Pathways to Empowerment for Persons Living in Persistent Poverty

NCT05336097 | Completed

• 2 other identifiers: R0005311NWA.1239.18.003
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

The general purpose of this feasibility study is to evaluate the potential impact of Pathways to Empowerment (PTE) on the four constitutional conditions of social quality for persons living in persistent poverty. PTE is a strengths-based methodology developed for social care professionals to support persons in vulnerable positions with their recovery. PTE was chosen for evaluation based on in-depth interviews about appropriate support, a literature search, and participatory action research in which the wishes of each participating municipality were explored.

Conditions

Perceived Stress; Persistent Poverty

Outcome Measures

Primary Outcomes (1)

• Change in score on Perceived Stress Scale (PSS)

  The PSS is a 10-item instrument that measures frequency of thoughts and feelings related to perceived stress. Answers are expressed on a scale ranging from (0) "never" to (4) "very often". The PSS has been validated and widely used in the general population.

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

Secondary Outcomes (6)

• Change in score on Mental Health Inventory 5 (MHI-5)

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

• Change in score on Pearlin Mastery Scale (PMS)

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

• Change in sense of societal belonging

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

• Change in score on Multidimensional Scale of Perceived Social Support (MSPSS)

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

• Change in social participation

  Baseline, 9 months (area of Nieuwegein) or 7 months (area of Nijmegen)

Study Arms (1)

Intervention group

EXPERIMENTAL

Participants will receive support from participation coaches trained in Pathways to Empowerment (PTE). These participation coaches received a four-day training program with two weeks in between each training day, allowing them to immediately implement their acquired set of knowledge and skills. At the end of the training program, participation coaches had to successfully pass an end assignment to become PTE-certified. In order to ensure the implementation of PTE, the training will be supplemented with a learning cycle. This cycle consists of two workshops on poverty and stress, and of on-the-job coaching. The coaching is tailored to the wishes and needs of the team.

Other: Pathways to Empowerment

Interventions

Pathways to Empowerment OTHER

Pathways to Empowerment (PTE) is a program for person-centered intervention. PTE is rooted in the Strengths Model by Rapp and Goscha (2011), and in the Social Quality Approach as described by Van der Maesen and Walker (2005). The general aim of PTE is to improve the quality of the daily lives of persons who experience loss of control in their lives by focusing on their strengths and stimulating their personal agency, participation in society, and self-direction in life. The main task of professionals is to help create the conditions in which growth and recovery are likely to occur.

Also known as: Krachtwerk

Intervention group

Eligibility Criteria

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

You may qualify if:

• Participants are 18 years of age or older;
• Participants started a support trajectory at one of the participating teams during the recruitment period;
• Participants are living in persistent poverty. This means that participants have been having insufficient means for minimum living expenses and social participation for at least three years.

You may not qualify if:

• Being unable to provide reliable answers (e.g., having a psychotic episode);
• No informed consent.

Sponsors & Collaborators

• Radboud University Medical Center: lead
• Movisie: collaborator
• Municipality of Meppel, the Netherlands: collaborator
• Municipality of Midden-Groningen, the Netherlands: collaborator
• Municipality of Nieuwegein, the Netherlands: collaborator
• Municipality of Nijmegen, the Netherlands: collaborator
• Municipality of Oss, the Netherlands: collaborator
• Stichting Lezen en Schrijven: collaborator
• Vereniging Valente: collaborator
• Voedselbanken Nederland: collaborator
• Wageningen University and Research: collaborator

Study Sites (1)

Radboud university medical center

Nijmegen, Gelderland, 6500 HB, Netherlands

Location

Study Officials

• Judith Wolf, PhD

  Impuls - Netherlands Center for Social Care Research, Radboudumc

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 5, 2022
• First Posted: April 20, 2022
• Study Start: April 4, 2022
• Primary Completion: July 10, 2023
• Study Completion: July 10, 2023
• Last Updated: November 28, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)