Enhancing Community Participation Through Peer-Delivered Decision Support

Temple University16 enrolled

Overview

The purpose of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illness (SMI).

The overarching goal of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illnesses (SMI). We will use a single-group, pre-post, convergent mixed methods design to explore implementation and whether and how the intervention impacts decision-making and community participation outcomes. We will aim to recruit 40 participants in this intervention study. This design will enable us to link themes regarding participants' experience of the intervention with quantitative measures of decision-making and community participation.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Severe Mental Disorder

Interventions

Peer decision coachingBEHAVIORAL

Peer Decision Coaching is a brief, personalized intervention grounded in evidence-based decision- and peer support principles. During the intervention, a trained peer specialist supports the young person in identifying a decision related to community participation that they need to make, such as whether to work or go to school, helping them address decision-making needs, and assisting them with developing and implementing a decision-making plan. Ultimately, the intervention aims to support young people in pursuing their community participation interests and goals.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 30 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18-30 years of age; * Experiencing a SMI, as determined by: (a) self-reported psychiatric diagnosis of schizophrenia-spectrum or major affective disorder, and (b) self-reported current or past functional impairment due to experiencing mental health challenges in one or more major life areas (i.e., work school, social activities) * Able to identify at least 2 areas of community participation that individuals want to be doing more in in the next 6 months * Current sufficiency of community participation (i.e., number of important participation areas done enough / number of important participation areas) of 50% or less. Exclusion Criteria: * Unable to provide informed consent, as assessed by research staff using an active recall method * limited ability to act on decisions due to self-reported legal, residential, or guardianship restrictions.

Locations (2)

Temple University

Philadelphia, Pennsylvania, United States

Copeland Center for Wellness and Recovery

Brattleboro, Vermont, United States

Outcomes

Primary Outcomes

Change in decisional conflict scale

The Factors Contributing to Uncertainty subscale of the Decisional Conflict Scale measures decision-making needs. Possible scores range from 0 to 36, with higher scores indicating a worse outcome.

Time frame: Baseline, through intervention completion (up to 3 months)

Change in decision self-efficacy scale

The Decision Self-Efficacy Scale assesses confidence in making an informed choice. Possible scores range from 0 to 44, with higher scores indicating a better outcome.

Time frame: Baseline, through intervention completion (up to 3 months)

Decision-making behaviors at post-intervention

Number of behaviors (range: 0-6) endorsed on Decision-Making Behaviors scale at post-intervention.

Time frame: Post-intervention (up to 3 months post-baseline)

Decision Satisfaction Scale Score at post-intervention

The Decision Satisfaction Scale assesses a person's satisfaction with a health decision. Possible scores range from 6-30, with higher scores indicating a better outcome.

Time frame: Post-intervention (up to 3 months post-baseline)

Change in Temple University Community Participation Measure (sufficiency)

Sufficiency scores on the Temple University Community Participation Measure assess how satisfied individuals are with their amount of community participation in areas that are important to them. Possible scores range from 0-100, with higher scores indicating a better outcome.

Time frame: Baseline, through intervention completion (up to 3 months)

Change in Temple University Community Participation Measure (breadth ratio)

Breadth ratio scores on the Temple University Participation Measure assess breadth of participation in areas considered important to a person. Possible scores range from 0-100, with higher scores indicating a better outcome.

Data from ClinicalTrials.gov

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