Evaluation of the Efficiency of the PRPP (Perceive, Recall, Plan and Perform) Task Analysis System on Support and Orientation Decisions for People With Aging Psychiatric Disorders (PATPV) Living in Independent Housing.

NCT06738784 | Recruiting

• 1 other identifier: 2024-A01961-46
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Over the past 30 years, mental health policy has been geared towards increasing the number of people receiving care in the community, with a reduction of over 50% in the number of general psychiatric beds. The WHO recommends the implementation of alternatives to hospitalization, through the development of outpatient and home-based psychiatric care programs that support independent living. People suffering from psychiatric disorders show cognitive decline as they age, including deficits in perception, attention, memory and problem-solving. These cognitive problems affect the ability to carry out the tasks of daily life, and make it more difficult to remain at home. In order to avoid hospitalization for these psychiatrically-stabilized patients who are losing their autonomy, it is necessary to take into account their mental and cognitive handicap, and to provide them with appropriate compensation. Occupational therapy is a discipline concerned with the assessment, rehabilitation and integration of people with disabilities. Occupational therapists provide ecological assessments to support personalized care plans. The PRPP (Perceive, Recall, Plan and Perform) task analysis system is a validated, ecological tool that integrates an occupational therapy assessment and intervention model. The PRPP assessment measures occupational performance and the impact of cognitive impairments on information processing and on the cognitive strategies required to carry out activities. Research conducted in Canada illustrates the value of PRPP in supporting people with schizophrenia. To the best of our knowledge, no team has studied the use of PRPP in the decision-making process for maintaining people with aging psychiatric disorders (PATPV) at home.

Conditions

Mental Health; Aging Disorder; Psychiatric Disorder

Keywords

mental health; geriatric psychiatry; ergotherapy

Outcome Measures

Primary Outcomes (1)

• Efficiency of the PRPP system for living orientation

  Scoring the PRPP system for monitoring changes in occupational performance following the implementation of a personalized psycho-social rehabilitation project.

  9 months after inclusion

Secondary Outcomes (1)

• Number of hospitalizations since inclusion

  12 months after inclusion

Study Arms (1)

PRPP Evaluation

EXPERIMENTAL

T0 to T3 months: Evaluations * Multi-professional assessment by mobile team or day hospital * Completion of PRPP on 2 activities T3 months: First referral \- Decision on the participant's future orientation following the PRPP T3 months to T9 months: Outpatient psychosocial rehabilitation (standard care) * Personalized psychosocial rehabilitation program determined in part by the PRPP and carried out in the day hospital for all participants. * PRPP interventions (occupational therapy) T9 months: Reassessment and confirmation of orientation * Second round of PRPP based on activities assessed at T3 months * Questionnaires to help with referral decisions, completed by the multi-professional teams involved in the program, and by the treating psychiatrist after the second PRPP has been completed.

Behavioral: Perceive, Recall, Plan and Perform (PRPP) evaluation

Interventions

Perceive, Recall, Plan and Perform (PRPP) evaluation BEHAVIORAL

Passing the PRPP for 2 activities

PRPP Evaluation

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Be at least 40 years old
• Reside within the PGU sector (Mérignac, Pessac, Talence and Gradignan)
• Receive support from the PGU - CHCP "pathologies, disability and aging" department.
• Fluency in French

You may not qualify if:

• Being hospitalized for more than 18 months

Sponsors & Collaborators

• Centre Hospitalier Charles Perrens, Bordeaux: lead

Study Sites (1)

Centre Hospitalier Charles Perrens

Bourdeaux, Gironde, 33076, France

RECRUITING

Related Publications (5)

• Chapparo, C., Ranka, J. L., & Nott, M. T. (2017). Perceive, Recall, Plan and Perform (PRPP) system of task analysis and intervention. In Occupational therapy for people experiencing illness, injury or impairment: Promoting occupation and participation (pp. 243-257). Elsevier

  BACKGROUND

• Aubin G, Chapparo C, Gelinas I, Stip E, Rainville C. Use of the Perceive, Recall, Plan and Perform System of Task Analysis for persons with schizophrenia: a preliminary study. Aust Occup Ther J. 2009 Jun;56(3):189-99. doi: 10.1111/j.1440-1630.2007.00725.x.

  PMID: 20854512 BACKGROUND

• Aubin G, Stip E, Gelinas I, Rainville C, Chapparo C. Daily activities, cognition and community functioning in persons with schizophrenia. Schizophr Res. 2009 Feb;107(2-3):313-8. doi: 10.1016/j.schres.2008.08.002. Epub 2008 Sep 27.

  PMID: 18824328 BACKGROUND

• Lindstad MO, Obstfelder AU, Sveen U, Stigen L. Feasibility of the Perceive, Recall, Plan and Perform system of intervention for persons with brain injury in community-based rehabilitation: a pilot for a multiple-baseline design study. BMJ Open. 2023 Jun 28;13(6):e067593. doi: 10.1136/bmjopen-2022-067593.

  PMID: 37380207 BACKGROUND

• Lindstad MO, Obstfelder AU, Sveen U, Stigen L. Effectiveness of the Perceive, Recall, Plan and Perform intervention for persons with brain injury in community-based rehabilitation: protocol for a single-case experimental design with multiple baselines. BMJ Open. 2022 Oct 5;12(10):e060206. doi: 10.1136/bmjopen-2021-060206.

  PMID: 36198473 BACKGROUND

MeSH Terms

Conditions

Psychological Well-Being; Mental Disorders

Interventions

Phosphoribosyl Pyrophosphate

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Intervention Hierarchy (Ancestors)

Pentosephosphates; Sugar Phosphates; Carbohydrates

Central Study Contacts

Julie BONVALLET

CONTACT

05.33.57.80.23; jbonvallet@ch-perrens.fr

Helen SAVARIEAU

CONTACT

05.56.56.35.56; hsavarieau@ch-perrens.fr

Study Design

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

Study Record Dates

• First Submitted: December 9, 2024
• First Posted: December 18, 2024
• Study Start: December 9, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2027
• Last Updated: March 16, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)