Effect of Peer-Supported Psychosocial Skills Training in Individuals With Chronic Mental Disorder

NCT05980832 | Completed

• 1 other identifier: TOGU-HEM-HİB-01
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

This study was designed to examine the effects of peer education-supported psychosocial skills training on stigma perceptions, social functionality and insight levels of chronic psychiatric patients followed up in a community mental health center. The research was planned as a mixed method study conducted in a randomized controlled experimental study design and a qualitative study design. With the findings obtained, it is aimed to increase the social functionality of the patients, to increase the level of insight and to reduce the perception of stigma, and to close an important gap in the literature, thanks to peer education-supported psychosocial skills training.

Conditions

Chronic Mental Disorders; Peer Support; Psychosocial Skills Training; Functionality; Stigmatization; Insight

Outcome Measures

Primary Outcomes (3)

• Functionality (Social Functioning Assessment Scale)

  This scale evaluates 19 items and four sub-dimensions in general in patients with schizophrenia. Among the factors, interpersonal explanations and entertainment consist of seven items, self-care seven items, independent living needs four items, and work-life one item. The scores that can be obtained from the scale are between 19 and 57, and a high score means that social functioning measures are high. It is expected that there will be an increase in the functionality levels of the experimental groups.

  6 Weeks

• Stigmatization (Self-Stigma Scale)

  It is a 3-factor scale consisting of 17 items for patients evaluating self-stigmatization or internalized stigma, concealment of illness and perception of worthlessness in individuals with mental illness. A five-point Likert-type scale was created as "1=not at all suitable for me, 2=somewhat appropriate, 3=moderately appropriate, 4=generally appropriate, 5=completely appropriate". As the score obtained from the scale increases, the self-stigmatization of the patients increases. The Cronbach's alpha correlation coefficient value of the scale is 0.93, indicating high reliability. It is expected that the stigma perceptions of the experimental groups will decrease.

  6 Weeks

• Insight (Beck Cognitive Insight Scale)

  The Turkish validity and reliability study of the scale developed to assess cognitive insight was conducted. The scale, which is a four-point Likert type, consists of 15 items and has 2 sub-dimensions "self-confidence" and "self-evaluation". The scoring system of the scale consists of "disagree" 0 points, "somewhat agree" 1 point, "mostly agree" 2 points, "strongly agree" 3 points. The total (composite) score of the scale is obtained by subtracting the self-evaluation items (1,3,4,5,6,8,12,14,15) from the self-confidence item scores (2,7,9,10,11,13). The total score range of the scale is between -18 and 27 points. A high score indicates a high level of insight. In the reliability study of the Turkish version of the scale, the internal consistency Cronbach's alpha coefficient was found to be 0.68. It is expected that there will be an increase in the insight levels of the experimental groups.

  6 Weeks

Study Arms (5)

Experimental Group 1

EXPERIMENTAL

It will consist of 10 patients who have received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.

Other: Peer Education Supported Psychosocial Skills Education

Experimental Group 2

EXPERIMENTAL

It will consist of 10 patients who have not received psychosocial skills training by the staff of the center, and a 6-week peer-supported psychosocial skills training will be given by the peer-leaders trained by the researcher psychiatric nurse.

Other: Peer Education Supported Psychosocial Skills Education

Control Group 1

NO INTERVENTION

It will consist of 10 patients who have received psychosocial skills training by the center staff and no intervention will be applied.

Control Group 2

NO INTERVENTION

It will consist of 10 patients who have not received psychosocial skills training by the center staff and no intervention will be applied.

Peer Practitioner Training

OTHER

It is the group in which psychosocial skills training will be given to 4 patients with chronic mental disorders by a researcher psychiatric nurse.

Other: Peer practitioner training - Peer Education Supported Psychosocial Skills Education

Interventions

Peer practitioner training - Peer Education Supported Psychosocial Skills Education OTHER

Psychosocial skills training-practitioner training will be given to 4 patients diagnosed with chronic mental disorder by the research psychiatry nurse. Educational content 1. Getting acquainted - briefing about the study 2. The Importance, Aims and Objectives of Psychosocial Skills Education 3. The importance of peer support 4. The importance, aims and objectives of peer education supported psychosocial skills training 5. Management of the meeting game, warm-up games and role plays 6. 1st and 2nd session peer education supported psychosocial skills training 7. 3rd and 4th session peer education supported psychosocial skills training 8. The last 5th and 6th sessions of peer education are supported by psychosocial skills training. 9. Key points and termination in group management. The training will be planned to last 10-13 hours in total. Trainer's booklet prepared by the researcher psychiatric nurse.

Peer Practitioner Training

Peer Education Supported Psychosocial Skills Education OTHER

It is a psychosocial skills training that will be given to both experimental groups in 6 sessions within 6 weeks. 2 of the 4 peer trainers who received the practitioner training will conduct the training. During the training period, the research psychiatric nurse will support. Session titles are as follows: 1. Session:Preparation Session 2. Session: Understanding Mental Disorders 3. Session: Developing Communication Skills 4. Session: Developing Emotion Recognition and Expression Skills 5. Session: Dealing with Daily Living Activities and Problems 6. Session: Understanding the Stigma Experience The duration of each session is determined as 90 minutes. Taking into account the patient's opinions breaks not exceeding 15 minutes will be given as needed.

Experimental Group 1; Experimental Group 2

Eligibility Criteria

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

You may qualify if:

• For peer practitioner training:
• Being registered with the Community Mental Health Center (CMHC),
• Participating in the study voluntarily and being an instructor in 6 sessions of psychosocial skills training.
• Having a high level of functionality according to the functionality scale
• Not in the active period of the disease
• Being able to read and write and not have any communication problems in understanding and speaking Turkish.
• Well-being for at least 6 months according to the treatment team and according to the records.
• For Peer-Supported Psychosocial Skills Training:
• Coming to CMHC regularly
• Volunteer to participate in the study and agree to attend 6-week sessions
• Not in the active period of the disease.
• Ability to read, write and communicate in Turkish
• Being healthy for at least 6 months according to the treatment team and records
• Having the experience of receiving standard psychosocial skills training by mental health professionals working in the institution for Experimental Group 1 and Control Group 1.

You may not qualify if:

• Not registering with CMHC.
• Inability to give written informed consent to the study
• Inability to communicate in written or verbal Turkish at a level that will complete the assessments and be included in the groups.
• The emergence of acute illness symptoms during the education process

Sponsors & Collaborators

• Tokat Gaziosmanpasa University: lead

Study Sites (1)

Samsun Mental Health and Diseases Hospital - Community Mental Health Center

Samsun, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stereotyping

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Nermin Gürhan, Prof. Dr.

  Tokat Gaziosmanpa University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Masking could not be done in the study because training was to be provided. The identification and randomization of groups will be performed by the center staff using the blinding technique without the knowledge of the researcher to avoid bias.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Psychiatric Nurse

Study Record Dates

• First Submitted: July 20, 2023
• First Posted: August 8, 2023
• Study Start: July 31, 2023
• Primary Completion: August 4, 2023
• Study Completion: September 29, 2023
• Last Updated: February 22, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)