Quantitative Investigation of Environment and Participation

NCT04106960 | Unknown

• 1 other identifier: QIEP01
• Study Type: observational
• Target: 235
• Locations: 1 country
• Sites: 1

Brief Summary

Supported accommodation provides individuals with complex mental health difficulties the opportunity to maintain a tenancy with different levels of staff support provided to develop and maintain living skills and engage in social and work activities. Physical features of the place people live, the support they receive from staff and the individuals needs all have the potential to impact on their ability to engage in activities that enable then to have increasing independence within the community. The study will investigate the relationship between the physical and social features of supported accommodation environments and whether this facilitates or inhibits people with complex mental health difficulties' participation in everyday life, relationships, pursuing interests and work. The study will also consider whether people's needs have an effect on the relationship between the environment and their participation. The study will analyse data collected using measures of clients' levels of participation, features of the supported accommodation environment and how needs mediates this relationship. The aim is to inform ways of working with people with complex mental health difficulties in supported accommodation that increase opportunities for participation in the activities they need, want and enjoy doing.

Conditions

Supported Accommodation Residents; Schizophrenia, Shizotypal and Delusional Disorders; Mood Affective Disorders; Disorders of Adult Personality and Behavior

Outcome Measures

Primary Outcomes (2)

• Model of Human Occupation Screening Tool

  Measure of level of Participation. Participation is measured through 6 domains of Motivation for Occupation, Pattern of Occupation, Communication and interaction skills, Process skills, Motor skills and Environment. Each domain consists of 4 sub-domains whose scores will be combined. For the purpose of this study the researcher will exclude the environment domain as this would be measured by the REIS mentioned below. The domains are rated on a 4-point scale of F, A, I, R where they stands for Facilitates occupational participation, Allows occupational participation, Inhibits participation and Restricts occupational participation. Dependant on the regression model, the researcher will use both combined total scores as well as scores of specific domains and sub-domains.

  Assessment is an interview that takes approximately 45 minutes.

• Residential Environment Impact Scale

  Measure to assess the Environment and built for supportive environments. The REIS consists of 4 domains of Everyday Space, Everyday Objects, Enabling relationships and Structure of Activities; each domain possesses 5 sub-domains. It consists of a 4-point ordinal scale of 1,2,3,4 where 1 refers to the Environment STRONGLY INTERFERES with people's sense of identity \& competence by NOT PROVIDING OPPORTUNITIES, resources, demands and constraints to engage in meaningful culturally appropriate activities. Similarly 2 stands for Interferes with by providing limited opportunity, 3 stands for supports by providing opportunities and 4 stands for strongly supports by providing exceptional opportunities. Dependant on the regression model, the researcher will use both combined total scores as well as scores of specific domains and sub-domains.

  Assessment is done through three stages: a walk-around the property (15 minutes), interview with staff/staff group (30-40 minutes), interview with clients (20-45 minutes).

Secondary Outcomes (1)

• Camberwell Assessment of Need Short Appraisal Scale

  Interviews take approximately 30 minutes.

Interventions

No Intevention Used OTHER

N/A as in the study does not have intervention in place. It is exploring the relationships between the social and physical features of the environment and participation through using standardized outcome measures.

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The site is supported accommodation commissioned by the Edinburgh Health and Social Care Partnership (EHSCP) in Edinbrugh. The researcher will recruit participants living in two types, supported housing and floating outreach services. This is approximately 235 individuals. It is recognised that people who are resident in supported accommodation services are those with the most complex difficulties as a result of their severe mental illness. It is likely that some of the people resident in supported accommodation services will be subject to Community Compulsory Treatment Orders (CCTO) with a smaller number also having their needs managed by the Adults with Incapacity(Scotland) Act 2000.

You may qualify if:

• Aged over 16 years
• English-speaking clients
• Clients with diagnoses in the following ICD-10 categories
• F20-29 (Schizophrenia, schizotypal and delusional disorders)
• F30-39 (Mood affective disorders)
• F60-69 (Disorders of adult personality and behaviour)
• Clients currently residing in one of the following types of supported accommodation
• Supported housing
• Floating outreach services

You may not qualify if:

• Primary diagnosis of learning disability as identified by staff members
• Clients who are currently experiencing acute phase of illness as advised by service manager or receiving treatment from the Intensive Home Treatment Team

Sponsors & Collaborators

• Queen Margaret University: lead
• NHS Lothian: collaborator

Study Sites (1)

Edinburgh Health And Social Care Partnership

Edinburgh, United Kingdom

Location

Related Publications (28)

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MeSH Terms

Conditions

Schizophrenia; Schizophrenia, Paranoid; Mood Disorders; Behavior

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Study Officials

• Kirsty Forsyth, Prof

  Queen Margaret University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Akkara L Jose

CONTACT

+441314740000; ajose2@qmu.ac.uk

Michele Harrison, Dr.

CONTACT

+441314740000; mharrison@qmu.ac.uk

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student

Study Record Dates

• First Submitted: September 25, 2019
• First Posted: September 27, 2019
• Study Start: January 17, 2020
• Primary Completion: December 24, 2020
• Study Completion: December 24, 2020
• Last Updated: October 2, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)