Individually Based Psychosocial Rehabilitation for Older People With SMI
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers.
研究概览
简要总结
The major goal of this project is to adapt an existing group-based psychosocial program to enhance community functioning in older people with serious mental illness (SMI). The focus of the adaptation is designing and evaluating an individually based rehabilitative program for older people with SMI who either cannot or choose not to access a group program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ability to provide voluntary informed consent or assent, with formal consent by a legal guardian;
- •Axis I Disorder of schizophrenia, schizoaffective disorder, bipolar disorder, or major depression;
- •Functional impairment based on New Hampshire state eligibility criteria for services to people with SMI;
- •Enrollment in treatment for at least three months.
排除标准
- •residence in a nursing home or assisted living facility;
- •Terminal illness expected to result in death within one year or less;
- •Diagnosis of dementia, or significant cognitive impairment as indicated by a Mini Mental Status Evaluation (MMSE) score <24;
- •Current active substance abuse or dependence;
- •Past Participation in HOPES-G
研究组 & 干预措施
Hopes-I
The program progresses in three steps. First, participants receive a 10-week Basic Skills for Community Living course covering essential skills from each of the five modules to ensure that all participants establish basic competency in a core set of skills. Second, clinicians assess participants' functioning to identify skill areas that warrant additional improvement and engage participants in a shared decision making process to select skill areas to pursue in greater depth. Third, clinicians have weekly 60 minute sessions with participants in community settings for 7 months to provide training and to facilitate and support acquisition of core skills and rehabilitation goals.
干预措施: HOPES-I (Behavioral)
结局指标
主要结局
To develop an individually based psychosocial rehabilitation program for older adults with SMI. The program will be specified in treatment manuals and will match relevant skills training modules to the functional needs and preferences of consumers.
时间窗: baseline, 9 months and 12 months, 15 months
次要结局
未报告次要终点