Trial record 12 of 14322 for:    mental illness

A Randomized Controlled Trial of Mental Health Peer-Led Education (BRIDGES)

This study has been completed.
Sponsor:
Collaborator:
Substance Abuse and Mental Health Services Administration (SAMHSA)
Information provided by:
University of Illinois at Chicago
ClinicalTrials.gov Identifier:
NCT01297985
First received: February 16, 2011
Last updated: NA
Last verified: February 2011
History: No changes posted
  Purpose

This randomized controlled trial tests the efficacy of a mental health peer-led educational intervention called BRIDGES (Building Recovery of Individual Dreams and Goals through Education and Support). The BRIDGES program is a 10-week, manualized education course designed to provide basic information about the etiology and treatment of mental illness, self-help skills, and recovery principles in order to empower participants to return to valued social roles within their communities. BRIDGES is a peer-led program and all instructors are adults with mental illnesses.

Hypothesis #1: Compared to wait-list controls, intervention participants will report increased feelings of psychological empowerment.

Hypothesis #2: Compared to wait-list controls, intervention participants will report increased feelings of hopefulness.

Hypothesis #3: Compared to wait-list controls, intervention participants will report enhanced coping ability.

Hypothesis #4: Compared to wait-list controls, intervention participants will report enhanced recovery.

Hypothesis #5: Compared to wait-list controls, intervention participants will report greater ability to advocate for themselves with health care providers.

Hypothesis #6: Compared to wait-list controls, those in the BRIDGES education course will report increased knowledge of the causes and treatment of mental illness and recovery principles.


Condition Intervention Phase
Mental Disorders
Behavioral: BRIDGES Peer-Led Education
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Efficacy of Peer-Led Education in Improving Mental Health Recovery Outcomes in Tennessee

Resource links provided by NLM:


Further study details as provided by University of Illinois at Chicago:

Primary Outcome Measures:
  • Recovery from mental illness [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Recovery is a psychosocial outcome assessed via patient self-ratings on a 41-item scale using a 5-point Likert-response format ranging from "strongly agree" to "strongly disagree." Dimensions of recovery include personal confidence and hope, willingness to ask for help, goal and success orientation, reliance on others, and no being dominated by one's residual psychiatric symptoms.

  • Personal empowerment [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Personal psychological empowerment is measured via patient self-report using a 28-item instrument designed to measure subjective feelings of empowerment in which respondents answer questions on a four-point scale ranging from Strongly Agree to Strongly Disagree.


Secondary Outcome Measures:
  • Hopefulness [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Hopefulness as a cross-situational long-term trait is assessed via patient self-report using a 12-item scale assessed on a 4-point Likert response scale with options ranging from "definitely false" to "definitely true" and summed to produce a total score and sub-scale scores.

  • Patient self-advocacy [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    The ability to advocate for oneself with medical care providers is assessed via self-report using a 12-item scale with a 5-point Likert response set ranging from "strongly agree" to "strongly disagree." Dimensions include in patient knowledge, assertiveness, and potential for mindful non-adherence to treatment.

  • Coping style [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Coping is measured via patient self-report using a 28-item scale with 4-point Likert responses ranging from "a lot" to "not at all." Both positive and negative coping styles are assessed along with emotion-focused and problem-focused styles of coping.


Enrollment: 428
Study Start Date: January 2006
Study Completion Date: February 2010
Primary Completion Date: February 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: BRIDGES Peer-Led Education
    The BRIDGES program is a 10-week, manualized education course designed to provide basic education about the etiology and treatment of mental illness, self-help skills, and recovery principles in order to empower participants to return to valued social roles within their communities. BRIDGES is a peer-led program and all instructors are adults with mental illnesses.
    Other Name: Building Recovery of Individual Dreams and Goals through Education and Support
Detailed Description:

Eligibility criteria included having a diagnosis of serious mental illness and experiencing severe functional impairment in one or more life roles. All study participants completed telephone interviews at three points in time: study entry (pre-intervention); 8-weeks later (immediate post-intervention); and 6-months after intervention (approximately 8 months after study entry). Blinded interviewers administered valid and reliable outcome assessments that measured changes in subjects' knowledge about mental illness; emotional well-being; empowerment; hopefulness; self-advocacy; and recovery. All study participants were compensated for their time at each interview. All BRIDGES instructors were people in recovery from serious mental illnesses who were certified and experienced BRIDGES teachers. Fidelity to the BRIDGES curriculum was assessed on an ongoing basis throughout the study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Clinical diagnosis of mental illness
  • Disability due to mental illness
  • Age 18 years or older
  • Willingness to receive the intervention

Exclusion Criteria:

  • Inability to understand spoken English
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01297985

Locations
United States, Tennessee
National Alliance on Mental Illness Tennessee
Nashville, Tennessee, United States, 37217
Sponsors and Collaborators
University of Illinois at Chicago
Substance Abuse and Mental Health Services Administration (SAMHSA)
Investigators
Principal Investigator: Judith A Cook, PhD Department of Psychiatry, University of Illinois at Chicago
Study Director: Susan A Pickett, PhD Department of Psychiatry, University of Illinois at Chicago
  More Information

Publications:
Responsible Party: Judith A. Cook/Professor, University of Illinois at Chicago
ClinicalTrials.gov Identifier: NCT01297985     History of Changes
Other Study ID Numbers: H133B050003b, H133B050003
Study First Received: February 16, 2011
Last Updated: February 16, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by University of Illinois at Chicago:
Serious mental illness
Psychiatric disability
Mental health peer-led
Mental illness education
Illness self-management

Additional relevant MeSH terms:
Mental Disorders
Psychotic Disorders
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on April 17, 2014