- Inmates under security measures or classified in the first degree of treatment.
- Inmates with language difficulties.
- Presence of severe pathologies that may hinder study participation.
- Inmates with the possibility of imminent release, impending transfers to other penitentiary centers, or pending trial.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description STEPPS program Systems Training for Emotional Predictability & Problem Solving (STEPPS) The only condition is the experimental one. Participants receive the STEPPS program
- Primary Outcome Measures
Name Time Method Level of emotional and behavioral disregulation of patients Pre-intervention and inmediately after the intervention Using the Longitudinal assessment of the severity of emotional and behavioral dysregulation (Borderline Evaluation of Severity Over Time, BEST) (Blum et al., 2002), a 15-item questionnaire with a 5-point Likert scale (1= none/very mild; 5= extremely) that assesses three areas: the intensity of thoughts and emotions, and negative and positive behaviors.
- Secondary Outcome Measures
Name Time Method Type and levels of impulsivity of patients Pre-intervention and inmediately after the intervention The Barratt Impulsiveness Scale (BIS) (Barratt, 1959) is a self-report questionnaire designed to assess impulsiveness in different areas. It consists of 30 items that are scored on a 4-point scale (from rarely or never (1) to always or almost always (4)). The scale measures three aspects of impulsiveness: Attentional Impulsiveness, Motor Impulsiveness, and Non-Planning Impulsiveness.
Suicide risk of patients Pre-intervention and inmediately after the intervention Using the Beck Suicidal Intent Scale (SIS) (Beck et al., 1979) it is assessed the characteristics and likelihood of a suicide attempt in the present and the past. It addresses circumstances during the attempt, attitudes towards life and death, thoughts before, during, and after the attempt, and substance use. The questionnaire consists of 20 items rated on a 3-point scale (0 to 2).
Perceived level of acceptability of the intervention by professionals Pre-intervention and inmediately after the intervention The Acceptability of Intervention Measure (AIM) (Weiner et al., 2017) assesses acceptability based on stakeholders' perceptions of the intervention's utility or satisfaction across four items on a 5-point Likert scale.
Degree of hopeless of patients Pre-intervention and inmediately after the intervention Using Beck Hopeless Scale (BHS) (Beck et al., 1974), a 20-item true/false scale that assesses individuals' feelings of hopelessness. In this case, it evaluates three aspects of hopelessness: 1. A person's expectations about life; 2. Their feelings about the future, and 3. The loss of motivation.
Satisfaction of the intervention by patients Pre-intervention and inmediately after the intervention The Client Satisfaction Questionnaire (CSQ) (Attkisson \& Zwick, 1982; Larsen et al., 1979) is an eight-item questionnaire that assesses participants' overall satisfaction with the intervention received on a 4-point scale.
Barriers and facilitators detected by professionals that are influencing the implementation process - Quantitative information Pre-intervention and inmediately after the intervention Quantitative data about barriers and facilitators is gathered thrhough closed-open questionnaire was developed following CFIR guidelines (Damschroder et al., 2009), with reference to the study conducted by Hadjistavropoulos and colleagues (2017). The final questionnaire comprised 41 items rated on a 5-point Likert scale (ranging from 1, strongly disagree, to 5, strongly agree), assessing: Intervention Characteristics (7 items), Outer Context (5 items), Inner Setting (14 items), Characteristics of Individuals (8 items), and Implementation Process (7 items).
Self-injury frequency, typology and funcionality of patients Pre-intervention and inmediately after the intervention Through Inventory of Statements About Self-injury (ISAS) (Klonsky \& Glenn, 2009), a questionnaire that explores self-injurious behaviors and is divided into two sections. The first section evaluates the presence and frequency of 13 different types of self-injuries, and the second section assesses the functionality of self-injurious behaviors on a 3-point Likert scale.
Perceived level of feasibility by professionals Pre-intervention and inmediately after the intervention Feasibility is measured with the Feasibility of Intervention Measure (FIM) (Weiner et al., 2017), a measure that encompasses four items designed to measure the feasibility of the intervention, indicating the extent to which the intervention can be successfully executed within the system, using a 5-point Likert scale.
Perceived level of adequacy by professionals Pre-intervention and inmediately after the intervention Intervention Appropriateness Measurement (IAM) (Weiner et al., 2017) comprises four 5-point Likert scale items designed to explore the adequacy of the intervention, considering its perceived relevance or compatibility in the given context.
Level of burnout of professionals Pre-intervention and inmediately after the intervention Using the Copenhagen Burnout Inventory (CBI) (Kristensen et al., 2005), a 19-item questionnaire on a 5-point Likert scale that measures burnout syndrome, differentiating three sub-dimensions: personal burnout, work-related burnout, and user-related burnout.
Trial Locations
- Locations (1)
Rosa
🇪🇸Castellón De La Plana, Castellón, Spain