Multicenter Study on the Implementation of a Training Program in the Orientation of Care Towards Recovery (REFOCUS) in Mental Health Services
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 760
- 试验地点
- 2
- 主要终点
- Questionnaire about the Process of Recovery QPR Intra- and inter-group comparison in users with severe psychiatric disorders
研究概览
简要总结
Training of mental health service teams in the orientation of care towards recovery through a 3-day training course: REFOCUS. This training aims to orient care towards recovery. Following this training, evaluation of the effectiveness of the implementation of REFOCUS training in mental health services.
详细描述
The primary hypothesis is that the implementation of REFOCUS will facilitate the 1-year recovery of patients managed by trained professionals. The secondary hypotheses are that the implementation of REFOCUS will facilitate improved orientation of practices towards recovery; reduced costs associated with the use of mental health services; improved perceived stigma, self-stigma, stigma-related stress, well-being, perceived coercion, and general functioning among those involved.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 15 to 65 years old.
- •Diagnosis of schizophrenia, schizoaffective disorder, schizotypal disorder and schizophreniform disorder or bipolar disorder, borderline personality disorder, disabling anxiety or depressive disorder (DSM-V criteria; APA, 2013).
- •Patients cared for by the team or unit benefiting from REFOCUS training
- •French mother tongue.
- •Patient affiliated or entitled to a social security scheme
- •Patient having received information about the study and having confirmed their participation in the study by signing the consent form
- •For minors (< 18 years), information given to holders of parental authority and signature of consent.
- •For patients under curatorship, form signed by the patient and information given to the curator
排除标准
- •Age less than 15 years old
- •Patients under guardianship
- •Presence of an associated intellectual disability
- •Neurological disorders of vascular, infectious or neurodegenerative origin.
- •Taking somatic drugs with a cerebral or psychic impact (eg corticosteroids).
研究组 & 干预措施
Arm number one (2023)
Arm number one: services formed the first year with the REFOCUS formation Arm number two: services formed the second year with the REFOCUS formation Stepped wedge methodology
干预措施: Implementation of a training centered around the notions of recovery with mental health services first year (Other)
Arm number two (2024)
Arm number one: services formed the first year with the REFOCUS formation Arm number two: services formed the second year with the REFOCUS formation Stepped wedge methodology
干预措施: Implementation of a training centered around the notions of recovery with mental health services second year (Other)
结局指标
主要结局
Questionnaire about the Process of Recovery QPR Intra- and inter-group comparison in users with severe psychiatric disorders
时间窗: Two years
Intra- and inter-group comparison of the score on the self-assessment scale of the stage of recovery (Questionnaire about the Process of Recovery; QPR) in users with severe psychiatric disorders The QPR has 15 items each scored on a 4-point scale (0= disagree strongly, 1=disagree, 2=neither agree nor disagree, 3=agree, 4=agree strongly). Higher scores are indicative of recovery. However, those involved in developing this measure suggest that scores should not only be added to give total scores, but the QPR should be used as described above e.g. as a tool for considering personal goals for recovery, health and wellbeing.
次要结局
- Self-stigma scale (Internalized Stigma of Mental Illness)(One year)
- Recovery Self-Assessment (RSA) health professional version to assess the perception of having a recovery-oriented practice(One year)
- Qualitative component(Two years)
- Warwick-Edinburgh Mental Well Being Scale (WEMWBS) for mental well-being(One year)