Enhancing Community Participation Through Peer-Delivered Decision Support

NCT06492434 | Completed DMC

• 2 other identifiers: 27003490IFRE0068
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illness (SMI).

Conditions

Severe Mental Disorder

Keywords

Peer specialists, Decision Support Techniques, Young Adult

Outcome Measures

Primary Outcomes (6)

• Change in decisional conflict scale

  The Factors Contributing to Uncertainty subscale of the Decisional Conflict Scale measures decision-making needs. Possible scores range from 0 to 36, with higher scores indicating a worse outcome.

  Baseline, through intervention completion (up to 3 months)

• Change in decision self-efficacy scale

  The Decision Self-Efficacy Scale assesses confidence in making an informed choice. Possible scores range from 0 to 44, with higher scores indicating a better outcome.

  Baseline, through intervention completion (up to 3 months)

• Decision-making behaviors at post-intervention

  Number of behaviors (range: 0-6) endorsed on Decision-Making Behaviors scale at post-intervention.

  Post-intervention (up to 3 months post-baseline)

• Decision Satisfaction Scale Score at post-intervention

  The Decision Satisfaction Scale assesses a person's satisfaction with a health decision. Possible scores range from 6-30, with higher scores indicating a better outcome.

  Post-intervention (up to 3 months post-baseline)

• Change in Temple University Community Participation Measure (sufficiency)

  Sufficiency scores on the Temple University Community Participation Measure assess how satisfied individuals are with their amount of community participation in areas that are important to them. Possible scores range from 0-100, with higher scores indicating a better outcome.

  Baseline, through intervention completion (up to 3 months)

• Change in Temple University Community Participation Measure (breadth ratio)

  Breadth ratio scores on the Temple University Participation Measure assess breadth of participation in areas considered important to a person. Possible scores range from 0-100, with higher scores indicating a better outcome.

  Baseline, through intervention completion (up to 3 months)

Study Arms (1)

Peer decision coaching arm

EXPERIMENTAL

All participants will engage in the Peer Decision Coaching intervention.

Behavioral: Peer decision coaching

Interventions

Peer decision coaching BEHAVIORAL

Peer Decision Coaching is a brief, personalized intervention grounded in evidence-based decision- and peer support principles. During the intervention, a trained peer specialist supports the young person in identifying a decision related to community participation that they need to make, such as whether to work or go to school, helping them address decision-making needs, and assisting them with developing and implementing a decision-making plan. Ultimately, the intervention aims to support young people in pursuing their community participation interests and goals.

Peer decision coaching arm

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• years of age;
• Experiencing a SMI, as determined by: (a) self-reported psychiatric diagnosis of schizophrenia-spectrum or major affective disorder, and (b) self-reported current or past functional impairment due to experiencing mental health challenges in one or more major life areas (i.e., work school, social activities)
• Able to identify at least 2 areas of community participation that individuals want to be doing more in in the next 6 months
• Current sufficiency of community participation (i.e., number of important participation areas done enough / number of important participation areas) of 50% or less.

You may not qualify if:

• Unable to provide informed consent, as assessed by research staff using an active recall method
• limited ability to act on decisions due to self-reported legal, residential, or guardianship restrictions.

Sponsors & Collaborators

• Temple University: lead
• National Institute on Disability, Independent Living, and Rehabilitation Research: collaborator

Study Sites (2)

Temple University

Philadelphia, Pennsylvania, 19122, United States

Location

Copeland Center for Wellness and Recovery

Brattleboro, Vermont, 05302, United States

Location

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Elizabeth Thomas, PhD

  Temple University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: July 2, 2024
• First Posted: July 9, 2024
• Study Start: July 1, 2024
• Primary Completion: August 31, 2025
• Study Completion: August 31, 2025
• Last Updated: December 29, 2025

Record last verified: 2025-12

Locations

US (2)