Integrated Care & Patient Navigators for Latinos With Serious Mental Illness

NCT02469714 | Completed Results

• 1 other identifier: PCORI-AD1306-01419
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

The health care needs of people with serious mental illness are exacerbated by ethnic health disparities. Latinos with serious mental illness show significant health problems compared to other ethnic groups. Therefore, this project is to develop a meaningful peer-navigator program for Latinos with serious mental illness using community-based participatory research (CBPR). Investigators are currently working with seven Hispanic/Latinos with a mental illness that have formed a Consumer Research Team (CRT) that will guide this project. This project will identify and define the problem by conducting a mixed methods research thru qualitative interviews with various stakeholders defined by the investigator's CRT group. The qualitative findings will then be cross-validated in a quantitative survey by 100 Hispanic/Latinos with mental illness. This information will then be used to design an intervention using an integrated care model for Peer-Navigators. Feasibility, accessibility , acceptability and impact of the peer-navigator program will be then evaluated in a randomized control trial (RCT) with 100 Latinos with serious mental illness who will complete measures of physical health, mental health, service use and engagement at baseline, 4, 8, and 12 months. Investigators expect to show physical health improvement with the greater engagement observed in the peer navigator group. Investigators expect a similar improvement in mental health and quality of life as physical health concerns are diminished.

Conditions

Mental Disorders

Keywords

Patient Navigator; Integrated Care; Latino; Mental health and wellness; Physical health and wellness

Outcome Measures

Primary Outcomes (1)

• Weekly Health Appointment Measure

  This scale represents the total achieved appointments and total scheduled appointments. Data was collected weekly and added up per month.The minimum is 0 ( no appointments ) with no maximum (participants were not limited to the number of appointments per week).

  Every week for up to 52 weeks

Secondary Outcomes (7)

• Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPH)

  Baseline (0), 4, 8, and 12 months

• Empowerment Scale (EMP)

  Baseline (0), 4, 8, and 12 months

• Recovery Assessment Scale (RAS)

  Baseline (0), 4, 8, and 12 months

• Medical Outcome Study (SF-36)

  Baseline (0), 4, 8, and 12 months

• Quality of Life Scale (QLS)

  Baseline (0), 4, 8, and 12 months

Study Arms (2)

Peer Navigator Intervention

EXPERIMENTAL

Integrated care with a peer navigator to be provided for one year, where data will be collected at baseline, 4, 8 and 12 months.

Behavioral: Peer Navigator Intervention

Controlled

NO INTERVENTION

Integrated care without a peer navigator, where data will be collected at baseline, 4, 8 and 12 months

Interventions

Peer Navigator Intervention BEHAVIORAL

Peer navigators will be Hispanics/Latinos with a mental illness in recovery who will complete and meet certification for the peer navigator training program that will be evolved out of the mixed methods process. Investigators propose the peer navigators will enhance patient engagement in integrated care which will, in turn, improve physical and mental health and wellness of patients in this group

Also known as: Peer Navigator

Peer Navigator Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Identify ethnicity as Hispanic/Latino
• Identify with experience with a mental illness

You may not qualify if:

• Must be 18 years or older
• Have case manager they met on a regular basis (every week for the past 4 months) for physical health

Sponsors & Collaborators

• Illinois Institute of Technology: lead
• Patient-Centered Outcomes Research Institute: collaborator
• Trilogy Inc. Behavioral Healthcare: collaborator

Study Sites (1)

Illinois Institute of Technology

Chicago, Illinois, 60616, United States

Location

Related Publications (18)

• Corrigan PW. Consumer satisfaction with institutional and community care. Community Ment Health J. 1990 Apr;26(2):151-65. doi: 10.1007/BF00752392.

  PMID: 2191833 BACKGROUND

• Corrigan PW, Jakus MR. The Patient Satisfaction Interview for partial hospitalization programs. Psychol Rep. 1993 Apr;72(2):387-90. doi: 10.2466/pr0.1993.72.2.387.

  PMID: 8488222 BACKGROUND

• Fischer EH, Turner JL. Orientations to seeking professional help: development and research utility of an attitude scale. J Consult Clin Psychol. 1970 Aug;35(1):79-90. doi: 10.1037/h0029636. No abstract available.

  PMID: 5487612 BACKGROUND

• Johansen R, Hestad K, Iversen VC, Agartz I, Sundet K, Andreassen OA, Melle I. Cognitive and clinical factors are associated with service engagement in early-phase schizophrenia spectrum disorders. J Nerv Ment Dis. 2011 Mar;199(3):176-82. doi: 10.1097/NMD.0b013e31820bc2f9.

  PMID: 21346488 BACKGROUND

• Rogers ES, Chamberlin J, Ellison ML, Crean T. A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv. 1997 Aug;48(8):1042-7. doi: 10.1176/ps.48.8.1042.

  PMID: 9255837 BACKGROUND

• Rogers ES, Ralph RO, Salzer MS. Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. 2010 Sep;61(9):933-6. doi: 10.1176/ps.2010.61.9.933.

  PMID: 20810594 BACKGROUND

• Corrigan PW, Faber D, Rashid F, Leary M. The construct validity of empowerment among consumers of mental health services. Schizophr Res. 1999 Jul 27;38(1):77-84. doi: 10.1016/s0920-9964(98)00180-7.

  PMID: 10427613 BACKGROUND

• Corrigan PW, Giffort D, Rashid F, Leary M, Okeke I. Recovery as a psychological construct. Community Ment Health J. 1999 Jun;35(3):231-9. doi: 10.1023/a:1018741302682.

  PMID: 10401893 BACKGROUND

• Corrigan PW, Salzer M, Ralph RO, Sangster Y, Keck L. Examining the factor structure of the recovery assessment scale. Schizophr Bull. 2004;30(4):1035-41. doi: 10.1093/oxfordjournals.schbul.a007118.

  PMID: 15957202 BACKGROUND

• Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

  PMID: 1593914 BACKGROUND

• de Vet HC, Ader HJ, Terwee CB, Pouwer F. Are factor analytical techniques used appropriately in the validation of health status questionnaires? A systematic review on the quality of factor analysis of the SF-36. Qual Life Res. 2005 Jun;14(5):1203-18; dicussion 1219-21, 1223-4. doi: 10.1007/s11136-004-5742-3.

  PMID: 16047498 BACKGROUND

• Lehman AF. The well-being of chronic mental patients. Arch Gen Psychiatry. 1983 Apr;40(4):369-73. doi: 10.1001/archpsyc.1983.01790040023003.

  PMID: 6838316 BACKGROUND

• Lehman AF. The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill. Eval Program Plann. 1983;6(2):143-51. doi: 10.1016/0149-7189(83)90028-9.

  PMID: 10265063 BACKGROUND

• Corrigan PW, Buican B, McCraken S. The needs and resources assessment interview for severely mentally ill adults. Psychiatr Serv. 1995 May;46(5):504-5. doi: 10.1176/ps.46.5.504.

  PMID: 7627679 BACKGROUND

• Contopoulos-Ioannidis DG, Karvouni A, Kouri I, Ioannidis JP. Reporting and interpretation of SF-36 outcomes in randomised trials: systematic review. BMJ. 2009 Jan 12;338:a3006. doi: 10.1136/bmj.a3006.

  PMID: 19139138 BACKGROUND

• Corrigan PW, Jakus MR. The reliability of severely mentally ill patients' report of treatment satisfaction. International Journal of Methods in Psychiatric Research 3: 215-219, 1993.

  BACKGROUND

• Corrigan PW, Michaels PJ. Perceived availability of services scale. Chicago: CASD. 2012.

  BACKGROUND

• Lehman AF. A quality of life interview for the chronically mentally ill. Evaluation and Program Planning 11(1): 51-62, 1988.

  BACKGROUND

Related Links

• Projects led by Dr. Patrick Corrigan that address health disparities

MeSH Terms

Conditions

Mental Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Limitations and Caveats

Concerns to US Immigration and Customs Enforcement for those with undocumented residency status make some Latinos suspicious of institutions.Heterogeneity may influence solutions to health care concerns of these Latinos with serious mental illness.

Results Point of Contact

• Title: Patrick Corrigan
• Organization: Illinois Institute of Technology

corrigan@iit.edu

(312)567-6751

Study Officials

• Patrick Corrigan, Psy.D

  Illinois Institute of Technology

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Distinguished Professor of Psychology

Study Record Dates

• First Submitted: June 5, 2015
• First Posted: June 11, 2015
• Study Start: August 1, 2015
• Primary Completion: November 1, 2016
• Study Completion: November 1, 2016
• Last Updated: March 15, 2024
• Results First Posted: September 23, 2019

Record last verified: 2024-03

Locations

US (1)