Mental Disorders Clinical Trial
Official title:
Recovery Roadmap Phase II: A Collaborative Multimedia Tool for Person-Centered Recovery Planning
Verified date | September 2020 |
Source | Center for Social Innovation, Massachusetts |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Recovery Roadmap: A Collaborative Multimedia Tool for Person-Centered Recovery Planning is a highly interactive web-based tool that provides guidance for providers and people in recovery, and promotes widespread implementation of Person-Centered Recovery Planning (PCRP). The Recovery Roadmap prototype was developed and tested by the Center for Social Innovation (C4), in partnership with Yale University's Program for Recovery and Community Health (PRCH), under a Phase I Small Business Innovative Research (SBIR) grant funded by the National Institute of Mental Health (NIMH) (1R43MH100712). Phase II refined the prototype Roadmap to streamline content, provide additional handouts and exercises for providers and clients to complete together, expand the audio/video vignettes and case studies, and add interactive online coaching and support for providers. Phase II also involved a robust evaluation of the Roadmap, using a quasi-experimental design in a fully powered trial. Approximately 30 practitioners and 90 clients (two to three clients per practitioner) were recruited from a total of five Community Support Programs in Connecticut. The programs were randomly selected into one of two intervention waves (Wave 1 and Wave 2). Survey data for Wave 1 included a total of four surveys: a pre-observation period, post-observation/pre-intervention, a midpoint survey (after completion of online curriculum), and a post survey (after completion of the entire intervention, including coaching calls). Surveys for the Wave 2 study participants included a pre-intervention, midpoint, and post survey. Qualitative interviews were also completed with interviews with practitioners and and administrators/clinical supervisors in each agency. State level client administrative client data were also collected and analyzed. Data examined changes in knowledge related to PCRP, person centered planning practices, practitioner/client relationship, and overall feedback on the intervention. our team also conducted a social network analysis to examine any changes in the size and strength of their networks related to person centered planning before and after the intervention. This phase will culminate with the dissemination of findings and preparation for Phase III commercialization.
Status | Completed |
Enrollment | 127 |
Est. completion date | June 1, 2020 |
Est. primary completion date | June 1, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: Clients: - Age of majority - Receipt of mental health services within the participating program; - Directly work with a provider participating in the study - The ability to participate in the activities as determined by the client's clinical team - Willing and able to engage in a six month PCRP intervention and participate in follow-up research activities (24 months total including follow up assessments). Providers: Providers must meet the following inclusion criteria: - Age of majority - Directly work with clients willing to participate in the study; - Have access to and basic navigation skills for using the Internet (for online coaching - Work for a participating program - Have a willingness to engage in a six-month PCRP intervention and participate in follow-up research activities (24 months total). Administrators: Inclusion criteria for administrators participating in key informant semi-structured interviews include: - Age of majority - Being administrator of a program participating in the study or umbrella organization - Have access to a computer to view tool components - Knowledge about the market for this type of product for use in adult mental health. The team will develop a screening tool for administrators to ensure they meet basic criteria for the study. Exclusion Criteria: Clients: - Non-English speakers - Clients who are unable to participate in study activities (per clinical team determination) and individuals who are unable to understand the informed consent process (per the Quiz of Understanding for Informed Consent) will be excluded from the study. Providers: - Non-English speakers - Providers who have prior experience with RR tools will be excluded from the study. Administrators: • Non-English speakers |
Country | Name | City | State |
---|---|---|---|
United States | Center for Social Innovation | Needham | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Center for Social Innovation, Massachusetts | Yale University |
United States,
Bedregal LE, O'Connell M, Davidson L. The Recovery Knowledge Inventory: assessment of mental health staff knowledge and attitudes about recovery. Psychiatr Rehabil J. 2006 Fall;30(2):96-103. doi: 10.2975/30.2006.96.103. — View Citation
Poulin J & Young T. Development of a helping relationship inventory for social work practice. Research on Social Work Practice 7: 463-489, 1997.
Ridgway P & Press A. Assessing the recovery-orientation of your mental health program: A user's guide for the Recovery-Enhancing Environment scale (REE) (version 1). Lawrence, Kansas: University of Kansas, School of Social Welfare, Office of Mental Health Training and Research. 2004.
Tondora J & Miller R. The PCCQ: Person-centered care questionnaire: A tool for supervision and quality monitoring. Yale Program for Recovery & Community Health: New Haven, CT. 2009.
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Change in Provider Online Sociometric Surveys | Online Sociometric Surveys will contribute to a mixed methods approach of mapping provider social networks and social connectivity. | PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention) | |
Other | Qualitative Change in Provider Social Connectivity | Semi-structured qualitative interviews will contribute to a mixed methods approach of mapping provider social networks and social connectivity. | PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention) | |
Other | Change in Provider Network Analytic Data | Social network analytics will contribute to a mixed methods approach of mapping provider social networks and social connectivity. | PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention) | |
Primary | Person-Centered Care Questionnaire | Change in PCRP knowledge and skills using the Person-Centered Care Questionnaire (Provider Version) for providers and the Person-Centered Care Questionnaire (Person in Recovery (PIR) Version) for clients (Tondora & Miller, 2009). The provider and client/PIR versions allow providers and clients/PIR to respond to slightly different items, but each study participant will have one reported PCCQ value at each time point. | PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up) | |
Secondary | Recovery Knowledge Inventory | Change in provider participant knowledge and attitude data on four domains: roles and responsibilities in recovery, non-linearity of the recovery process, roles of self definition and peers in recovery, and expectations regarding recovery (Bedregal et al., 2006). | PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up) | |
Secondary | Recovery Markers Questionnaire | Change in client progress toward recovery (Ridgeway & Press, 2004). | PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up) | |
Secondary | Helping Relationship Inventory | Change in the relationship between the provider and client using the Helping Relationship Inventory-Worker for providers and the Helping Relationship Inventory-Client for clients (Poulin & Young, 1997). Provider and client versions allow participants to respond to slightly different Helping Relationship Inventory (HRI) items, but each study participant will have one reported HRI value at each time point. | PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up) |
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