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.

NCT ID: NCT06738784

Last Updated: 2024-12-18

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-09

Study Completion Date

2027-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The main hypothesis is that the use of the PRPP, through its scientific validity, will facilitate the decision-making of multi-professional care teams for the ambulatory support of PATPV to support :

* maintenance of independent housing
* or referral to a suitable place to live

This is a prospective, single-center study conducted within the "pathologies, handicap and aging" unit of the General and University Psychiatry (PGU) cluster at the Charles Perrens Hospital in Bordeaux.

The "pathologies, disability and aging" unit is dedicated to addressing the loss of autonomy and disability of people suffering from severe psychiatric disorders. One of its aims is to prevent hospitalization, particularly long-term hospitalization, for patients with chronic psychiatric pathologies who have become care-dependent. The program is structured around a multi-professional mobile team in charge of assessments, and a day hospital providing outpatient psychosocial rehabilitation care.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Mental Health Aging Disorder Psychiatric Disorder

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

mental health geriatric psychiatry ergotherapy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

PRPP Evaluation

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.

Group Type EXPERIMENTAL

Perceive, Recall, Plan and Perform (PRPP) evaluation

Intervention Type BEHAVIORAL

Passing the PRPP for 2 activities

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Perceive, Recall, Plan and Perform (PRPP) evaluation

Passing the PRPP for 2 activities

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 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

Exclusion Criteria

* Being hospitalized for more than 18 months
* Refuse inclusion in the research project
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Centre Hospitalier Charles Perrens, Bordeaux

OTHER_GOV

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Centre Hospitalier Charles Perrens

Bourdeaux, Gironde, France

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

France

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Julie BONVALLET

Role: CONTACT

Phone: 05.33.57.80.23

Email: [email protected]

Helen SAVARIEAU

Role: CONTACT

Phone: 05.56.56.35.56

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Julie BONVALLET

Role: primary

Helen SAVARIEAU

Role: backup

References

Explore related publications, articles, or registry entries linked to this study.

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

Reference Type 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.

Reference Type BACKGROUND
PMID: 20854512 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 18824328 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 37380207 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 36198473 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2024-A01961-46

Identifier Type: -

Identifier Source: org_study_id