Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use (Project PEP)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified March 2012 by Yale University.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Yale University
ClinicalTrials.gov Identifier:
NCT01566513
First received: March 26, 2012
Last updated: March 28, 2012
Last verified: March 2012
  Purpose

The current study, through a randomized controlled design, will evaluate the effectiveness of peer support, as compared to usual care and to an equivalent amount of support offered by peer case managers and non-peer recovery mentors, in reducing hospital days and readmissions and in promoting recovery and community inclusion among adults with mental illnesses with histories of multiple hospitalizations. The current study evaluates the cost-effectiveness of adding peer support to the array of services available to persons with serious mental illnesses who have histories of multiple hospitalizations and will test a theoretical model of the active ingredients of peer support, focusing specifically on the roles of 1) instillation of hope through positive self-disclosure; 2) role modeling of self-care and exploring new ways of using experiential knowledge; and 3) a trusting relationship characterized by acceptance, understanding, and empathy with conditional regard.


Condition Intervention
Serious Mental Illness
Behavioral: Community Connector
Behavioral: Peer Recovery Mentor
Behavioral: Peer Case Manager

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Effectiveness and Cost Effectiveness of Peer Mentors in Reducing Hospital Use

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Service use [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Via self-report from the participant

  • Service Use [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Via self-report from the participant


Secondary Outcome Measures:
  • Psychiatric symptoms [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)

  • Quality of life [ Time Frame: 3 month ] [ Designated as safety issue: No ]
    Measured using Lehman's Brief Quality of Life scale

  • Community inclusion [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Measured using Mancini's Community Connections Inventory

  • Psychiatric symptoms [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Measured using the Symptom Distress scale and the Paranoia and Psychoticism subscales from the Symptom Check List-90 (SCL-90)

  • Quality of Life [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Measured using Lehman's Brief Quality of Life scale

  • Community Inclusion [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Measured using Mancini's Community Connections Inventory


Estimated Enrollment: 320
Study Start Date: August 2011
Estimated Primary Completion Date: November 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Treatment as usual
Experimental: Community Connector
The participant randomized into this arm of the study is invited to work with a person trained as a community connector, who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
Behavioral: Community Connector
The participant randomized into this arm of the study is invited to work with a person trained as a community connector, someone who is trained in Intentional Peer Support but does not have a lived experience of mental illness.
Experimental: Peer Recovery Mentor
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Behavioral: Peer Recovery Mentor
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.
Experimental: Peer Case Manager
If a participant is randomized into this condition, they are offered the chance to work with a Case Manager, who is trained in strengths-based case management.
Behavioral: Peer Case Manager
A participant randomized into this arm of the study is offered the chance to work with a Peer Recovery Mentor, who is trained in Intentional Peer Support.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 2 or more psychiatric hospitalizations in the past year
  • A diagnosis of serious mental illness

Exclusion Criteria:

  • Dementia or other organic condition limiting ability to provide informed consent
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01566513

Locations
United States, Connecticut
Yale Psychiatric Hospital Recruiting
New Haven, Connecticut, United States, 06519
Contact: Larry Davidson, PhD    203-764-7583    larry.davidson@yale.edu   
Sponsors and Collaborators
Yale University
Investigators
Principal Investigator: Larry Davidson, PhD Yale Program for Recovery and Community Health
  More Information

No publications provided

Responsible Party: Yale University
ClinicalTrials.gov Identifier: NCT01566513     History of Changes
Other Study ID Numbers: 1010007542, 1R01MH091453
Study First Received: March 26, 2012
Last Updated: March 28, 2012
Health Authority: United States: Institutional Review Board
United States: Federal Government

Keywords provided by Yale University:
Peer Support
Cost Effectiveness
Reducing Hospital use
Serious Mental Illness

Additional relevant MeSH terms:
Mental Disorders

ClinicalTrials.gov processed this record on September 18, 2014