Family members/support persons' engagement in mental health services has been linked to reduced burden and stress and improves engagement and outcomes in individuals in the early stages of psychosis. The goal of FAMES is to address low family member/support person engagement in services. FAMES will also address disparities in coordinated specialty care (CSC) by using a culturally responsive family engagement strategy to be delivered by family peers.
The overall goal of this mixed-methods, clustered stepped-wedged designed study is to examine the effectiveness of a family peer implemented in coordinated specialty care programs at engaging family members in services. The use of a family peer is anticipated to increase family member participant's feelings of connectedness, self-efficacy, and motivation which will in turn improve family member participants engagement in scheduled coordinated specialty care services such as family psychoeducation. Recruitment will consist of dyads compromised of a family member support person and a corresponding individual receiving coordinated specialty care services. Recruitment will occur over two waves, the attention control condition (ACC) and the FAMES condition. The ACC will last for 18 months and will recruit 225 participant dyads during which time family member participants will be contacted weekly for 12 weeks where they will be provided with positively framed messaging, educational materials around psychosis, tips for addressing relevant concerns in areas such as communication and de-escalation, and a list of community-based and online resources and events. The FAMES condition will last for 30 months and will recruit 225 participant dyads during which time family member participants will receive a modified cultural formulation interview, brief check-ins, psychoeducation, and will have access to an online community. Recruitment will take place at nine coordinated specialty care programs across four states (Washington, Oregon, Tennessee, and New Mexico) which have been randomized to a clustered stepped wedge program design.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
225 dyads (family member/support persons and individuals receiving services for psychosis) will be recruited over a period of 30 months. Family member/support persons will be connected to a family peer for a period of 12 weeks who will use the cultural formulated interview to develop rapport and identify unique cultural needs which can inform treatment and resource identification. Participants will receive brief contact, family psychoeducation, and be connected to an online family resource group where they can receive additional support from certified peers and other family member/support persons.
participants will receive 12 weeks of automated communication which contain positive messaging, appointment reminders, links to community resources, and coping skills.
Deschutes County Behavioral Health EASA
Bend, Oregon, United States
NOT_YET_RECRUITINGComprehensive Healthcare
Pasco, Washington, United States
RECRUITINGLucid Living
Tacoma, Washington, United States
RECRUITINGEngagement in coordinated specialty care psychoeducation
Will be measured as first session attendance rate and total attendance rate per family provided by administrative data from the coordinated specialty care site partners.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 3 months
Engagement in Family Engagement Strategy
Total number of Family Engagement Strategy session attended and the total number of contact minutes to measure engagement.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 3 months
Perceived Stress Scale
A self-report measure which includes 10 Likert-style items to assess the degree to which an individual appraises life as stressful. Scores range from 0-40 where scores greater that 13 indicate moderate to high perceived stress.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months
General Anxiety Disorder - 7
Self-report measure to assess symptoms of anxiety. Scores range from 0-21 where scores greater than 10 are indicative of clinically significant anxiety.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months
Client Engagement
Provider reported service utilization. Total number of appointments attended.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months
Client - Patient Health Questionnaire - 9
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NONE
Enrollment
900
Comprehensive Healthcare
Yakima, Washington, United States
RECRUITINGA self-report from the individual receiving coordinated specialty care services on their symptoms of depression. Scores range from 0-27 where any score 10 or greater is indicative of clinically significant symptoms of depression.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months
Family - Patient Health Questionnaire - 9
A self-report from the family member participant on their symptoms of depression. Scores range from 0-27 where any score 10 or greater is indicative of clinically significant symptoms of depression.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months
Community Assessment of Psychic Experiences - Positive Scale 15-items Scale
A self-report measure from the individual receiving the coordinated specialty care services. Scores range from 0-3 where scores greater than 1.46 indicate clinically significant symptoms of psychosis.
Time frame: Baseline through study completion; repeated measure to assess change through study completion, average of 6 months