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Severe Mental DisorderPASSVERS-2NCT05274126

Implementation of a Social and Mental Health Support to Promote Recovery in Five Mental Health Facilities in Paris Area

A study testing Patient group/Passvers in people with Severe Mental Disorder, run by Versailles Hospital at 5 sites in France.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Prospective longitudinal uncontrolled multicenter study, with cohort follow-up, focusing on patients, professionals, relatives and structures evolution during the implementation of recovery based intervention. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Severe Mental Disorder
What is being tested?
Patient group/Passvers
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
5 sitesFrance
Study dates
1 May 2022to 1 May 2026
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Presence of a severe and persistent mental disorder among the following ICD10 compliant diagnostic categories:
  • Schizophrenia spectrum disorder (F2x)
  • Recurrent or persistent mood disorders (F30.x, F31.x, F33.x, F34.x, F38.x)
  • Psychological developmental disorders including autism spectrum disorders (F8x) and childhood and adolescent onset disorders (F9x)
  • Presence of an indication for inclusion in the rehabilitation project identified by the treating psychiatrist and endorsed in the inclusion session by the PASSVers staff.
  • Written consent from the patient or his/her legal representative to participate in the study.

Who cannot join

  • Presence of an not stabilized or progressive organic neurological pathology, neurodegenerative disease
  • Psychological or behavioral disorders mainly related to addictions with substances
  • Psychiatric disorders secondary to an organic pathology that is not stabilized or that is evolving
  • The following psychiatric situations are reasons for non-inclusion in the absence of an argued and collegial reassessment (the reason being that, although PASSVers2 must be considered as a first intention proposal in many situations meeting the inclusion criteria, it cannot intervene or be thought of as a "solution" to certain complex situations):
  • Psychiatric disorders caused by pregnancy or immediate postpartum
  • Severe borderline personality disorder
Show all 11Show fewer
  • Current suicidal crisis
  • Extreme fragility of the patient with respect to changes that may be induced by the project, associated with a high risk of self or hetero-aggression.
  • Patient under justice constraint
  • Foreseeable departure from the geographic area, not allowing for certainty of further evaluation
  • Refusal of the patient to be followed by a social-health team (i.e. refusal of care or refusal of a dialogue on social aspects and projects).

Trial locations and contacts

5 sites in 1 country.

Virginie Bulot, MD contact

33 1 39 63 90 11

vbulot@ch-versailles.fr

Eric Brunet-Gouet, MD PhD contact

ebrunet@ch-versailles.fr

5 sites in 1 country

France5 sites
  • Centre Hospitalier d'Argenteuil, secteurs 95G05, 95G06, 95G13,

    Argenteuil

    Dr Lamisse, MD

  • Hôpital Sainte Anne - GHU Paris Psychiatrie & Neurosciences, secteur G75015

    Paris

    Dr de Maricourt, MD

  • Centre Hospitalier de Plaisir, secteur 78G16, CMP de Rambouillet

    Rambouillet

    Dr Omnès, MD

  • Etablissement de Santé Mentale de Rueil-Malmaison, Groupe MGEN, secteur 92G13, CMP de Rueil-Malmaison

    Rueil-Malmaison

    Dr Matthieu, MD

  • Centre Hospitalier de Versailles, secteur 78G17, Centre Bleuler, Versailles

    Versailles

    Dr Bratu, MD

Other trials in France

About this study

Official title: Implantation Sur Cinq Centres Médico-Psychologiques Franciliens du Parcours Socio-Sanitaire orienté Vers le Rétablissement (PASSVers2)

Prospective longitudinal uncontrolled multicenter study, with cohort follow-up, focusing on patients, professionals, relatives and structures evolution during the implementation of recovery based intervention.

Read the detailed description

This is a hybrid efficacy-implementation Type I recovery based interventional study based on a multicenter follow-up of a cohort of 300 patients with severe and persistent mental disorders (60 patients per center). The evolution of concepts and means of evaluation now allow a precise description of the mechanisms of recovery in all the diversity of its expression among patients, their entourages and the psychiatric facilities.

In the present study, the investigators aim to characterize simultaneously the patients' trajectories and the evolution of the care facilities and their professionals with respect to the principles of recovery. This double exploration should allow to build theoretical and practical references for the extension of this approach to other centers in France.

The study considers a dual timeline for data collection:

  • The timeline associated with patients defined by the inclusion of each patient and extending to 24 months after, punctuated by an assessment at 12 months;
  • The timeline of the inclusion centers and professionals involved in the rehabilitation projects defined by the beginning of the study and extending beyond the end of inclusion of the last patient, punctuated by annual intermediate evaluations of the means allocated by the structure and the positioning of the personnel in terms of recovery.

The intervention consists in a follow-up of the patients and their relatives by a psychiatric nurse and a social worker during 12 months. Both professionals, trained to rehabilitation and recovery principles, will focus on the patient's needs and goals in order to improve the outcome, quality-of-life and clinical status.

Being tested
Patient group/Passvers
Keywords
Schizophrenia, Bipolar disorder, Autism
Medical subject headings
Mental Disorders, Schizophrenia, Bipolar Disorder, Autistic Disorder

What participants receive

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

  • Patient group/PassversBehavioural

    Passvers intervention aims at :

    • helping patients followed in the centers, presenting a Severe and Persistent Mental Disorder (schizophrenia, mood disorder, autism spectrum disorder, etc.), at risk or in a situation of psychological disability, to enroll in a rehabilitation program towards recovery.
    • supporting the emergence and construction of projects by the people themselves, and to accompany them to realize them.
    • Encouraging the use of resources in their environment and common law mechanisms (city hall, department, associations, etc.) for better social integration.
    • encouraging involvement in care understood as useful tools for the realization of the personal project.

    Passvers also aims at :

    • promoting a change in professional practices within the team, in favor of recovery-oriented practices based on the concept of engagement or empowerment.
    • allowing cooperation between health and social structures aiming at destigmatizing mental illness.
Study groups in NCT05274126
Study groupRoleWhat they receive
Patient group (single group)Experimental300 Patients involved in the recovery process.
Receives: Behavioral: Patient group/Passvers

What is being measured

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

  1. Patient self rating of recovery support by caregivers T0

    5-item short version of INSPIRE measure (Brief INSPIRE), range from 5 to 25, 25 corresponds to maximal support

    Measured: baseline

  2. Patient self rating of recovery support by caregivers T12

    5-item short version of INSPIRE measure (Brief INSPIRE), range from 5 to 25, 25 corresponds to maximal support

    Measured: 1 year

  3. Patient self rating of recovery support by caregivers and structure T0

    Recovery Self-Assessment (RSA-R), range from 32 to 160, higher values correspond to more perceived help

    Measured: baseline

  4. Patient self rating of recovery support by caregivers and structure T12

    Recovery Self-Assessment (RSA-R), range from 32 to 160, higher values correspond to more perceived help

    Measured: 1 year

  5. Patient functioning T0

    Personal and Social Performance scale (PSP), range 0-100, 100 corresponds to better functioning

    Measured: baseline

  6. Patient functioning T12

    Personal and Social Performance scale (PSP), range 0-100, 100 corresponds to better functioning

    Measured: 1 year

  7. Patient functioning T24

    Personal and Social Performance scale (PSP), range 0-100, 100 corresponds to better functioning

    Measured: 2 years

  8. Patient self rating of quality of life T0

    Shortened quality of life questionnaire (SQoL-18), range 18-90, higher values correspond to better quality of life

    Measured: baseline

  9. Patient self rating of quality of life T12

    Shortened quality of life questionnaire (SQoL-18), range 18-90, higher values correspond to better quality of life

    Measured: 1 year

  10. Patient self rating of quality of life T24

    Shortened quality of life questionnaire (SQoL-18), range 18-90, higher values correspond to better quality of life

    Measured: 2 years

  11. Psychotic symptoms T0

    Positive and negative syndrome scale (PANSS), range 30-210, higher values correspond to higher symptoms levels

    Measured: baseline

  12. Psychotic symptoms T12

    Positive and negative syndrome scale (PANSS), range 30-210, higher values correspond to higher symptoms levels

    Measured: 1 year

  13. Depression T0

    Psychiatric symptoms scales rated by the clinicians (CDSS), range 0-27, higher values correspond to higher depressive symptoms

    Measured: baseline

  14. Depression T12

    Psychiatric symptoms scales rated by the clinicians (CDSS), range 0-27, higher values correspond to higher depressive symptoms

    Measured: 1 year

  15. Clinical outcome T0: Clinically significant events

    Record of occurrences (boolean) and dates of any clinical event (hospitalizations, self-harming behavior) occurring during the course of the illness

    Measured: baseline

  16. Clinical outcome T12: Clinically significant events

    Record of occurrences (boolean) and dates of any clinical event (hospitalizations, self-harming behavior) occurring during the course of the illness

    Measured: 1 year

  17. Patient self rating of recovery T0

    Questionnaire about the process of recovery (QPR), range from 22 to 110, higher values correspond to better recovery

    Measured: baseline

  18. Patient self rating of recovery T12

    Questionnaire about the process of recovery (QPR), range from 22 to 110, higher values correspond to better recovery

    Measured: 1 year

  19. Patient self rating of recovery T24

    Questionnaire about the process of recovery (QPR), range from 22 to 110, higher values correspond to better recovery

    Measured: 2 years

Secondary outcomes (20)
  1. Professional's Recovery knowledge on patients T0

    Recovery knowledge inventory (RKI), range 20-100, higher values correspond to better knowledge on recovery processes

    Measured: baseline

  2. Professional's Recovery knowledge on patients T12

    Recovery knowledge inventory (RKI), range 20-100, higher values correspond to better knowledge on recovery processes

    Measured: 1 year

  3. Professional's Recovery opinions on patients T0

    Practitioners' Beliefs, Goals and Practices in Psychiatric Rehabilitation (PBGP), range 26-104, higher values correspond to better views on patients recovery

    Measured: baseline

  4. Professional's Recovery opinions on patients T12

    Practitioners' Beliefs, Goals and Practices in Psychiatric Rehabilitation (PBGP), range 26-104, higher values correspond to better views on patients recovery

    Measured: 1 year

  5. Stigmatization T0

    Internalized stigma of mental illness: self-stigma (ISMI), range 29-116, higher values correspond to worse stigmatization perception

    Measured: baseline

  6. Stigmatization T12

    Internalized stigma of mental illness: self-stigma (ISMI), range 29-116, higher values correspond to worse stigmatization perception

    Measured: 1 year

  7. Perceived needs T0

    Perceived needs scale (ELADEB), Composite measure of perceived difficulty in meeting needs and needs of help

    Measured: baseline

  8. Perceived needs T12

    Perceived needs scale (ELADEB), Composite measure of perceived difficulty in meeting needs and needs of help

    Measured: 1 year

  9. Goal achievement T12

    Goal achievement scale (GAS), range -2 to +2, higher values correspond to better achievement of one specific goal

    Measured: 1 year

  10. Metacognitive strategies T0

    Versailles Metacognitive Strategies Evaluation Questionnaire (V-MSEQ), range 25-175, higher values correspond to better metacognitive strategies

    Measured: baseline

  11. Sleep T0

    Patient self rating of sleep (1 item Pittsburgh sleep quality index PSQI), range 1-4, lower values correspond to better sleep quality

    Measured: baseline

  12. Sleep T12

    Patient self rating of sleep (1 item Pittsburgh sleep quality index PSQI), range 1-4, lower values correspond to better sleep quality

    Measured: 1 year

  13. Medication adherence T0

    Medication Adherence Rating Scale (MARS), range 5-25, lower values correspond to better adherence to treatment

    Measured: baseline

  14. Medication adherence T12

    Medication Adherence Rating Scale (MARS), range 5-25, lower values correspond to better adherence to treatment

    Measured: 1 year

  15. Illness severity T0

    Clinical Global Impressions Scale (CGI-S), range 1-7, higher values correspond to more severe illness

    Measured: baseline

  16. Illness severity T12

    Clinical Global Impressions Scale (CGI-S), range 1-7, higher values correspond to more severe illness

    Measured: 1 year

  17. Cognitive disability T0

    Cognitive processes involved in disability in schizophrenia scale (CPSD), range 0-78, higher values correspond to better cognitive functioning

    Measured: baseline

  18. Cognitive disability T12

    Cognitive processes involved in disability in schizophrenia scale (CPSD), range 0-78, higher values correspond to better cognitive functioning

    Measured: 1 year

  19. Entourage assessment of structure recovery orientation T0

    Recovery Self-Assessment Significant other version (RSA-R entourage), range 40-200, higher values correspond to better recovery orientation

    Measured: baseline

  20. Entourage assessment of structure recovery orientation T12

    Recovery Self-Assessment Significant other version (RSA-R entourage), range 40-200, higher values correspond to better recovery orientation

    Measured: 1 year

Timeline

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

  1. First posted10 Mar 2022
  2. Study start1 May 2022 (estimated)
  3. Primary completion1 May 2025 (estimated)
  4. Study completion1 May 2026 (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
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
Prospective longitudinal uncontrolled multicenter study, with cohort follow-up, focusing on patients, professionals, relatives and structures.
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05274126
Sponsor's protocol ID
P20/03_ PASSVERS-2
Acronym
PASSVERS-2
Status last verified
Mar 2022
First submitted
15 Feb 2022
Last updated
25 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bazin, N. Les suivis sociosanitaires des personnes présentant un trouble mental sévère et persistant : expérimentation PASSVers à Versailles. Inf. Psychiatr. 95, 509-513 (2019).

Questions about this trial

What is this clinical trial studying?

A study testing Patient group/Passvers in people with Severe Mental Disorder, run by Versailles Hospital at 5 sites in France.

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 6 inclusion and 11 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 25 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in France. 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?

Contact Virginie Bulot, MD (33 1 39 63 90 11, vbulot@ch-versailles.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient self rating of recovery support by caregivers T0 (time frame: baseline). The study lists 19 primary outcomes in all. 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 NCT05274126, which also lists 1 linked publication.

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 25 Mar 2022.

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