Using The HOPES Program in Transition Care

N/ACompletedNCT02420340

Dartmouth-Hitchcock Medical Center12 enrolled

Overview

This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community. Although HOPES was originally designed to help older people with SMI maintain their residence in the community, the curriculum holds promise for helping nursing home residents with SMI to learn how to return to life in the community. Positive findings would be used to develop a grant application for a larger study of HOPES in nursing home residents with SMI. To evaluate the feasibility and acceptability of HOPES in nursing home settings, the investigators will enroll up to 12 residents of the Glencliff Home in Glencliff, New Hampshire. Participants will be individuals interested in discharge from Glencliff and are willing to attend multiple weekly skills training classes and several assessment sessions. Study participation will last until 6 months after discharge from Glencliff.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Serious Mental Illness Psychosocial Rehabilitation

Interventions

HOPES Program ("Helping Older People Experience Success")BEHAVIORAL

Weekly group skills training classes aimed at improving skills and knowledge in areas related to successful living in the community including: independent living, healthy living, social skills, leisure skills, and management of health care.

Eligibility

Sex: ALLMin age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Primary DSM-IV Axis I diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder as defined in participants' chart * An expressed willingness to be discharged from Glencliff Home to the community. * Voluntary informed consent for participation in the study by the participant or by the participant's legally designated guardian Exclusion Criteria: * Terminal physical illness OR significant medical instability * Inability to speak or and understand English * Primary or co-morbid diagnosis of dementia

Locations (1)

Glencliff Home

Glencliff, New Hampshire, United States

Outcomes

Primary Outcomes

Attendence-70% attendance or higher of HOPES groups over the course of the intervention

attendance records

Time frame: 12 months

Change in Functional Skills (University California San Diego Performance-Based Skills Assessment)

University California San Diego Performance-Based Skills Assessment

Time frame: Baseline, 12 months, 6 month follow-up

Secondary Outcomes

Change in Medication Adherence and Management (Medication Management Ability Assessment)

Medication Management Ability Assessment

Time frame: Baseline, 12 months, 6 month follow-up

Change in Social Skills (Social Skills Performance Assessment)

Social Skills Performance Assessment

Time frame: Baeline, 12 months, 6 month follow-up

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.