Using The HOPES Program in Transition Care

Serious Mental Illness Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02420340
• Other study ID #: 27956
• Status: Completed
• Phase: N/A
• First received: April 8, 2015
• Last updated: August 1, 2016
• Start date: September 2014

Study information

• Verified date: August 2016
• Source: Dartmouth-Hitchcock Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review BoardUnited States: Data and Safety Monitoring Board
• Study type: Interventional

Clinical Trial Summary

This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community.

Description:

This pilot study will collect information about the the potential to use an evidence-based skills training program designed for older people with serious mental illness (SMI), the Helping Older People Experience Success (HOPES) program, to help nursing home residents with SMI gain the skills needed to successfully live in the community. Although HOPES was originally designed to help older people with SMI maintain their residence in the community, the curriculum holds promise for helping nursing home residents with SMI to learn how to return to life in the community. Positive findings would be used to develop a grant application for a larger study of HOPES in nursing home residents with SMI. To evaluate the feasibility and acceptability of HOPES in nursing home settings, the investigators will enroll up to 12 residents of the Glencliff Home in Glencliff, New Hampshire. Participants will be individuals interested in discharge from Glencliff and are willing to attend multiple weekly skills training classes and several assessment sessions. Study participation will last until 6 months after discharge from Glencliff.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12
• Est. primary completion date: December 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 50 Years and older

Eligibility

Inclusion Criteria:

• Primary DSM-IV Axis I diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder as defined in participants' chart

• An expressed willingness to be discharged from Glencliff Home to the community.

• Voluntary informed consent for participation in the study by the participant or by the participant's legally designated guardian

Exclusion Criteria:

• Terminal physical illness OR significant medical instability

• Inability to speak or and understand English

• Primary or co-morbid diagnosis of dementia

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Mental Disorders
• Psychosocial Rehabilitation
• Serious Mental Illness

Intervention

Behavioral:
• HOPES Program ("Helping Older People Experience Success")
Weekly group skills training classes aimed at improving skills and knowledge in areas related to successful living in the community including: independent living, healthy living, social skills, leisure skills, and management of health care.

Locations

Country	Name	City	State
United States	Glencliff Home	Glencliff	New Hampshire

Sponsors (2)

Lead Sponsor	Collaborator
Dartmouth-Hitchcock Medical Center	Glencliff Home

Country where clinical trial is conducted

United States, 

References & Publications (1)

Mueser KT, Pratt SI, Bartels SJ, Swain K, Forester B, Cather C, Feldman J. Randomized trial of social rehabilitation and integrated health care for older people with severe mental illness. J Consult Clin Psychol. 2010 Aug;78(4):561-73. doi: 10.1037/a00196 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Attendence-70% attendance or higher of HOPES groups over the course of the intervention	attendance records	12 months	No
Primary	Change in Functional Skills (University California San Diego Performance-Based Skills Assessment)	University California San Diego Performance-Based Skills Assessment	Baseline, 12 months, 6 month follow-up	No
Secondary	Change in Medication Adherence and Management (Medication Management Ability Assessment)	Medication Management Ability Assessment	Baseline, 12 months, 6 month follow-up	No
Secondary	Change in Social Skills (Social Skills Performance Assessment)	Social Skills Performance Assessment	Baeline, 12 months, 6 month follow-up	No