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Chronic Mental DisordersNCT05980832

Effect of Peer-Supported Psychosocial Skills Training in Individuals With Chronic Mental Disorder

A study testing Peer practitioner training - Peer Education Supported Psychosocial Skills Education and Peer Education Supported Psychosocial Skills Education in people with Chronic Mental Disorders and Peer Support, run by Tokat Gaziosmanpasa University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study was designed to examine the effects of peer education-supported psychosocial skills training on stigma perceptions, social functionality and insight levels of chronic psychiatric patients followed up in a community mental health center. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Peer practitioner training - Peer Education Supported Psychosocial Skills Education and Peer Education Supported Psychosocial Skills Education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
1 siteTurkey (Türkiye)
Study dates
31 Jul 2023to 29 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

  • For peer practitioner training:
  • Being registered with the Community Mental Health Center (CMHC),
  • Participating in the study voluntarily and being an instructor in 6 sessions of psychosocial skills training.
  • Having a high level of functionality according to the functionality scale
  • Not in the active period of the disease
  • Being able to read and write and not have any communication problems in understanding and speaking Turkish.
Show all 15Show fewer
  • Well-being for at least 6 months according to the treatment team and according to the records.
  • For Peer-Supported Psychosocial Skills Training:
  • Coming to CMHC regularly
  • Volunteer to participate in the study and agree to attend 6-week sessions
  • Not in the active period of the disease.
  • Ability to read, write and communicate in Turkish
  • Being healthy for at least 6 months according to the treatment team and records
  • Having the experience of receiving standard psychosocial skills training by mental health professionals working in the institution for Experimental Group 1 and Control Group 1.
  • Not having received standard psychosocial skills training by the mental health professionals working in the institution for Experiment Group 2 and Control Group 2 are the inclusion criteria determined for peer educator-supported psychosocial skills training.

Who cannot join

  • Not registering with CMHC.
  • Inability to give written informed consent to the study
  • Inability to communicate in written or verbal Turkish at a level that will complete the assessments and be included in the groups.
  • The emergence of acute illness symptoms during the education process
  • The conflict between the patient giving the training and the patients participating in the group training constitutes the exclusion criteria.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Samsun Mental Health and Diseases Hospital - Community Mental Health Center

    Samsun

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Peer Education-Supported Psychosocial Skills Education Applied to Individuals With Chronic Mental Disorder on Patients' Perceptions of Stigma, Levels of Functionality and Insight

This study was designed to examine the effects of peer education-supported psychosocial skills training on stigma perceptions, social functionality and insight levels of chronic psychiatric patients followed up in a community mental health center.

The research was planned as a mixed method study conducted in a randomized controlled experimental study design and a qualitative study design. With the findings obtained, it is aimed to increase the social functionality of the patients, to increase the level of insight and to reduce the perception of stigma, and to close an important gap in the literature, thanks to peer education-supported psychosocial skills training.

Read the detailed description

Hypothesis(s) and Question(s):

The hypotheses of the quantitative method of the research are as follows; H1-1: Peer Education Supported Psychosocial Skills Training has an effect on the social functionality levels of patients.

H1-2: Peer Education Supported Psychosocial Skills Training has an effect on patients' perceptions of stigma.

H1-3: Peer Education Supported Psychosocial Skills Training has an effect on patients' insight levels.

The research questions of the qualitative method of the research are as follows:

Q(1): How do the changes experienced by people with chronic mental disorders affect their lives? Q(2): How does Peer Education Supported Psychosocial Skills Training affect patients' social functionality levels? Q(3): How does Peer Education Supported Psychosocial Skills Training affect patients' perceptions of stigma? Q(4): How does Peer Education Supported Psychosocial Skills Training affect patients' insight levels? Q(5): What are the experiences and opinions of the patients who participated in the Peer Education Supported Psychosocial Skills Training program?

The research question created for the research to be mixed method:

Q(Mixed): Do the themes revealed by the statements of the patients as a result of the qualitative research support the quantitative findings obtained as a result of the quantitative research?

Data Collection and Intervention

Firstly, A 13-hour practitioner training about psychosocial skills training supported by peer education and group management will be given by the research psychiatric nurse to 4 patients (one as peer leader, other as assistant, the other two as substitutes) selected according to the inclusion criteria of the study.

Individuals who are called peer trainers and who are subjected to practitioner training by the researcher psychiatric nurse will carry out the 6-session psychosocial skills training as leaders and assistant leaders. Researcher psychiatric nurse will support them in this process, even if they need it. It is thought that with the education given by peer educators, patients can benefit from each other's experiences and have an effect on the relevant variables. Groups will be determined by lot by the center staff from among the patients who have or have not received psychosocial skills training before.

In the research, "Descriptive Information Form" will be used by the researcher as a data collection tool, indicating the sociodemographic characteristics of the participants. The measurement of the variables specified in the research will be provided by the Self Stigma Scale, Beck Cognitive Insight Scale and Social Functioning Assessment Scale.

In order to evaluate the qualitative data, a semi-structured interview form consisting of questions about the effectiveness of education on the variables will be used by the researcher. After the pre-test application, a measurement will be made at the end of the sessions in the 2nd week, 4th week and 6th week in order to measure the effectiveness of the study during the application. Also, a measurement will be made in the 8th week for follow-up purposes.

After the collection of quantitative data, 5 people from both experimental groups will be selected and qualitative data will be collected with 10 participants in total. Individual and face-to-face interviews will be conducted with the patients who make up the experimental group, and the interviews will be audio recorded with the knowledge and consent of the participant. Individual interviews will be provided with a semi-structured form for the effectiveness of the training.

Being tested
Peer practitioner training - Peer Education Supported Psychosocial Skills Education, Peer Education Supported Psychosocial Skills Education
Medical subject headings
Stereotyping

What participants receive

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

  • Peer practitioner training - Peer Education Supported Psychosocial Skills EducationOther

    Psychosocial skills training-practitioner training will be given to 4 patients diagnosed with chronic mental disorder by the research psychiatry nurse.

    Educational content

    1. Getting acquainted - briefing about the study
    2. The Importance, Aims and Objectives of Psychosocial Skills Education
    3. The importance of peer support
    4. The importance, aims and objectives of peer education supported psychosocial skills training
    5. Management of the meeting game, warm-up games and role plays
    6. 1st and 2nd session peer education supported psychosocial skills training
    7. 3rd and 4th session peer education supported psychosocial skills training
    8. The last 5th and 6th sessions of peer education are supported by psychosocial skills training.
    9. Key points and termination in group management. The training will be planned to last 10-13 hours in total. Trainer's booklet prepared by the researcher psychiatric nurse.
  • Peer Education Supported Psychosocial Skills EducationOther

    It is a psychosocial skills training that will be given to both experimental groups in 6 sessions within 6 weeks. 2 of the 4 peer trainers who received the practitioner training will conduct the training. During the training period, the research psychiatric nurse will support.

    Session titles are as follows:

    1. Session:Preparation Session
    2. Session: Understanding Mental Disorders
    3. Session: Developing Communication Skills
    4. Session: Developing Emotion Recognition and Expression Skills
    5. Session: Dealing with Daily Living Activities and Problems
    6. Session: Understanding the Stigma Experience

    The duration of each session is determined as 90 minutes. Taking into account the patient's opinions breaks not exceeding 15 minutes will be given as needed.

Study groups in NCT05980832
Study groupRoleWhat they receive
Experimental Group 1ExperimentalIt will consist of 10 patients who have received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.
Receives: Other: Peer Education Supported Psychosocial Skills Education
Experimental Group 2ExperimentalIt will consist of 10 patients who have not received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.
Receives: Other: Peer Education Supported Psychosocial Skills Education
Control Group 1No interventionIt will consist of 10 patients who have received psychosocial skills training by the center staff and no intervention will be applied.
Control Group 2No interventionIt will consist of 10 patients who have not received psychosocial skills training by the center staff and no intervention will be applied.
Peer Practitioner TrainingOtherIt is the group in which psychosocial skills training will be given to 4 patients with chronic mental disorders by a researcher psychiatric nurse.
Receives: Other: Peer practitioner training - Peer Education Supported Psychosocial Skills Education

What is being measured

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

  1. Functionality (Social Functioning Assessment Scale)

    This scale evaluates 19 items and four sub-dimensions in general in patients with schizophrenia. Among the factors, interpersonal explanations and entertainment consist of seven items, self-care seven items, independent living needs four items, and work-life one item. The scores that can be obtained from the scale are between 19 and 57, and a high score means that social functioning measures are high.

    It is expected that there will be an increase in the functionality levels of the experimental groups.

    Measured: 6 Weeks

  2. Stigmatization (Self-Stigma Scale)

    It is a 3-factor scale consisting of 17 items for patients evaluating self-stigmatization or internalized stigma, concealment of illness and perception of worthlessness in individuals with mental illness. A five-point Likert-type scale was created as "1=not at all suitable for me, 2=somewhat appropriate, 3=moderately appropriate, 4=generally appropriate, 5=completely appropriate". As the score obtained from the scale increases, the self-stigmatization of the patients increases. The Cronbach's alpha correlation coefficient value of the scale is 0.93, indicating high reliability.

    It is expected that the stigma perceptions of the experimental groups will decrease.

    Measured: 6 Weeks

  3. Insight (Beck Cognitive Insight Scale)

    The Turkish validity and reliability study of the scale developed to assess cognitive insight was conducted. The scale, which is a four-point Likert type, consists of 15 items and has 2 sub-dimensions "self-confidence" and "self-evaluation". The scoring system of the scale consists of "disagree" 0 points, "somewhat agree" 1 point, "mostly agree" 2 points, "strongly agree" 3 points. The total (composite) score of the scale is obtained by subtracting the self-evaluation items (1,3,4,5,6,8,12,14,15) from the self-confidence item scores (2,7,9,10,11,13). The total score range of the scale is between -18 and 27 points. A high score indicates a high level of insight. In the reliability study of the Turkish version of the scale, the internal consistency Cronbach's alpha coefficient was found to be 0.68.

    It is expected that there will be an increase in the insight levels of the experimental groups.

    Measured: 6 Weeks

Timeline

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

  1. First posted8 Aug 2023
  2. Study start31 Jul 2023
  3. Primary completion4 Aug 2023
  4. Study completion29 Sep 2023

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05980832
Sponsor's protocol ID
TOGU-HEM-HİB-01
Status last verified
Feb 2024
First submitted
20 Jul 2023
Last updated
22 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The identity information of the participants will not be shared with other researchers. The statistical data of the research is planned to be published in a scientific journal.

Questions about this trial

What is this clinical trial studying?

A study testing Peer practitioner training - Peer Education Supported Psychosocial Skills Education and Peer Education Supported Psychosocial Skills Education in people with Chronic Mental Disorders and Peer Support, run by Tokat Gaziosmanpasa University at 1 site in Turkey (Türkiye).

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 15 inclusion and 5 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: finished, as of the sponsor's last update on 22 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Functionality (Social Functioning Assessment Scale) (time frame: 6 Weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Feb 2024.

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