Peer Navigation for Psychiatric Disorder NOS

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Thresholds, Chicago, IL
Psychiatric Disorder NOS+3 More
Peer Navigation - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a peer navigator program can improve health outcomes for people with psychiatric disabilities.

See full description

Eligible Conditions

  • Psychiatric Disorder NOS
  • Physical Illness

Treatment Effectiveness

Effectiveness Progress

1 of 3

Other trials for Psychiatric Disorder NOS

Study Objectives

This trial is evaluating whether Peer Navigation will improve 3 primary outcomes and 11 secondary outcomes in patients with Psychiatric Disorder NOS. Measurement will happen over the course of Baseline, 4 months, 8 months, 12 months.

Month 12
Change from Baseline in 36-Item Short Form Health Survey (SF-36) Scores at Months 4, 8, and 12
Change from Baseline in Blood Pressure at Months 4, 8, and 12
Change from Baseline in COVID-19 Social Distancing and Hygiene Scale Scores at Months 4, 8, and 12
Change from Baseline in Center for Epidemiologic Studies Depression Scale-Depression 10-item version (CES-D 10) Scores at Months 4, 8, and 12
Change from Baseline in Generalized Anxiety Disorder-7 (GAD-7) Scores at Months 4, 8, and 12
Change from Baseline in Health Literacy Questionnaire (HLQ) Scores at Months 4, 8, and 12
Change from Baseline in Medication Questionnaire (MQ) Scores at Months 4, 8, and 12
Change from Baseline in Personal Satisfaction Interview Scores at Months 4, 8, and 12
Change from Baseline in Quality of Life Scale (QLS) Scores at Months 4, 8, and 12
Change from Baseline in Recovery Assessment Scale-Revised (RAS-R) Scores at Months 4, 8, and 12
Change from Baseline in Smoking Questionnaire Scores at Months 4, 8, and 12
Change from Baseline in Systolic and Diastolic Blood Pressure at Months 4, 8, and 12
Change from Baseline in TCU Health Form (TCU-HF) Scores at Months 4, 8, and 12
Change from Baseline in Texas Christian University Health Form (TCU-HLTHFORM) Scores at Months 4, 8, and 12

Trial Safety

Safety Progress

1 of 3

Other trials for Psychiatric Disorder NOS

Trial Design

2 Treatment Groups

Treatment as Usual-Integrated Care (TAU-IC)
1 of 2
Peer Navigator Program (PNP)
1 of 2
Active Control
Experimental Treatment

This trial requires 354 total participants across 2 different treatment groups

This trial involves 2 different treatments. Peer Navigation is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Peer Navigator Program (PNP)
Behavioral
Peer navigators will meet individually and face-to-face with research participants in time and places convenient to the person as needed. Specific practices are determined by the research participant with the peer navigator and may include: scheduling and attending healthcare appointments; partnering with participant on tasks that arise from appointments; health-related goal setting; and taking action-steps toward health-related goals.
Treatment as Usual-Integrated Care (TAU-IC)
Behavioral
Participants in this arm will receive integrated care from their usual provider, which is treatment as usual. Integrated care is mental health specialty and general medical care providers working together to address the physical and behavioral health care needs of patients. One-half of research participants will be randomized to integrated care alone.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Peer Navigation
2016
N/A
~870

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 4 months, 8 months, 12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 4 months, 8 months, 12 months for reporting.

Closest Location

Thresholds - Chicago, IL

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Age 18 or older
Serious mental illness (as indicated by disability)
A desire to improve their physical health/wellness and prevent disease through peer health navigation
Willing to attend
Active Thresholds member residing in the catchment area (Chicago South Side)

Patient Q&A Section

What are the signs of mental disorders?

"Symptoms of mental disorders such as social isolation, hopelessness and loss of initiative will last for more than 4 weeks. These signs should then be treated in the appropriate way. For example, for loneliness or hopelessness treatment can be helpful. However, in case of social isolation and losing of initiative it is difficult to treat due to their duration (5 weeks or longer). In these cases treatment can be more effective in case of social isolation than hopelessness." - Anonymous Online Contributor

Unverified Answer

Can mental disorders be cured?

"The effectiveness of the various treatment protocols depends on the patient and the patient's symptoms. The current medical and institutional approaches may not always lead to a desirable outcome. One option is to continue applying the traditional therapies. We do not claim that the traditional treatments are curative. More advanced and complex therapies may be necessary to reach a complete cure. However, it is important to keep in mind that treatment is generally a short process that can be very effective." - Anonymous Online Contributor

Unverified Answer

How many people get mental disorders a year in the United States?

"Each year, around 14.5 million US adults are diagnosed with a mental disorder. This makes up 19.1% of American adults (i.e. 12.5 million of US adults have one or more mental disorders at some point in their life)." - Anonymous Online Contributor

Unverified Answer

What causes mental disorders?

"It is now believed that most people develop psychological disorders through the process of the early stages of child development. The biological factors involved in this process are generally consistent and can be predicted. The most difficult challenge involves finding a means of preventing or reversing these factors." - Anonymous Online Contributor

Unverified Answer

What is mental disorders?

"As a whole, a mental disorder is a condition that is believed to be caused by an abnormality in thinking, feeling or behaving. The most common mental disorders include major mental disorders such as schizophrenia, bipolar disorder and major depression, and minor mental disorders including anxiety disorder and substance misuse disorder. Psychiatric disorders also include substance use disorders.\n" - Anonymous Online Contributor

Unverified Answer

What are common treatments for mental disorders?

"Physical and mental fitness is an important part of treatment for many mental disorders such as mood disorders. Weight is considered important, although there is no evidence that it improves outcomes. Exercise is not well studied.\n\n- Complementary and alternative medicine"" - Anonymous Online Contributor

Unverified Answer

Is peer navigation safe for people?

"Given the complexity of the problem, the potential for harm, and the lack of clear evidence concerning effectiveness, further rigorous evaluations of peer navigation in the community are warranted to confirm its efficacy." - Anonymous Online Contributor

Unverified Answer

What does peer navigation usually treat?

"Results from a recent paper, we found that nearly all the participants used the peer navigation component of DASH. Participants received referrals from their peer in the peer navigation group for: mental health, addiction, and substance abuse problems; sexual health and relationships; and mental health, social and vocational, and employment challenges, particularly for those with a lower level of education, more racial or ethnic minority, and poor access to care. Peer navigation programs could benefit clients of marginalized populations by increasing quality care for the population they represent." - Anonymous Online Contributor

Unverified Answer

Is peer navigation typically used in combination with any other treatments?

"Given the small sample size in this study, we conclude that the usefulness of peer navigation when other treatments are being used is still not known. Future studies on peer navigation and other treatments should use the same or similar definitions for peer and navigation and use a larger sample of patients as controls. We also suggest that the results obtained from this study may be more important in terms of patient engagement and in-depth knowledge on the purpose of peer navigation." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for mental disorders?

"The majority of the patients or their family members or guardians were not interested in the clinical trials of mental disorders that target treatment with psychoactive agents. It is necessary for clinicians and researchers to address clinicians' and patients' barriers for clinical trials to meet the patients' needs, to create effective communication between the clinicians and research participants and to educate the patients with psychiatric disorders." - Anonymous Online Contributor

Unverified Answer

Has peer navigation proven to be more effective than a placebo?

"Compared to a placebo only, peer navigation has demonstrated a significant improvement in the short-term improvement of psychiatric symptoms and health care use after rehabilitation. Further research is necessary in larger sample sizes to replicate these results." - Anonymous Online Contributor

Unverified Answer

How does peer navigation work?

"Peer navigation in an academic psychiatry clinic appears to be superior to usual care in terms of enhancing patient-provider interactions during psychiatric evaluation, referral assessment, and treatment decision making. Results from a recent clinical trial are based on data on patient and provider behaviors gleaned from interviews. They suggest that peer navigation may be a reasonable approach for improving the quality of care delivered in psychiatric services, even in an academic outpatient setting." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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