Building upon formative research, this mixed methods study will be conducted in three phases to develop, refine, and pilot-test a multi-component Family Peer Navigator model designed to increase access to and initial engagement in coordinated specialty care for early psychosis among Black/African American families.
The overall goal of this mixed methods study will be conducted in three phases to develop, refine, and pilot-test a multi-component Family Peer Navigator model designed to increase access to and engagement in coordinated specialty care programs among Black/African American families. Phase II will recruit 10 family member participants to complete a four-month open trial to refine the Family Peer Navigator model. During Phase III, a total of 40 Black/African American families will be recruited to participate in a randomized pilot trial of the Family Peer Navigator model against a low-intensive care coordination in two coordinated specialty care programs to assess acceptability, feasibility, and preliminary impact.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
50
The Family Peer Navigator model is theoretical underpinning by the Social-Ecological Model and the Social Cognitive Theory, that incorporates a mixture of evidence- and research-based strategies, to include three key components: 1) Introduction and Assessment; 2) Individual Psychoeducation; 3) Six Brief Check-In
active control, treatment as usual including services provided by the coordinated specialty care program for first-episode psychosis.
New Journeys: Coordinated Specialty care
Seattle, Washington, United States
RECRUITINGClient Satisfaction Questionnaire-8 (CSQ-8)
Self-report measure to assess acceptability, a brief measure for family member participant. Items are scored from 1 to 4. Possible total scores range from 8 to 32, with higher scores (\>23) indicating greater satisfaction.
Time frame: Months 1 through 3 of treatment period; repeated measure to assess change in acceptability through study completion, average of 4 months
Youth Services Survey-Families (YSS-F)
Self-report measure to assess acceptability in the following domains: appropriateness, participation, cultural sensitivity, social connectedness, and outcomes. Items in a domain are summed and divided by the total number of items, and scores greater than 3.5 are reported in the positive range for the domain.
Time frame: Baseline and Month 3 of treatment period; repeated measure to assess change in acceptability through study completion, average of 4 months
Number of Referrals (Recruitment) to assess feasibility
The number of family member participants recruited and referrals received categorized by where they originated.
Time frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
Level of Engagement to measure feasibility
Total number of sessions attended, the number of contact hours with families and by which method (videoconference, in person, text, email etc.) and the number of completed measures.
Time frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
Rate of Retention to measure feasibility
The percentage of families that drop out (family declined or missed 3 consecutive appointments).
Time frame: Baseline through study completion; repeated measure to assess change in feasibility through study completion, average of 4 months
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General Self-Efficacy scale
A self report measure of self-efficacy correlated to emotion, optimism and work satisfaction. Scores range from 10 to 40 with higher scores indicating more self-efficacy.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 4 months
Youth Services Survey for Families - Social Connectedness Subscale
Social connectedness will be measured using four questions (e.g., "I know people who will listen and understand me when I need to talk") from the YSS-F. Scores range from 4 to 20, higher scores indicating greater social connectedness.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 4 months
Culturally-adapted Knowledge about Psychosis questionnaire (CaKAP)
Self-reported measure that includes 23 culturally specific items across five subscales: symptoms and problems relating to psychosis; cause; other treatments and services; course and outcome; and management. Total scores range from 0 through 104 where higher scores indicate greater knowledge.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 4 months
Youth Services Survey for Families - Cultural Sensitivity Subscale
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 4 months
Scale to Assess Therapeutic Relationships in Community Mental Health Care (STAR)
Measure includes 12-items to assess therapeutic relationships.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 4 months