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Severe Mental Health Condition With Indication of Hospital AdmissionHoPeNCT04336527

HoPe: Home Treatment and Peer Support for Acute Mental Health Crisis

A study testing Home Treatment with Peer Support and Home Treatment without Peer Support in people with Severe Mental Health Condition With Indication of Hospital Admission, run by Universitätsklinikum Hamburg-Eppendorf at 8 sites in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Home treatment (HT) is an effective treatment modality for patients with severe mental illness (SMI) in acute crisis that can often be considered equivalent to inpatient treatment in terms of treatment outcome. In Peer Support (PS) patients are supported by people with personal experiences in psychiatric crises. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Home Treatment with Peer Support and Home Treatment without Peer Support
Could I receive a placebo?
No, everyone receives an active treatment
How many people
201 participants
Where
8 sitesGermany
Study dates
21 Jul 2020to Sep 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • severe mental illness with indication of hospital admission (F2, F3, F6, F41, F42)

Who cannot join

  • primary diagnosis of F0 or F1 (Mental disorders due to known physiological conditions; Mental and behavioral disorders due to psychoactive substance use)
  • acute suicidality
  • verbal or cognitive impairment severe enough to be unable to give informed consent

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Germany8 sites
  • Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum am Urban

    Berlin

  • Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Neukölln

    Berlin

  • Zentrum für Psychosoziale Medizin, Gesundheit Nord, Klinikverbund Bremen

    Bremen

  • Bezirkskrankenhaus Donauwörth, Fachklinik für Psychiatrie, Psychotherapie und Psychosomatik an der Donau-Ries Klinik

    Donauwörth

  • Klinik für Psychiatrie und Psychotherapie II, Günzburg, Universitätsklinikum Ulm

    Günzburg

  • Abteilung für Psychiatrie und Psychotherapie, Asklepios Westklinikum Hamburg

    Hamburg

  • Psychiatrische Klinik Lüneburg

    Lüneburg

  • Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Medizinische Hochschule Brandenburg, Immanuel Klinik Rüdersdorf

    Rüdersdorf

Other trials in Germany

About this study

Official title: HoPe: Home Delivered Peer Led Treatment vs Home Delivered Treatment - a Randomized Controlled Multicentre Trial

Home treatment (HT) is an effective treatment modality for patients with severe mental illness (SMI) in acute crisis that can often be considered equivalent to inpatient treatment in terms of treatment outcome. In Peer Support (PS) patients are supported by people with personal experiences in psychiatric crises. The current study investigates a combination of both approaches - a HT plus PS intervention - versus sole HT at different study sites throughout Germany. It is hypothesized that a peer-supported home-delivered treatment (HT plus PS) is more effective than a professional-led home-delivered treatment (HT alone) with respect to the time until hospital readmission, self-efficacy, psychosocial health, recovery orientation, internalized stigma and service satisfaction. Furthermore, it is hypothesized, that a peer-supported home delivered treatment (HT plus PS) is as effective as a professional-led home-delivered treatment (HT alone) with respect to disease severity and general functioning (secondary outcomes).

Being tested
Home Treatment with Peer Support, Home Treatment without Peer Support

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Home Treatment with Peer SupportBehavioural

    After allocation participants receive a combination of Home Treatment by a multiprofessional team and Peer Support.

  • Home Treatment without Peer SupportBehavioural

    After allocation participants receive professional-led Home Treatment by a multiprofessional team without Peer Support (treatment as usual).

Study groups in NCT04336527
Study groupRoleWhat they receive
Home Treatment with Peer SupportExperimentalPatients receive a peer supported home treatment, i.e. treatment by a home treatment/crisis resolution team with a peer support worker.
Receives: Behavioral: Home Treatment with Peer Support
Home Treatment without Peer SupportActive comparatorPatients receive conventional home treatment by a home treatment/crisis resolution team without contacts to a peer support worker.
Receives: Behavioral: Home Treatment without Peer Support

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to first readmission to inpatient hospital treatment

    Measured: 1 year after last patient in

Secondary outcomes (21)
  1. change from baseline in self-efficacy expectation scores as assessed by SWE at two months

    SWE = Skala zur Allgemeinen Selbstwirksamkeitserwartung by Schwarzer \& Jerusalem (1999); minimum value = 10; maximum value = 40; higher scores mean a better outcome

    Measured: two months after allocation

  2. change from baseline in self-efficacy expectation scores as assessed by SWE at six months

    SWE = Skala zur Allgemeinen Selbstwirksamkeitserwartung by Schwarzer \& Jerusalem (1999); minimum value = 10; maximum value = 40; higher scores mean a better outcome

    Measured: six months after allocation

  3. change from baseline in self-efficacy expectation scores as assessed by SWE at twelve months

    SWE = Skala zur Allgemeinen Selbstwirksamkeitserwartung by Schwarzer \& Jerusalem (1999); minimum value = 10; maximum value = 40; higher scores mean a better outcome

    Measured: twelve months after allocation

  4. change from baseline in psychosocial health scores as assessed by Health-49 at two months

    Health-49 = Hamburger Module zur Erfassung allgemeiner Aspekte psychosozialer Gesundheit für die therapeutische Praxis by Rabung et al. (2009); subscales: somatoform complaints (SOM; min-max values=0-28; higher scores mean aworse outcome); depressiveness (DEP; min-max=0-24, higher values mean a worse outcome); phobic anxiety (PHO; min-max=0-20; higher values mean a worse outcome); psychological and somatoform complaints (PSB; min-max=0-72; higher values mean a worse outcome); psychological wellbeing (WOHL; min-max=0-20; higher values mean a better outcome); interactional problems (INT; min-max=0-28; higher values mean a worse outcome); self-efficacy (SELB; min-max=0-20; higher values mean a better outcome); activity and participation (A\&P; min-max=0-24; higher values mean a better outcome); social support (SOZU; min-max = 0-16; higher values mean a better outcome); social stress (SOZB, min-max=0-16; higher values mean a worse outcome)

    Measured: two months after allocation

  5. change from baseline in psychosocial health scores as assessed by Health-49 at six months

    Health-49 = Hamburger Module zur Erfassung allgemeiner Aspekte psychosozialer Gesundheit für die therapeutische Praxis by Rabung et al. (2009); subscales: somatoform complaints (SOM; min-max values=0-28; higher scores mean aworse outcome); depressiveness (DEP; min-max=0-24, higher values mean a worse outcome); phobic anxiety (PHO; min-max=0-20; higher values mean a worse outcome); psychological and somatoform complaints (PSB; min-max=0-72; higher values mean a worse outcome); psychological wellbeing (WOHL; min-max=0-20; higher values mean a better outcome); interactional problems (INT; min-max=0-28; higher values mean a worse outcome); self-efficacy (SELB; min-max=0-20; higher values mean a better outcome); activity and participation (A\&P; min-max=0-24; higher values mean a better outcome); social support (SOZU; min-max = 0-16; higher values mean a better outcome); social stress (SOZB, min-max=0-16; higher values mean a worse outcome)

    Measured: six months after allocation

  6. change from baseline in psychosocial health scores as assessed by Health-49 at twelve months

    Health-49 = Hamburger Module zur Erfassung allgemeiner Aspekte psychosozialer Gesundheit für die therapeutische Praxis by Rabung et al. (2009); subscales: somatoform complaints (SOM; min-max values=0-28; higher scores mean aworse outcome); depressiveness (DEP; min-max=0-24, higher values mean a worse outcome); phobic anxiety (PHO; min-max=0-20; higher values mean a worse outcome); psychological and somatoform complaints (PSB; min-max=0-72; higher values mean a worse outcome); psychological wellbeing (WOHL; min-max=0-20; higher values mean a better outcome); interactional problems (INT; min-max=0-28; higher values mean a worse outcome); self-efficacy (SELB; min-max=0-20; higher values mean a better outcome); activity and participation (A\&P; min-max=0-24; higher values mean a better outcome); social support (SOZU; min-max = 0-16; higher values mean a better outcome); social stress (SOZB, min-max=0-16; higher values mean a worse outcome)

    Measured: twelve months after allocation

  7. means in recovery support scores as assessed by Brief INSPIRE at two months

    Brief INSPIRE is a short version of INSPIRE by Williams et al. (2015); minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: two months after allocation

  8. means in recovery support scores as assessed by Brief INSPIRE at six months

    Brief INSPIRE is a short version of INSPIRE by Williams et al. (2015); minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: six months after allocation

  9. means in recovery support scores as assessed by Brief INSPIRE at twelve months

    Brief INSPIRE is a short version of INSPIRE by Williams et al. (2015); minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: twelve months after allocation

  10. change from baseline in stigma resistance scores as assessed by ISMI at two months

    ISMI = Internalized Stigma of Mental Illness Inventory by Sibitz et al. (2013); subscale stigma resistance; minimum value: 5; maximum value = 20; higher scores mean a better outcome

    Measured: two months after allocation

  11. change from baseline in stigma resistance scores as assessed by ISMI at six months

    ISMI = Internalized Stigma of Mental Illness Inventory by Sibitz et al. (2013); subscale stigma resistance; minimum value: 5; maximum value = 20; higher scores mean a better outcome

    Measured: six months after allocation

  12. change from baseline in stigma resistance scores as assessed by ISMI at twelve months

    ISMI = Internalized Stigma of Mental Illness Inventory by Sibitz et al. (2013); subscale stigma resistance; minimum value: 5; maximum value = 20; higher scores mean a better outcome

    Measured: twelve months after allocation

  13. means in service satisfaction scores as assessed by ZUF-8 at two months

    ZUF-8 = Fragebogen zur Messung der Patientenzufriedenheit by Schmidt et al. (1989); minimum value = 8; maximum value = 32; higher scores mean a better outcome

    Measured: two months after allocation

  14. means in service satisfaction scores as assessed by ZUF-8 at six months

    ZUF-8 = Fragebogen zur Messung der Patientenzufriedenheit by Schmidt et al. (1989); minimum value = 8; maximum value = 32; higher scores mean a better outcome

    Measured: six months after allocation

  15. means in service satisfaction scores as assessed by ZUF-8 at twelve months

    ZUF-8 = Fragebogen zur Messung der Patientenzufriedenheit by Schmidt et al. (1989); minimum value = 8; maximum value = 32; higher scores mean a better outcome

    Measured: twelve months after allocation

  16. change from baseline in disease severity scores ay assessed by CGI at two months

    CGI = clinical global impressions, see Forkmann et al., 2011; minimun value = 1; maximum value = 7; higher scores mean a worse outcome

    Measured: two months after allocation

  17. change from baseline in disease severity scores ay assessed by CGI at six months

    CGI = clinical global impressions, see Forkmann et al., 2011; minimun value = 1; maximum value = 7; higher scores mean a worse outcome

    Measured: six months after allocation

  18. change from baseline in disease severity scores ay assessed by CGI at twelve months

    CGI = clinical global impressions, see Forkmann et al., 2011; minimun value = 1; maximum value = 7; higher scores mean a worse outcome

    Measured: twelve months after allocation

  19. change from baseline in general functioning scores as assessed by GAF at two months

    GAF = Global Assessment of Functioning by Jones et al. (1995), minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: two months after allocation

  20. change from baseline in general functioning scores as assessed by GAF at six months

    GAF = Global Assessment of Functioning by Jones et al. (1995), minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: six months after allocation

  21. change from baseline in general functioning scores as assessed by GAF at twelve months

    GAF = Global Assessment of Functioning by Jones et al. (1995), minimum value = 0; maximum value = 100; higher scores mean a better outcome

    Measured: twelve months after allocation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2020
  2. Study start21 Jul 2020
  3. Primary completionAug 2023 (estimated)
  4. Study completionSep 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multicentric, randomised-controlled trial (block randomisation stratified by study site)
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
201 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04336527
Sponsor's protocol ID
LPEK-0096
Acronym
HoPe
Status last verified
May 2023
First submitted
30 Mar 2020
Last updated
31 May 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Jones SH, Thornicroft G, Coffey M, Dunn G. A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF). Br J Psychiatry. 1995 May;166(5):654-9. doi: 10.1192/bjp.166.5.654.

    PubMed 7620753
  • Forkmann T, Scherer A, Boecker M, Pawelzik M, Jostes R, Gauggel S. The Clinical Global Impression Scale and the influence of patient or staff perspective on outcome. BMC Psychiatry. 2011 May 14;11:83. doi: 10.1186/1471-244X-11-83.

    PubMed 21569566
  • Schwarzer, R. & Jerusalem, M. (Hrsg.) (1999). Skalen zur Erfassung von Lehrer- und Schülermerkmalen. Dokumentation der psychometrischen Verfahren im Rahmen der Wissenschaftlichen Begleitung des Modellversuchs Selbstwirksame Schulen. Berlin: Freie Universität Berlin.

  • Corrigan PW, Michaels PJ, Vega E, Gause M, Watson AC, Rusch N. Self-stigma of mental illness scale--short form: reliability and validity. Psychiatry Res. 2012 Aug 30;199(1):65-9. doi: 10.1016/j.psychres.2012.04.009. Epub 2012 May 10.

    PubMed 22578819
  • Sibitz I, Friedrich ME, Unger A, Bachmann A, Benesch T, Amering M. [Internalized Stigma of Schizophrenia: Validation of the German Version of the Internalized Stigma of Mental Illness-Scale (ISMI)]. Psychiatr Prax. 2013 Mar;40(2):83-91. doi: 10.1055/s-0032-1332878. Epub 2013 Jan 25. German.

    PubMed 23354628
  • Rabung S, Harfst T, Kawski S, Koch U, Wittchen HU, Schulz H. [Psychometric analysis of a short form of the "Hamburg Modules for the Assessment of Psychosocial Health" (HEALTH-49)]. Z Psychosom Med Psychother. 2009;55(2):162-79. doi: 10.13109/zptm.2009.55.2.162. German.

    PubMed 19402020
  • Williams J, Leamy M, Bird V, Le Boutillier C, Norton S, Pesola F, Slade M. Development and evaluation of the INSPIRE measure of staff support for personal recovery. Soc Psychiatry Psychiatr Epidemiol. 2015 May;50(5):777-86. doi: 10.1007/s00127-014-0983-0. Epub 2014 Nov 20.

    PubMed 25409867
  • Schmidt J, Lamprecht F, Wittmann WW. [Satisfaction with inpatient management. Development of a questionnaire and initial validity studies]. Psychother Psychosom Med Psychol. 1989 Jul;39(7):248-55. German.

    PubMed 2762479
  • Guhne U, Becker T, Riedel-Heller S. [Psychosocial Therapies in Severe Mental Illness: Outlook on the Update of the DGPPN-S3-Guideline]. Psychother Psychosom Med Psychol. 2016 Aug;66(8):337-40. doi: 10.1055/s-0042-111733. Epub 2016 Aug 2. German.

    PubMed 27485931
  • Reinke B, Mahlke C, Botros C, Klaring A, Lambert M, Karow A, Gallinat J, Zapf A, Ozga AK, Holler A, Bustami N, Reimer J, Ludtke J, Schaper O, Lison M, Bechdolf A, Baumgardt J, Spiegel J, Hardt O, Rout S, Memarzadeh S, von Peter S, Schwarz J, Langer C, Glotz S, Frasch K, Rusch N, Kunstler U, Bock T, Becker T. Study protocol of a randomized controlled trial evaluating home treatment with peer support for acute mental health crises (HoPe). BMC Psychiatry. 2022 Sep 19;22(1):619. doi: 10.1186/s12888-022-04247-w.

    PubMed 36123649

Questions about this trial

What is this clinical trial studying?

A study testing Home Treatment with Peer Support and Home Treatment without Peer Support in people with Severe Mental Health Condition With Indication of Hospital Admission, run by Universitätsklinikum Hamburg-Eppendorf at 8 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 31 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to first readmission to inpatient hospital treatment (time frame: 1 year after last patient in). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04336527, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2023.

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