Self-Management and Recovery Technology Psychosocial Intervention Trial

NCT ID: NCT02474524

Last Updated: 2017-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-01

Study Completion Date

2017-07-31

Brief Summary

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This project is a component of a broader research program referred to as "Self-Management and Recovery Technology (SMART): Use of online technology to promote self-management and recovery in people with psychosis", which has been funded by the Victorian Department of Health Mental Illness Research Fund (MIRF33). The overall research program is examining the therapeutic potential of using online (Internet-based) educational and multimedia resources in mental health services. It involves the development of a website which can be accessed via an internet browser on a desktop computer, tablet computer, or smartphone. It consists of a series of educational modules containing textual information, exercises, audio, and video clips designed to promote self-management and recovery in people with a history of persisting mental illness.

This particular project (SMART-Therapy) involves a randomised controlled trial examining the use of a discrete 8-session psychosocial intervention delivered in addition to routine care which utilises these online materials. The intervention will involve a mental health worker meeting with the participant with a tablet computer (e.g. iPad) on which online materials can be viewed, and used to guide an interaction with the participant.

The randomised controlled trial will include 148 participants, who will be randomised to receive one of two interventions: (a) meeting with a support worker using the SMART website to guide interaction (health intervention), or (b) meeting with a support worker delivering a social interaction-based control condition (social intervention). In each condition, there will be 8 x 50min face-to-face sessions over 3 months. Assessments will be completed pre-randomisation, and at 3, 6 and 9 months.

The primary hypothesis is that participants randomised to the health intervention will show greater improvement in personal recovery than participants randomised to the social intervention, and that these improvements will be maintained at follow-up (6 and 9 months following intake).

Detailed Description

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Conditions

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Schizophrenia Affective Disorders, Psychotic Psychotic Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Health intervention

\+ treatment as usual

Group Type EXPERIMENTAL

Health intervention

Intervention Type BEHAVIORAL

Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker, in addition to their routine care. Sessions will be structured by the worker and participant using a tablet computer to view materials on mental health self-management and personal recovery on a dedicated website for the trial. These will include information, videos, audio and exercises. Online materials make particular use of videos featuring people with lived experience of psychosis discussing how they have dealt with issues in their recovery, and will allow users to post comments on videos and in a forum. Participants may access online materials both during intervention sessions and outside sessions using any Internet-enabled device.

Social intervention

\+ treatment as usual

Group Type ACTIVE_COMPARATOR

Social intervention

Intervention Type BEHAVIORAL

Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker in addition to routine care (treatment as usual). The social intervention will utilise a computer tablet (i.e., iPad) servicing online resources to extend a manualised befriending intervention, based upon social interaction, designed to control for therapist contact and computer use. Each session will involve interaction about non-health related topics of interest to the participants, which will be facilitated by use of viewing online material related to these interests on a tablet computer as a prompt to conversation.

Interventions

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Health intervention

Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker, in addition to their routine care. Sessions will be structured by the worker and participant using a tablet computer to view materials on mental health self-management and personal recovery on a dedicated website for the trial. These will include information, videos, audio and exercises. Online materials make particular use of videos featuring people with lived experience of psychosis discussing how they have dealt with issues in their recovery, and will allow users to post comments on videos and in a forum. Participants may access online materials both during intervention sessions and outside sessions using any Internet-enabled device.

Intervention Type BEHAVIORAL

Social intervention

Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker in addition to routine care (treatment as usual). The social intervention will utilise a computer tablet (i.e., iPad) servicing online resources to extend a manualised befriending intervention, based upon social interaction, designed to control for therapist contact and computer use. Each session will involve interaction about non-health related topics of interest to the participants, which will be facilitated by use of viewing online material related to these interests on a tablet computer as a prompt to conversation.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. diagnosis of a functional psychotic disorder (schizophrenia-related disorder OR bipolar disorder or major depressive disorder with the presence of a severe episode with psychotic features within the past 2 years);
2. sufficient fluency in English to make use of the resources;
3. overall intellectual functioning within normal limits (WTAR estimated IQ\>70);
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Alfred

OTHER

Sponsor Role collaborator

St Vincent's Hospital Melbourne

OTHER

Sponsor Role collaborator

Melbourne Health

OTHER

Sponsor Role collaborator

Mental Illness Fellowship of Victoria

UNKNOWN

Sponsor Role collaborator

Mind Australia

OTHER

Sponsor Role collaborator

La Trobe University

OTHER

Sponsor Role collaborator

Deakin University

OTHER

Sponsor Role collaborator

Austin Health

OTHER_GOV

Sponsor Role collaborator

Neami National

UNKNOWN

Sponsor Role collaborator

Peninsula Health

OTHER_GOV

Sponsor Role collaborator

Eastern Health

OTHER

Sponsor Role collaborator

EACH

UNKNOWN

Sponsor Role collaborator

Swinburne University of Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neil Thomas

Role: PRINCIPAL_INVESTIGATOR

Swinburne University of Technology/Alfred Health

Locations

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EACH

Eastern Melbourne, Victoria, Australia

Site Status

Eastern Health

Eastern Melbourne, Victoria, Australia

Site Status

Mental Illness Fellowship of Victoria

Fairfield, Victoria, Australia

Site Status

St Vincent's Health mental health services

Fitzroy, Victoria, Australia

Site Status

Peninsula Health

Frankston, Victoria, Australia

Site Status

Austin Health

Heidelberg, Victoria, Australia

Site Status

Mind Australia

Heidelberg, Victoria, Australia

Site Status

Alfred Health mental health services

Melbourne, Victoria, Australia

Site Status

Neami National

Melbourne, Victoria, Australia

Site Status

North Western Mental Health

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

References

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Thomas N, Farhall J, Foley F, Rossell SL, Castle D, Ladd E, Meyer D, Mihalopoulos C, Leitan N, Nunan C, Frankish R, Smark T, Farnan S, McLeod B, Sterling L, Murray G, Fossey E, Brophy L, Kyrios M. Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol. BMC Psychiatry. 2016 Sep 7;16(1):312. doi: 10.1186/s12888-016-1024-1.

Reference Type DERIVED
PMID: 27604363 (View on PubMed)

Other Identifiers

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MIRF33

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2014/119

Identifier Type: -

Identifier Source: org_study_id