Bridging Community Gaps Photovoice

Social Isolation Clinical Trial

— BCGP  

Official title:

Randomized Trial of a Peer-led Intervention to Promote Community Living and Participation - The Bridging Community Gaps Photovoice

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03291717
• Other study ID #: 4591
• Status: Completed
• Phase: N/A
• Start date: September 5, 2017
• Est. completion date: September 11, 2020

Study information

• Verified date: September 2020
• Source: Boston University Charles River Campus
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to test a peer-led intervention intended to promote the community living and participation of individuals with psychiatric disabilities entitled "Bridging Community Gaps Photovoice" (BCGP). The intervention targets increasing community involvement of individuals with psychiatric disabilities through reduction in self-stigma and perceived stigma, enhancing opportunities for community participation, and support to achieve community participation goals.

Description:

The BCGP intervention is 6 months long and the investigators expect that participants will experience lower self and perceived stigma, increased community participation and sense of belonging, and improved psychosocial functioning and personal growth after the intervention. The intervention is comprised of a 12-week class that meets once a week for two hours, followed by three booster sessions - one per month in the three months following the class, and up to 24 sessions of individual support as needed throughout the 6 months provided on a weekly basis either in person or by phone. The purpose of the individual support is to reinforce the class activities and to ensure the participants meets their community participation goal. The proposed study is a randomized trial which will be conducted at Boston University Center for Psychiatric Rehabilitation (BUCPR) in Massachusetts, the Mental Health Center of Denver (MHCD) in Colorado, and the Greater Bridgeport Mental Health Center (GBMHC) in Connecticut.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 197
• Est. completion date: September 11, 2020
• Est. primary completion date: September 11, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. are 18 or older.

2. are recipients of services at research sites due to having a DSM-V diagnosis of mental illness, including dual diagnosis (dual diagnosis refers to co-occurring mental illness and alcohol/ substance use disorder).

3. are interested in enhancing their community participation.

4. are not currently receiving individual peer support services.

5. are able to read and write in English.

Exclusion Criteria:

1)Inability to give full and knowing consent.

Related Conditions & MeSH terms

• Mental Disorders
• Mental Illness
• Social Isolation

Intervention

Behavioral:
• Bridging Community Gaps Photovoice (BCGP)
Participants assigned to this group will be part of the 6-month long BCGP intervention, which involves a 12- week class that meets weekly, followed by three booster sessions - one per month in the three months following the class, and up to 24 sessions of individual support as needed throughout the 6 months provided on a weekly basis either in person or by phone. The BCGP classes follow a manualized curriculum with sessions that combine didactic information, Photovoice exercises, and group discussions to empower participants in pursuing community participation goals, all refined with input from individuals with a lived experience.

Locations

Country	Name	City	State
United States	Boston University, Center for Psychiatric Rehabilitation	Boston	Massachusetts
United States	Greater Bridgeport Mental Health Center	Bridgeport	Connecticut
United States	Mental Health Center of Denver	Denver	Colorado
United States	Horizon House- Riverside Community Care	Wakefield	Massachusetts

Sponsors (4)

Lead Sponsor	Collaborator
Boston University Charles River Campus	Connecticut State, Department of Mental Health and Addiction Services, Mental Health Center of Denver, Riverside Community Care

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	UCLA Loneliness Scale	is a 20-item 4-point Likert-type scale, widely used measure of loneliness and social isolation. Cronbach's alpha coefficients ranging from .89 to .94.	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Primary	Multi-Dimensional Assessment of Community Participation	Consists of a set of objective and subjective measures of community belonging, inclusion and participation.	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Secondary	Internalized Stigma of Mental Illness Scale	29-item, 4-point scale from (strongly disagree to strongly agree) assesses behaviors, thoughts and feelings that are self-stigmatizing including alienation, stereotype endorsement, social withdrawal, stigma resistance.	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Secondary	The Stigma Scale	28 item, 5 point scale (strongly disagree to strongly agree) measuring experienced and anticipated stigma.	Change from Baseline to 3 months, 3 months to 6 months, 6 months to 9 months, 9 months to 12 months
Secondary	Approaches to Coping with Anti-Stigma	27-item instrument with a 4 point scale (strongly disagree to strongly agree) measuring strategies to cope with stigma: secrecy, withdrawal, educating, challenging, and distancing.	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Secondary	Personal Growth and Recovery Scale	25-item, 4 point scale (strongly disagree to strongly agree) of items measuring psychosocial functioning and recovery.	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Secondary	Community Goal Achievement Scale	adapted from Goal Attainment Scale, provides a structured approach to determining goal achievement regardless of the type or uniqueness of goal .	Change from Baseline to 3 months to 6 months to 9 months to 12 months
Secondary	Behavior and Symptom Identification Scale (BASIS - R)	A 24-item scale that measures: mood disturbances, anxiety, interpersonal and role functioning, daily living skills, psychotic symptoms, impulsivity and substance use	Change from Baseline to 3 months to 6 months to 9 months to 12 months