Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Benjamin Druss, Emory University
ClinicalTrials.gov Identifier:
NCT00380536
First received: September 22, 2006
Last updated: November 18, 2013
Last verified: November 2013

September 22, 2006
November 18, 2013
September 2006
April 2009   (final data collection date for primary outcome measure)
Patient activation [ Time Frame: Measured at Months 6 and 12 ] [ Designated as safety issue: No ]
  • Patient activation
  • Measured at Months 6 and 12: Behavioral self-efficacy
  • Health behaviors, including exercise, physical activity, and smoking
  • Health service use
Complete list of historical versions of study NCT00380536 on ClinicalTrials.gov Archive Site
Health-related quality of life [ Time Frame: Measured at Months 6 and 12 ] [ Designated as safety issue: No ]
  • Measured at Months 6 and 12: Health-related quality of life
  • Body mass index (BMI)
Not Provided
Not Provided
 
Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings
Adapting a Medical Self-Management Program for a Community Mental Health Center

This study will evaluate the effectiveness of a medical illness self-management program in improving the health and health behavior of people who are receiving care at a community mental health center.

People with serious mental disorders tend to have shorter life expectancies and elevated rates of unhealthy behaviors and chronic illnesses. Peer-led medical illness self-management programs have been shown to be effective in improving the health and health behaviors of people with chronic medical conditions. This type of intervention, however, has yet to be systematically tested in individuals with mental disorders. Community mental health centers provide care to many people of low socioeconomic status who lack medical insurance. This study will evaluate the effectiveness of a medical illness self-management program in improving the health and health behaviors of people who are receiving care at a community mental health center.

Participants in this study will be randomly assigned to either partake in peer-led medical illness self-management group sessions or receive care as usual. Participants assigned to care as usual will continue to receive any services they would have otherwise been offered, but will not receive any additional services through the study. Participants assigned to the medical illness self-management program will attend group sessions once a week for 6 weeks. Sessions will focus on medical self-management, healthy behaviors, and effective use of the general medical system.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Chronic Disease
  • Mental Illness
Behavioral: Peer-Led Health Education Class
Participants will participate in group sessions once a week for 6 weeks. Sessions will focus on medical self-management, healthy behaviors, and effective use of the general medical system.
  • Experimental: 1
    Participants will participate in peer-led medical illness self-management group sessions.
    Intervention: Behavioral: Peer-Led Health Education Class
  • No Intervention: 2
    Participants will receive treatment as usual.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
111
July 2010
April 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Currently receiving treatment at Dekalb Community Service Board
  • Chronic disease

Exclusion Criteria:

  • History of more than two psychiatric or medical hospitalizations within the year prior to study entry
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00380536
IRB00047631, R34MH078583, DAHBR 96-BHB
No
Benjamin Druss, Emory University
Emory University
National Institute of Mental Health (NIMH)
Principal Investigator: Benjamin Druss, MD, MPH Emory University
Emory University
November 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP