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Completed

NCT Number: NCT06492434

Enhancing Community Participation Through Peer-Delivered Decision Support

The purpose of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illness (SMI).

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Key information

Conditions

Severe Mental Disorder Mental Disorders

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Temple University, Philadelphia, Pennsylvania, United States

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About this study

The overarching goal of this study is to pilot test a peer-delivered decision support intervention ("peer decision coaching") designed to enhance decision-making about community participation among young adults with serious mental illnesses (SMI). We will use a single-group, pre-post, convergent mixed methods design to explore implementation and whether and how the intervention impacts decision-making and community participation outcomes. We will aim to recruit 40 participants in this intervention study. This design will enable us to link themes regarding participants' experience of the intervention with quantitative measures of decision-making and community participation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18-30 years of age;
  • Experiencing a SMI, as determined by: (a) self-reported psychiatric diagnosis of schizophrenia-spectrum or major affective disorder, and (b) self-reported current or past functional impairment due to experiencing mental health challenges in one or more major life areas (i.e., work school, social activities)
  • Able to identify at least 2 areas of community participation that individuals want to be doing more in in the next 6 months
  • Current sufficiency of community participation (i.e., number of important participation areas done enough / number of important participation areas) of 50% or less.

Exclusion criteria

  • Unable to provide informed consent, as assessed by research staff using an active recall method
  • limited ability to act on decisions due to self-reported legal, residential, or guardianship restrictions.

Treatment and study plan

Peer decision coaching

Behavioral

Peer Decision Coaching is a brief, personalized intervention grounded in evidence-based decision- and peer support principles. During the intervention, a trained peer specialist supports the young person in identifying a decision related to community participation that they need to make, such as whether to work or go to school, helping them address decision-making needs, and assisting them with developing and implementing a decision-making plan. Ultimately, the intervention aims to support young people in pursuing their community participation interests and goals.

Primary outcomes

  1. Change in decisional conflict scale

    Time frame: Baseline, through intervention completion (up to 3 months)

    The Factors Contributing to Uncertainty subscale of the Decisional Conflict Scale measures decision-making needs. Possible scores range from 0 to 36, with higher scores indicating a worse outcome.

  2. Change in decision self-efficacy scale

    Time frame: Baseline, through intervention completion (up to 3 months)

    The Decision Self-Efficacy Scale assesses confidence in making an informed choice. Possible scores range from 0 to 44, with higher scores indicating a better outcome.

  3. Decision-making behaviors at post-intervention

    Time frame: Post-intervention (up to 3 months post-baseline)

    Number of behaviors (range: 0-6) endorsed on Decision-Making Behaviors scale at post-intervention.

  4. Decision Satisfaction Scale Score at post-intervention

    Time frame: Post-intervention (up to 3 months post-baseline)

    The Decision Satisfaction Scale assesses a person's satisfaction with a health decision. Possible scores range from 6-30, with higher scores indicating a better outcome.

  5. Change in Temple University Community Participation Measure (sufficiency)

    Time frame: Baseline, through intervention completion (up to 3 months)

    Sufficiency scores on the Temple University Community Participation Measure assess how satisfied individuals are with their amount of community participation in areas that are important to them. Possible scores range from 0-100, with higher scores indicating a better outcome.

  6. Change in Temple University Community Participation Measure (breadth ratio)

    Time frame: Baseline, through intervention completion (up to 3 months)

    Breadth ratio scores on the Temple University Participation Measure assess breadth of participation in areas considered important to a person. Possible scores range from 0-100, with higher scores indicating a better outcome.

Sponsors and collaborators

Lead sponsor

Temple University

Other

Collaborators

  • National Institute on Disability, Independent Living, and Rehabilitation Research

Registry information

Official study title

Enhancing Community Participation Outcomes Among Young Adults With Serious Mental Illnesses Through Peer-Delivered Decision Support

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 9, 2024
Registry last updated
Dec 29, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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