FAmily Engagement Strategy for Coordinated Specialty Care
- Conditions
- Family MembersImplementation
- Registration Number
- NCT06945055
- Lead Sponsor
- Washington State University
- Brief Summary
Family members/support persons' engagement in mental health services has been linked to reduced burden and stress and improves engagement and outcomes in individuals in the early stages of psychosis. The goal of FAMES is to address low family member/support person engagement in services. FAMES will also address disparities in coordinated specialty care (CSC) by using a culturally responsive family engagement strategy to be delivered by family peers.
- Detailed Description
The overall goal of this mixed-methods, clustered stepped-wedged designed study is to examine the effectiveness of a family peer implemented in coordinated specialty care programs at engaging family members in services. The use of a family peer is anticipated to increase family member participant's feelings of connectedness, self-efficacy, and motivation which will in turn improve family member participants engagement in scheduled coordinated specialty care services such as family psychoeducation.
Recruitment will consist of dyads compromised of a family member support person and a corresponding individual receiving coordinated specialty care services. Recruitment will occur over two waves, the attention control condition (ACC) and the FAMES condition. The ACC will last for 18 months and will recruit 225 participant dyads during which time family member participants will be contacted weekly for 12 weeks where they will be provided with positively framed messaging, educational materials around psychosis, tips for addressing relevant concerns in areas such as communication and de-escalation, and a list of community-based and online resources and events. The FAMES condition will last for 30 months and will recruit 225 participant dyads during which time family member participants will receive a modified cultural formulation interview, brief check-ins, psychoeducation, and will have access to an online community.
Recruitment will take place at nine coordinated specialty care programs across four states (Washington, Oregon, Tennessee, and New Mexico) which have been randomized to a clustered stepped wedge program design.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 900
- Family member/support person of an individual enrolled in coordinated specialty care services for equal to or less than 6 months.
- 18 years of age or older.
- During the active implementation period (FAMES) did not participate in the attention control condition.
- If they do not understand the consent process.
- If they do not speak and/or understand English or Spanish.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Engagement in coordinated specialty care psychoeducation Baseline through study completion; repeated measure to assess change through study completion, average of 3 months Will be measured as first session attendance rate and total attendance rate per family provided by administrative data from the coordinated specialty care site partners.
Engagement in Family Engagement Strategy Baseline through study completion; repeated measure to assess change through study completion, average of 3 months Total number of Family Engagement Strategy session attended and the total number of contact minutes to measure engagement.
- Secondary Outcome Measures
Name Time Method Perceived Stress Scale Baseline through study completion; repeated measure to assess change through study completion, average of 6 months A self-report measure which includes 10 Likert-style items to assess the degree to which an individual appraises life as stressful. Scores range from 0-40 where scores greater that 13 indicate moderate to high perceived stress.
General Anxiety Disorder - 7 Baseline through study completion; repeated measure to assess change through study completion, average of 6 months Self-report measure to assess symptoms of anxiety. Scores range from 0-21 where scores greater than 10 are indicative of clinically significant anxiety.
Client Engagement Baseline through study completion; repeated measure to assess change through study completion, average of 6 months Provider reported service utilization. Total number of appointments attended.
Client - Patient Health Questionnaire - 9 Baseline through study completion; repeated measure to assess change through study completion, average of 6 months A self-report from the individual receiving coordinated specialty care services on their symptoms of depression. Scores range from 0-27 where any score 10 or greater is indicative of clinically significant symptoms of depression.
Family - Patient Health Questionnaire - 9 Baseline through study completion; repeated measure to assess change through study completion, average of 6 months A self-report from the family member participant on their symptoms of depression. Scores range from 0-27 where any score 10 or greater is indicative of clinically significant symptoms of depression.
Community Assessment of Psychic Experiences - Positive Scale 15-items Scale Baseline through study completion; repeated measure to assess change through study completion, average of 6 months A self-report measure from the individual receiving the coordinated specialty care services. Scores range from 0-3 where scores greater than 1.46 indicate clinically significant symptoms of psychosis.
Trial Locations
- Locations (3)
Deschutes County Behavioral Health EASA
🇺🇸Bend, Oregon, United States
Comprehensive Healthcare
🇺🇸Yakima, Washington, United States
Lucid Living
🇺🇸Tacoma, Washington, United States