Efficacy of the Recovery Workbook as a Psychoeducational Tool for Facilitating Recovery

Queen's University

Status: Completed

Conditions: Mental Disorders

Treatments: Behavioral: ACT as usual; Behavioral: Recovery Workbook Training (psychoeducational training)

Study type: Interventional

Funder types: Other

Identifiers

NCT00375167

1

Details and patient eligibility

About

The present study will determine if Spaniol and colleague's (1994) Recovery Workbook group intervention is an effective clinical tool to move a person with SMI along in their journey of recovery. The primary outcome measurements of this study will be the participants' perceived level of empowerment, hope and optimism, knowledge of recovery, and life satisfaction. This kind of information would add to the current body of knowledge about how principles of recovery can be used in psychoeducational programs used by outpatient community mental health services.

Full description

ABSTRACT:

Objective: Adopting the principles of recovery into the mental health field has been a growing area for discussion at many different levels of care. The present study will determine if Spaniol and colleague's (1994) Recovery Workbook group intervention can be used as an effective clinical tool to move a person with a severe mental illness along in their journey of recovery. The primary outcome measurements of this study will be the participants' perceived level of empowerment, hope and optimism, knowledge of recovery, and life satisfaction. Method: The study will be a multicenter, prospective, single-blinded, randomized control trial. Sixty participants will be recruited from three Assertive Community Treatment Teams (ACTT) in Kingston, Ontario and individuals will be randomized to either the control or intervention arm of the study. The control arm of the study will receive their regular services from ACTT. The intervention arm will participate in a 10-week psychoeducational group program in addition to receiving their regular services from ACTT. Results: Analysis will be performed by intention to treat, based on total scores of four assessments which will be performed at the trial commencement and termination.

Enrollment: 33 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Receive support from an Assertive Community Treatment Team.
2. Meet the DSM-IV diagnostic classification for schizophrenia, schizoaffective, schizophreniform, delusional disorder, or bipolar disorder.
3. Aged 18-55 years-old.
4. Individuals agree to participate in the study after they have been informed of all the expected benefits and risks.
5. Neither substance misuse nor organic disorder judged to be the major cause of psychotic symptoms.

Exclusion criteria

1. Inability to give informed consent
2. Diagnosis of dementia
3. Significant head injury or other brain injury leading to cognitive impairment
4. Mental retardation (premorbid IQ < 65)
5. Require an interpreter

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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33 participants in 2 patient groups

Recovery Workbook Intervention

Experimental group

Description:

12-week Recovery Intervention: The intervention is a 12-week group-based intervention. The intervention is informed by the Recovery Workbook- a validated intervention for people with serious mental illness. The intervention includes 2 hour sessions for 12 weeks that focus on the following areas: Introduction to the intervention; Recovery; Knowledge and Control; Managing life stress; Enhancing personal meaning; Building personal support; and Setting personal goals. The total time period of the intervention is 24 hours. Participants in this arm also receive treatment as usual.

Treatment:

Behavioral: Recovery Workbook Training (psychoeducational training)

Behavioral: ACT as usual

Treatment as usual

No Intervention group

Description:

The participants in the control arm will continue to receive treatment as usual. TAU is Assertive Community Treatment. Assertive Community Treatments are structured to meet set fidelity standards that are evidence-based. This arm did not receive any intervention.