- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04517279
Peer Approaches to Substances in Early Psychosis Programs: A Pilot Study of a Peer-Led Intervention (PAS-EPP)
Advancing the Early Psychosis Intervention Network in Texas
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The pilot study examines the feasibility of a cluster randomized controlled trial to measure the effectiveness of Peer Approaches to Substances in Early Psychosis Programs (PAS-EPP) compared to usual care (UC). PAS-EPP is a peer-led, manualized intervention to support youth and young adults receiving treatment for early psychosis with reducing or stopping problematic substance use. Peer providers, who represent clusters of service participants, will participate in a multi-day PAS-EPP training. Training will include exploring the theoretical basis for the intervention approach and logic model, impact of service participant and peer provider on intervention design, the intervention strategies, and opportunities to build skill in each intervention component (e.g., role play with feedback). Peer providers will also receive twice monthly supervision to support intervention fidelity and resolve questions.
The proposed pilot study aims to: (a) determine if peer providers can implement PAS-EPP with adequate fidelity; (b) determine if youth and young adults engage in the intervention with peer providers and find it acceptable; (c) estimate the rates of drop-out for each of the two study arms; (d) estimate both between-participant (within-provider team) and between-team variability (e.g., standard deviation, interquartile range) on key outcome measures for a future comparative cluster randomized trial of the intervention; and (e) identify any changes needed to the intervention approach, manual, or training materials.
Twenty-five teams across 15 sites will be randomly assigned to PAS-EPP or UC, ensuring that the three sites with more than one team have at least one team randomized to each arm. All youth meeting eligibility criteria will be enrolled in the study and will receive either PAS-EPP or UC, based on the assignment status of their provider team. Intervention integrity will be measured through a peer-completed fidelity checklist. Participant outcomes will be measured through existing data collection at each participating organization. All participant outcome and service data is reported through the EPINET-TX platform, which allows for measurement-based care at participating sites and research using de-identified data.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Molly Lopez, PhD
- Phone Number: 5125600484
- Email: mlopez@austin.utexas.edu
Study Contact Backup
- Name: Deborah Cohen, PhD
- Phone Number: 512-232-0618
- Email: dacohen@austin.utexas.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- enrolled in a CSC program during the defined study period;
- continued program enrollment at six month follow-up from program entry;
- continued alcohol/substance use at six-month follow-up from program entry.
Exclusion Criteria:
- none
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Usual Care
The peer providers operating under the Usual Care condition will continue to provide peer support services to individuals within the coordinated specialty care team.
|
Usual peer services involves supporting the process of change for individuals with mental health disorder to improve their health and wellness, live a self-directed life, and strive to reach their full potential.
|
Experimental: Peer Approaches to Substances in Early Psychosis Programs
The Peer Approaches to Substances in Early Psychosis Programs arm is an intervention focused on enhancing the recovery capital of individuals in early psychosis care.
The intervention is provided by a peer provider, operating on the coordinated specialty care team
|
The intervention has not be fully developed.
It will be created in partnership with individuals serving in peer provider roles.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Alcohol Use
Time Frame: 6 months after initiation of the intervention
|
The primary outcome is the use of alcohol within the past 6 months as measured by the Alcohol Use Scale.
The scale ranges from 1 to 5, with higher scores indicating more significant severity.
Alcohol use is measured by a score of 2 or greater.
|
6 months after initiation of the intervention
|
Alcohol Use
Time Frame: 12 months after initiation of the intervention
|
The primary outcome is the use of alcohol within the past 6 months as measured by the Alcohol Use Scale.
The scale ranges from 1 to 5, with higher scores indicating more significant severity.
Alcohol use is measured by a score of 2 or greater.
|
12 months after initiation of the intervention
|
Drug Use
Time Frame: 6 months after initiation of the intervention
|
The primary outcome is the use of substances within the past 6 months as measured by the Drug Use Scale.
The scale ranges from 1 to 5, with higher scores indicating more significant severity.
Drug use is measured by a score of 2 or greater.
|
6 months after initiation of the intervention
|
Drug Use
Time Frame: 12 months after initiation of the intervention
|
The primary outcome is the use of substances within the past 6 months as measured by the Drug Use Scale.
The scale ranges from 1 to 5, with higher scores indicating more significant severity.
Drug use is measured by a score of 2 or greater.
|
12 months after initiation of the intervention
|
Role Functioning
Time Frame: 6 months after initiation of the intervention
|
The primary outcome is measured on the Global Functioning: Role scale (current).
The scale ranges from 0 to 10, with higher scores reflecting better role functioning.
|
6 months after initiation of the intervention
|
Role Functioning
Time Frame: 12 months after initiation of the intervention
|
The primary outcome is measured on the Global Functioning: Role scale (current).
The scale ranges from 0 to 10, with higher scores reflecting better role functioning.
|
12 months after initiation of the intervention
|
Social Functioning
Time Frame: 6 months after initiation of the intervention
|
The primary outcome is measured on the Global Functioning: Social scale (current).
The scale ranges from 0 to 10, with higher scores reflecting better role functioning.
|
6 months after initiation of the intervention
|
Social Functioning
Time Frame: 12 months after initiation of the intervention
|
The primary outcome is measured on the Global Functioning: Social scale (current).
The scale ranges from 0 to 10, with higher scores reflecting better role functioning.
|
12 months after initiation of the intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Stage of Change
Time Frame: 6 months after initiation of the intervention
|
This secondary outcome is measured on the Substance Abuse Treatment Scale.
The scale is ordinal, with 1 reflecting the "pre-engagement" stage and 7 reflecting "relapse prevention."
Higher numbers reflect a more advanced stage of substance use treatment.
|
6 months after initiation of the intervention
|
Stage of Change
Time Frame: 12 months after initiation of the intervention
|
This secondary outcome is measured on the Substance Abuse Treatment Scale.
The scale is ordinal, with 1 reflecting the "pre-engagement" stage and 7 reflecting "relapse prevention."
Higher numbers reflect a more advanced stage of substance use treatment.
|
12 months after initiation of the intervention
|
Perceived Well-being
Time Frame: 6 months after initiation of the intervention
|
This secondary outcome is measured by the Personal Well-being Inventory.
The summary score ranges from 0 to 100, with higher scores reflecting greater subjective well-being.
|
6 months after initiation of the intervention
|
Perceived Well-being
Time Frame: 12 months after initiation of the intervention
|
This secondary outcome is measured by the Personal Well-being Inventory.
The summary score ranges from 0 to 100, with higher scores reflecting greater subjective well-being.
|
12 months after initiation of the intervention
|
Recovery
Time Frame: 6 months after initiation of the intervention
|
This secondary outcome is measured by the Questionnaire about the Process of Recovery.
The total score ranges from 0 to 60, with higher scores reflecting greater recovery.
|
6 months after initiation of the intervention
|
Recovery
Time Frame: 12 months after initiation of the intervention
|
This secondary outcome is measured by the Questionnaire about the Process of Recovery.
The total score ranges from 0 to 60, with higher scores reflecting greater recovery.
|
12 months after initiation of the intervention
|
Severity of Psychiatric Symptomatology
Time Frame: 6 months after initiation of the intervention.
|
This secondary outcome is measured by the Brief Psychiatric Rating Scale.
The total score ranges from 0 to 108, with higher scores reflecting greater severity.
|
6 months after initiation of the intervention.
|
Severity of Psychiatric Symptomatology
Time Frame: 12 months after initiation of the intervention.
|
This secondary outcome is measured by the Brief Psychiatric Rating Scale.
The total score ranges from 0 to 108, with higher scores reflecting greater severity.
|
12 months after initiation of the intervention.
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant qualitative feedback
Time Frame: 12 months after initiation of the intervention.
|
Some participants will participate in qualitative interviews on acceptability of the intervention.
|
12 months after initiation of the intervention.
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1R01MH120599 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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