Recovery Roadmap Phase II Small Business Innovation Research Grant

NCT02707367 | Completed DMC

• 1 other identifier: 2R44MH100712-03
• Study Type: interventional
• Target: 127
• Locations: 1 country
• Sites: 1

Brief Summary

Recovery Roadmap: A Collaborative Multimedia Tool for Person-Centered Recovery Planning is a highly interactive web-based tool that provides guidance for providers and people in recovery, and promotes widespread implementation of Person-Centered Recovery Planning (PCRP). The Recovery Roadmap prototype was developed and tested by the Center for Social Innovation (C4), in partnership with Yale University's Program for Recovery and Community Health (PRCH), under a Phase I Small Business Innovative Research (SBIR) grant funded by the National Institute of Mental Health (NIMH) (1R43MH100712). Phase II refined the prototype Roadmap to streamline content, provide additional handouts and exercises for providers and clients to complete together, expand the audio/video vignettes and case studies, and add interactive online coaching and support for providers. Phase II also involved a robust evaluation of the Roadmap, using a quasi-experimental design in a fully powered trial. Approximately 30 practitioners and 90 clients (two to three clients per practitioner) were recruited from a total of five Community Support Programs in Connecticut. The programs were randomly selected into one of two intervention waves (Wave 1 and Wave 2). Survey data for Wave 1 included a total of four surveys: a pre-observation period, post-observation/pre-intervention, a midpoint survey (after completion of online curriculum), and a post survey (after completion of the entire intervention, including coaching calls). Surveys for the Wave 2 study participants included a pre-intervention, midpoint, and post survey. Qualitative interviews were also completed with interviews with practitioners and and administrators/clinical supervisors in each agency. State level client administrative client data were also collected and analyzed. Data examined changes in knowledge related to PCRP, person centered planning practices, practitioner/client relationship, and overall feedback on the intervention. our team also conducted a social network analysis to examine any changes in the size and strength of their networks related to person centered planning before and after the intervention. This phase will culminate with the dissemination of findings and preparation for Phase III commercialization.

Conditions

Mental Disorders; Behavior Disorders

Outcome Measures

Primary Outcomes (1)

• Person-Centered Care Questionnaire

  Change in PCRP knowledge and skills using the Person-Centered Care Questionnaire (Provider Version) for providers and the Person-Centered Care Questionnaire (Person in Recovery (PIR) Version) for clients (Tondora \& Miller, 2009). The provider and client/PIR versions allow providers and clients/PIR to respond to slightly different items, but each study participant will have one reported PCCQ value at each time point.

  PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up)

Secondary Outcomes (3)

• Recovery Knowledge Inventory

  PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up)

• Recovery Markers Questionnaire

  PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up)

• Helping Relationship Inventory

  PreBaseline (pre-observation), Baseline (pre-intervention), Time 1 (upon completion of the 6 month intervention), Time 2 (6 month follow-up), Time 3 (12 month follow-up)

Other Outcomes (3)

• Change in Provider Online Sociometric Surveys

  PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention)

• Qualitative Change in Provider Social Connectivity

  PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention)

• Change in Provider Network Analytic Data

  PreBaseline (pre-observation), Baseline (pre-intervention), and Time 1 (upon completion of the 6 month intervention)

Study Arms (2)

Recovery Roadmap (RR) Wave 1

EXPERIMENTAL

All participants, in both Wave 1 and Wave 2, will act as their own comparator in a randomized stepped wedge design. Data collection in Wave 1 will include two pre-tests and two post-tests, building in an observation period that is not present in Wave 2.

Behavioral: Recovery Roadmap (RR) Wave 1

Recovery Roadmap (RR) Wave 2

EXPERIMENTAL

All participants, in both Wave 1 and Wave 2, will act as their own comparator in a randomized stepped wedge design. Data collection in Wave 1 will include one pre-test and three post-tests.

Behavioral: Recovery Roadmap (RR) Wave 2

Interventions

Recovery Roadmap (RR) Wave 1 BEHAVIORAL

A web-based tool that provides guidance for implementing Person-Centered Recovery Planning. There are 3 components: 1. Online module for service providers: A self-paced online module with interactive exercises, audio/video case studies, self-assessment, handouts, and collaborative materials designed for use with clients. 2. Online module for people in recovery: A self-paced online module with interactive exercises, case studies, self-assessment, informational handouts, and collaborative materials to be completed with providers. 3. Coaching \& Support Center: A multimedia resource for providers with online coaching, a community of practice, and a resource library.

Recovery Roadmap (RR) Wave 1

Recovery Roadmap (RR) Wave 2 BEHAVIORAL

A web-based tool that provides guidance for implementing Person-Centered Recovery Planning. There are 3 components: 1. Online module for service providers: A self-paced online module with interactive exercises, audio/video case studies, self-assessment, handouts, and collaborative materials designed for use with clients. 2. Online module for people in recovery: A self-paced online module with interactive exercises, case studies, self-assessment, informational handouts, and collaborative materials to be completed with providers. 3. Coaching \& Support Center: A multimedia resource for providers with online coaching, a community of practice, and a resource library.

Recovery Roadmap (RR) Wave 2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clients:
• Age of majority
• Receipt of mental health services within the participating program;
• Directly work with a provider participating in the study
• The ability to participate in the activities as determined by the client's clinical team
• Willing and able to engage in a six month PCRP intervention and participate in follow-up research activities (24 months total including follow up assessments).
• Age of majority
• Directly work with clients willing to participate in the study;
• Have access to and basic navigation skills for using the Internet (for online coaching
• Work for a participating program
• Have a willingness to engage in a six-month PCRP intervention and participate in follow-up research activities (24 months total).
• Age of majority
• Being administrator of a program participating in the study or umbrella organization
• Have access to a computer to view tool components
• Knowledge about the market for this type of product for use in adult mental health. The team will develop a screening tool for administrators to ensure they meet basic criteria for the study.

You may not qualify if:

• Clients:
• Non-English speakers
• Clients who are unable to participate in study activities (per clinical team determination) and individuals who are unable to understand the informed consent process (per the Quiz of Understanding for Informed Consent) will be excluded from the study.
• Providers:
• Non-English speakers
• Providers who have prior experience with RR tools will be excluded from the study.
• Administrators:
• Non-English speakers

Sponsors & Collaborators

• Center for Social Innovation, Massachusetts: lead
• Yale University: collaborator

Study Sites (1)

Center for Social Innovation

Needham, Massachusetts, 02494, United States

Location

Related Publications (4)

• Bedregal LE, O'Connell M, Davidson L. The Recovery Knowledge Inventory: assessment of mental health staff knowledge and attitudes about recovery. Psychiatr Rehabil J. 2006 Fall;30(2):96-103. doi: 10.2975/30.2006.96.103.

  PMID: 17076052 BACKGROUND

• Poulin J & Young T. Development of a helping relationship inventory for social work practice. Research on Social Work Practice 7: 463-489, 1997.

  BACKGROUND

• Ridgway P & Press A. Assessing the recovery-orientation of your mental health program: A user's guide for the Recovery-Enhancing Environment scale (REE) (version 1). Lawrence, Kansas: University of Kansas, School of Social Welfare, Office of Mental Health Training and Research. 2004.

  BACKGROUND

• Tondora J & Miller R. The PCCQ: Person-centered care questionnaire: A tool for supervision and quality monitoring. Yale Program for Recovery & Community Health: New Haven, CT. 2009.

  BACKGROUND

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Kathleen Ferreira, Ph.D.

  Center for Social Innovation

  PRINCIPAL INVESTIGATOR

• Janis Tondora, PsyD.

  Yale University Program for Recovery and Community Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 1, 2016
• First Posted: March 14, 2016
• Study Start: June 1, 2017
• Primary Completion: June 1, 2020
• Study Completion: June 1, 2020
• Last Updated: October 1, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)