Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings

Chronic Disease Clinical Trial

Official title:

Adapting a Medical Self-Management Program for a Community Mental Health Center

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00380536
• Other study ID #: IRB00047631
• Secondary ID: R34MH078583DAHBR
• Status: Completed
• Phase: N/A
• First received: September 22, 2006
• Last updated: November 18, 2013
• Start date: September 2006
• Est. completion date: July 2010

Study information

• Verified date: November 2013
• Source: Emory University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

This study will evaluate the effectiveness of a medical illness self-management program in improving the health and health behavior of people who are receiving care at a community mental health center.

Description:

People with serious mental disorders tend to have shorter life expectancies and elevated rates of unhealthy behaviors and chronic illnesses. Peer-led medical illness self-management programs have been shown to be effective in improving the health and health behaviors of people with chronic medical conditions. This type of intervention, however, has yet to be systematically tested in individuals with mental disorders. Community mental health centers provide care to many people of low socioeconomic status who lack medical insurance. This study will evaluate the effectiveness of a medical illness self-management program in improving the health and health behaviors of people who are receiving care at a community mental health center.

Participants in this study will be randomly assigned to either partake in peer-led medical illness self-management group sessions or receive care as usual. Participants assigned to care as usual will continue to receive any services they would have otherwise been offered, but will not receive any additional services through the study. Participants assigned to the medical illness self-management program will attend group sessions once a week for 6 weeks. Sessions will focus on medical self-management, healthy behaviors, and effective use of the general medical system.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 111
• Est. completion date: July 2010
• Est. primary completion date: April 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Currently receiving treatment at Dekalb Community Service Board

• Chronic disease

Exclusion Criteria:

• History of more than two psychiatric or medical hospitalizations within the year prior to study entry

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Chronic Disease
• Mental Disorders
• Mental Illness

Intervention

Behavioral:
• Peer-Led Health Education Class
Participants will participate in group sessions once a week for 6 weeks. Sessions will focus on medical self-management, healthy behaviors, and effective use of the general medical system.

Locations

Country	Name	City	State
United States	Clifton Springs Mental Health Center	Decatur	Georgia
United States	Winn Way Mental Health Center	Decatur	Georgia

Sponsors (2)

Lead Sponsor	Collaborator
Emory University	National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient activation		Measured at Months 6 and 12	No
Secondary	Health-related quality of life		Measured at Months 6 and 12	No