RCT Examining the Effectiveness of Digital Picture Frame Use in Inpatient Setting

NCT02950571 | Completed

• 1 other identifier: 074/2016
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a randomized controlled trial that investigates the effectiveness of digital picture frames (DPF) installed in inpatient rooms on long stay inpatient wards servicing schizophrenia clients at CAMH. The effects on client experience will consider the domains of self-concept, interactions with healthcare staff, perception of space, and implications for the recovery process. The comparison of inpatient client experience with DPFs versus a control group (Treatment as Usual - TAU), offers the opportunity to examine the effectiveness of this type of environmental adaptation. This trial builds upon earlier work that demonstrated the feasibility of DPFs in this context.

Conditions

Schizophrenia; Psychosis; Psychosis NOS

Outcome Measures

Primary Outcomes (9)

• Change in Recovery Self Assessment (RSA; O'Connell et al., 2005)

  To examine the degree to which inpatient staff are perceived as recognizing the individuality of the individual and engage in a hopeful and holistic manner. 4 items from the patient version will be used (1-5 point Likert scale).

  Baseline and after 4 weeks (post intervention)

• Client Satisfaction Questionnaire-8 (CSQ-8; Attkisson et al., 1995)

  Investigators will only use the general satisfaction question from this measure (1-5 point Likert scale). Only participants in the intervention arm will complete this question.

  After 4 weeks (post intervention)

• Change in Empowerment Scale (Rogers et al., 1997)

  Measures dimensions of self efficacy, self stigma and self concept (1-9 point Likert scale).

  Baseline and after 4 weeks (post intervention)

• Change in Modified Engulfment Scale (McCay & Seeman, 1998)

  Only two items from this measure focussing specifically on self-concept will be used (1-5 point Likert scale).

  Baseline and after 4 weeks (post intervention)

• Change in Rosenberg Self-Esteem Scale (Rosenberg, 1965)

  The broadest reaching and high factor loading item, 'On the whole I am satisfied with myself' will be used (1-4 point Likert scale).

  Baseline and after 4 weeks (post intervention)

• Change in Scale to Assess Therapeutic Relationship (STAR; Mcguire-Snieckus et al., 2007)

  Three items assessing common factors in the therapeutic relationship with the clinical team are from the scale will be used (1-5 point Likert scale).

  Baseline and after 4 weeks (post intervention)

• Change in Satisfaction with the physical environment of the inpatient unit

  One question developed my investigators due to lack of standardized measures to specifically measure participant satisfaction with the physical environment of the inpatient unit (1-5 point Likert scale)

  Baseline and after 4 weeks (post intervention)

• Change in Satisfaction with the rooms on the inpatient unit

  One question developed by investigators due to lack of standardized measures to specifically measure participant satisfaction with their room on the inpatient unit (1-5 point Likert scale)

  Baseline and after 4 weeks (post intervention)

• Semi structured interviews

  SC participants will be asked broad questions about how satisfied they were with the inpatient unit space and what might be improved. These same questions will be asked of DPF participants, but will be followed by questions specific to the DPF support.

  After 4 weeks (post intervention)

Study Arms (2)

Standard Care

ACTIVE COMPARATOR

Routine care is comprised of a high level of support from an interdisciplinary team with access to unit-specific and centralized programming

Behavioral: Standard Care

Digital Picture Frames

EXPERIMENTAL

Setup: Over 1-2, approximately 30 minute meetings pictures will be uploaded onto the device from picture files provided by the participant and/or their family or an open online source (e.g., Google Images) that are relevant and of interest to the participant. Installation: The picture frames are secured to a surface in the participant's room (most typically a table) by facilities staff. Participants are instructed in its use. Check in: At midpoint (2 weeks) an RA will check in with the participant to informally discuss whether or not it continues to work, is being used, and if they want more pictures uploaded. If the latter is requested step 1 will be repeated.

Behavioral: Digital Picture Frame

Interventions

Digital Picture Frame BEHAVIORAL

The intervention is the provision of digital picture frames in long stay inpatient rooms in a ward at CAMH.

Digital Picture Frames

Standard Care BEHAVIORAL

High level of support from an interdisciplinary team.

Standard Care

Eligibility Criteria

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

You may qualify if:

• All participants will have severe mental illness (SMI) defined as diagnosis with a major mental illness (in practice, will be primarily schizophrenia spectrum) and inherent to hospital admission will be substantive contact with services and disability affecting day-to-day functioning (Ruggeri, Leese, Thornicroft, Bisoffi, \& Michelle, 2000).
• Admitted to a CAMH inpatient unit, specifically units 2-2 and 2-3, with an anticipated length of stay of 4 weeks or more, as determined by the clinical team
• Chart diagnosis of a major mental illness
• Determined appropriate for study by staff psychiatrist and clinical team (capacity to consent confirmed, no precautions against having the device in the participant's room indicated)
• years of age or older
• Proficiency in English

You may not qualify if:

• Do not meet the above criteria

Sponsors & Collaborators

• Centre for Addiction and Mental Health: lead

Study Sites (1)

Centre for Addiction and Mental Health

Toronto, Ontario, M5T 1R8, Canada

Location

Related Publications (6)

• O'Connell M, Tondora J, Croog G, Evans A, Davidson L. From rhetoric to routine: assessing perceptions of recovery-oriented practices in a state mental health and addiction system. Psychiatr Rehabil J. 2005 Spring;28(4):378-86. doi: 10.2975/28.2005.378.386.

  PMID: 15895922 BACKGROUND

• Attkisson, C. C., & Greenfield, T. K. (1995). The Client Satisfaction Questionnaire (CSQ) scales. Outcome assessment in clinical practice. Baltimore, MD: Williams & Wilkins, 2-10.

  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

• McCay EA, Seeman MV. A scale to measure the impact of a schizophrenic illness on an individual's self-concept. Arch Psychiatr Nurs. 1998 Feb;12(1):41-9. doi: 10.1016/s0883-9417(98)80007-1.

  PMID: 9489173 BACKGROUND

• Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package, 61.

  BACKGROUND

• McGuire-Snieckus R, McCabe R, Catty J, Hansson L, Priebe S. A new scale to assess the therapeutic relationship in community mental health care: STAR. Psychol Med. 2007 Jan;37(1):85-95. doi: 10.1017/S0033291706009299. Epub 2006 Nov 9.

  PMID: 17094819 BACKGROUND

Related Links

• Information about research at the Centre for Addiction and Mental Health, Canada's largest mental health and addictions teachings hospital.

MeSH Terms

Conditions

Schizophrenia; Psychotic Disorders; Mental Disorders

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Sean A Kidd, PhD

  Centre for Addiction and Mental Health

  PRINCIPAL INVESTIGATOR

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: Independent Clinician Scientist

Study Record Dates

• First Submitted: October 26, 2016
• First Posted: November 1, 2016
• Study Start: October 1, 2016
• Primary Completion: September 1, 2017
• Study Completion: December 1, 2017
• Last Updated: March 6, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)