Schizophrenia Clinical Trial
Official title:
The Novel Use of Participatory Video as a Recovery-Oriented Intervention in Early Psychosis: A Pilot Study
Verified date | September 2017 |
Source | Lawson Health Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Prior research has shown that people with psychotic illnesses, like schizophrenia, who make
sense of and meaningfully integrate their psychotic experiences into their life story are
more likely to recover from their illness. This process of developing a coherent narrative
seems especially relevant for young people who are experiencing their first episode of
psychosis. There is a need for interventions that can help facilitate the formation of
recovery-oriented narratives, particularly in the early stage of illness. Participatory video
is a group process that involves the facilitated creation of short documentary-style videos
in which individuals are supported to reflect on and tell their personal stories. Although it
has been used to foster self-identity, self-empowerment and "give voice" to a variety of
marginalized and stigmatized populations, its use and evaluation as a clinical intervention
has been limited.
The purpose of this study is to determine whether the novel use of participatory video
facilitate narrative development and promote recovery for individuals with early psychosis is
an effective, feasible, and acceptable means of treating youth in the early stages of
psychotic illnesses. Although the current study is hypothesis generating in nature, the
investigators are expecting that participating in the Participatory Video intervention will
result in improvements in narrative development, symptoms, self-perceived recovery,
self-esteem, self-stigma, social functioning and hope. Additionally, the investigators expect
that Participatory Video intervention will prove to be acceptable to participants and a
feasible intervention for early psychotic disorders.
Status | Completed |
Enrollment | 10 |
Est. completion date | December 2016 |
Est. primary completion date | December 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years to 25 Years |
Eligibility |
Inclusion Criteria: - Participants will be current outpatients of the Prevention and Early intervention Program for Psychoses (PEPP) at LHSC. - PEPP only accepts patients with a first onset primary psychotic illness that have not been treated with an antipsychotic for longer than one month. - Study participants must be within their first 3 years of being accepted into PEPP. - Participants must be fluent in English, as determined by referring clinicians or researchers (in the case of advertisement referred participants) in order to meaningfully participate in the PV intervention and complete the assessment tools. Exclusion Criteria: - Potential participants that show high levels of disorganized or disruptive behaviour (as determined by a cut off score of 4 or 5 on the Positive Formal - Thought Disorder or Bizarre Behaviour items of the Scale for the Assessment of Positive Symptoms [SAPS]) such that they will not be able to meaningfully participate in the MAC intervention will be excluded from the study. - Participants must not be simultaneously participating in any other research projects involving active interventions at PEPP. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Lawson Health Research Institute | London Health Sciences Centre, ProjectVideo Inc., University of Western Ontario, Canada |
Bery R. (2003). Participatory video that empowers. Participatory video: Images that transform and empower, 102-121.
Cavelti M, Kvrgic S, Beck EM, Rüsch N, Vauth R. Self-stigma and its relationship with insight, demoralization, and clinical outcome among people with schizophrenia spectrum disorders. Compr Psychiatry. 2012 Jul;53(5):468-79. doi: 10.1016/j.comppsych.2011.08.001. Epub 2011 Sep 28. — View Citation
Chadwick PK. Peer-professional first-person account: schizophrenia from the inside--phenomenology and the integration of causes and meanings. Schizophr Bull. 2007 Jan;33(1):166-73. Epub 2006 Sep 14. — View Citation
France CM, Uhlin BD. Narrative as an outcome domain in psychosis. Psychol Psychother. 2006 Mar;79(Pt 1):53-67. Review. — View Citation
Greben M, Schweitzer RD, Bargenquast R. Mechanisms of change in psychotherapy for people diagnosed with schizophrenia: the role of narrative reflexivity in promoting recovery. The Australian Journal of Rehabilitation Counselling 20(1): 1-14, 2014.
Luttrell W, Restler V, Fontaine C. Youth Video-Making. Handbook of Participatory Video, 164, 2012.
Lysaker PH, Buck KD, Ringer J. The recovery of metacognitive capacity in schizophrenia across 32 months of individual psychotherapy: A case study. Psychotherapy Research 17(6): 713-720, 2007.
Lysaker PH, Ringer J, Maxwell C, McGuire A, Lecomte T. Personal narratives and recovery from schizophrenia. Schizophr Res. 2010 Aug;121(1-3):271-6. doi: 10.1016/j.schres.2010.03.003. Epub 2010 Mar 26. — View Citation
McAdams DP, McLean KC. Narrative identity. Current Directions in Psychological Science 22(3): 233-238, 2013.
Norman CD, Yip AL. eHealth promotion and social innovation with youth: using social and visual media to engage diverse communities. Stud Health Technol Inform. 2012;172:54-70. — View Citation
Roe D, Davidson L. Self and narrative in schizophrenia: time to author a new story. Med Humanit. 2005 Dec;31(2):89-94. doi: 10.1136/jmh.2005.000214. — View Citation
Roe D, Hasson-Ohayon I, Mashiach-Eizenberg M, Derhy O, Lysaker PH, Yanos PT. Narrative enhancement and cognitive therapy (NECT) effectiveness: a quasi-experimental study. J Clin Psychol. 2014 Apr;70(4):303-12. doi: 10.1002/jclp.22050. Epub 2013 Oct 2. — View Citation
Shaw J, Robertson C. (1997). Participatory video: a practical approach to using video creatively in group development work. London (ua): Routledge.
White SA. (2003). Participatory video: Images that transform and empower. Sage.
Windell D, Norman RM. A qualitative analysis of influences on recovery following a first episode of psychosis. Int J Soc Psychiatry. 2013 Aug;59(5):493-500. doi: 10.1177/0020764012443751. Epub 2012 Apr 24. — View Citation
Yang KH. (2012). Reflexivity, participation, and video. The handbook of participatory video, 100-114.
* Note: There are 16 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Scale for Assessment of Positive Symptoms (SAPS) | Baseline, Change from Baseline in SAPS at 6 months, change from baseline in SAPS at 9 months | ||
Primary | Scale for Assessment of Negative Symptoms (SANS) | Baseline, Change from Baseline in SANS at 6 months, change from baseline in SANS at 9 months | ||
Primary | Rosenberg Self-Esteem Schedule (RSES) | Baseline, Change from Baseline in RSES at 6 months, change from baseline in RSES at 9 months | ||
Primary | Self-stigma of Mental Illness Scale (SSMIS) | Baseline, Change from Baseline in SSMIS at 6 months, change from baseline in SSMIS at 9 months | ||
Primary | The Beck Hopelessness Scale (BHS) | Baseline, Change from Baseline in BHS at 6 months, change from baseline in BHS at 9 months | ||
Primary | Maryland Assessment of Recovery in People with Serious Mental Illness Scale (MARS) | Baseline, Change from Baseline in MARS at 6 months, change from baseline in MARS at 9 months | ||
Primary | Social Functioning Scale (SFS) | Baseline, Change from Baseline in SFS at 6 months, change from baseline in SFS at 9 months | ||
Primary | Profile of Mood States (POMS) | Baseline, Change from Baseline in POMS at 6 months, change from baseline in POMS at 9 months | ||
Primary | Client Satisfaction Questionnaire-8 | at 6 months (only to those in the Participatory Video Intervention Group) | ||
Primary | Scale to Assess Narrative Development (STAND) | at 6 months | ||
Primary | Metacognition Assessment Scale-Abbreviated (MAS-A) | at 6 months | ||
Primary | Qualitative Focus Group - Participant descriptions of their experience with Participatory Video and suggestions for how to improve the Participatory Video intervention | at 6 months (only for those in the Participatory Video intervention group) | ||
Primary | Individual Semi-Structured Interviews - Participant description of their individual experience with the PV intervention group and any changes they feel it may have engendered in their life | at 9 months (only for those in the Participatory Video-intervention group) | ||
Primary | Recruitment Rates | baseline | ||
Primary | Consent Rates | baseline | ||
Primary | Completion Rates | at 9 months |
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