The Grow to Recovery Train-the-Trainer Program

March 22, 2024 updated by: National Cheng-Kung University Hospital

The Development and Efficacy of the Grow to Recovery Train-the-Trainer Program

Recovery-oriented services are becoming popular in the mental health field. However, recovery-oriented services are still in the beginning stages in Taiwan. Many professionals do not know how to implement recovery-oriented services. More effort should be made to improve mental health services in Taiwan. Hence, the aim of this study is to examine the effectiveness of the Grow to Recovery Train-the-Trainer program.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The study will verify the effectiveness of the Train-the-Trainer program with the cluster randomized controlled trial design. The resesarchers will recruit 10 psychiatric rehabilitation organizations, including 80 mental health professionals and 160 people with mental illness. The professionals of the intervention group will receive a online training and then conduct a 5-month recovery group. The organization-level and service user assessments will be collected to examine the overall outcomes.

Study Type

Interventional

Enrollment (Actual)

170

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Taiwan
      • Tainan, Taiwan, 701
        • National Cheng Kung University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Professionals:

  1. working in the community psychiatric rehabilitation organizations
  2. being willing to participate in the study

People with mental illness

  1. having a diagnosis of mental illness
  2. living in the community
  3. being age 20 yr or older
  4. receiving services from the collaborating organizations
  5. filling out the scales independently
  6. being able to participate in a recovery group and follow the group rules

Exclusion Criteria:

  • attending another recovery-related group

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: The Grow to Recovery train-the-trainer group
Professionals of the train-the-trainer group will receive an online training and then conduct a recovery group.
Behavioral: The Grow to Recovery Train-the-Trainer program

Mental health professionals will receive an online training, a trainer manual, a recovery manual (for people with mental illness), and "Pathways to Recovery: A Strengths Recovery Self-help Workbook". The online training includes the concept of recovery, the implementation of recovery-oriented services, and the introduction of the Grow to recovery group. After the training, these professionals will conduct a 5-month Grow to recovery group in their own organization.

People with mental illness will attend the Grow to recovery group delivered by mental health professionals who has received the online training.
Other: Control group
Professionals of the control group will not receive training.
Other: Control group
Mental health professionals will not receive any training. People with mental illness will receive a spiritual book and read by themselves.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Recovery Self Assessment (change will be assessed)
Time Frame: Change from Baseline RSA score at 6 months
The RSA will be used to examine participants' perceptions of the degree to which the organization follows recovery principles. The researchers will collect data from professionals and people with mental illness.
Change from Baseline RSA score at 6 months
Recovery-Promoting Relationships Scale (change will be assessed)
Time Frame: Change from Baseline RPRS score at 6 months
The RPRS measures the recovery competence of practitioners from the perspectives of people with mental illness.
Change from Baseline RPRS score at 6 months
Recovery-Promoting Competence Scale (change will be assessed)
Time Frame: Change from Baseline RPCS score at 1.5 month, and 6 months
The RPCS measures the recovery competence of practitioners and is a self-report scale.
Change from Baseline RPCS score at 1.5 month, and 6 months
Recovery Attitudes Measure (change will be assessed)
Time Frame: Change from Baseline RAM score at 1.5 month, and 6 months
The RAM measures the knowledge and attitudes toward recovery.
Change from Baseline RAM score at 1.5 month, and 6 months
Stages of Recovery Scale (change will be assessed)
Time Frame: Change from Baseline SRS score at 6 months
The SRS scale consists of 45 items, with six subscales: the sense of hope, disability management/taking responsibility, regaining autonomy, social functioning/role performance, overall well-being, and willingness to help.
Change from Baseline SRS score at 6 months
Rosenberg Self-Esteem Scale (change will be assessed)
Time Frame: Change from Baseline RSE score at 6 months
The purpose of the 10-item RSE scale is to measure self-esteem.
Change from Baseline RSE score at 6 months
Medical Outcomes Study Social Support Survey (change will be assessed)
Time Frame: Change from Baseline MOS-SS score at 6 months
The Medical Outcomes Study Social Support Survey (MOS-SS) is a multidimensional, self-administered instrument that addresses all five functions of an interpersonal relationship to assess the various functional dimensions of social support, including emotional , informational, tangible, affectionate, and positive interaction (Sherbourne & Stewart, 1991).
Change from Baseline MOS-SS score at 6 months
The Hope Scale (change will be assessed)
Time Frame: Change from Baseline THS score at 6 months
A 12-item THS scale measures level of sense of hope.
Change from Baseline THS score at 6 months
Brief Symptom Rating Scale-50 (change will be assessed)
Time Frame: Change from Baseline BSRS-50 score at 6 months
A BSRS-50 scale comprises 50 items, which best reflect the original ten symptom dimensions and three indices of psychopathology from the SCL-90-R.
Change from Baseline BSRS-50 score at 6 months

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Qualitative data
Time Frame: At 6 month
The researchers will conduct focus groups with professionals of the intervention group after completing the 5-month recovery group. Those qualitative data will be transcribed and analyzed.
At 6 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Cheng-Kung University Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 2, 2022

Primary Completion (Actual)

August 28, 2023

Study Completion (Actual)

August 28, 2023

Study Registration Dates

First Submitted

October 23, 2022

First Submitted That Met QC Criteria

November 2, 2022

First Posted (Actual)

November 7, 2022

Study Record Updates

Last Update Posted (Actual)

March 25, 2024

Last Update Submitted That Met QC Criteria

March 22, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • B-ER-108-428

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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