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Completed

NCT Number: NCT05357625

The Impact of Feedback Informed Treatment in Floating Support Service

Feedback Informed Treatment (FIT) is a systematic feedback method. FIT is based on two simple questionnaires and aims to assess and improve the effectiveness of therapeutic treatment. Treatment outcomes are assessed with the Outcome Rating Scale (ORS), a four-item self-report instrument measuring client functioning in the area of quality of life. Therapeutic alliance is assessed using the four-item Session Rating Scale (SRS). In FIT the feedback from the client is used to continuous adjustment and improvement of therapy. SFI will study the effect of using feedback in social work with floated support in the municipality of Copenhagen. Floating Support is a service that provides housing related support to vulnerable citizens to enable them to maintain their independence in their own home. The project is based on three different types of floating support. The aim of floating support is to improve the citizen's mental, physical and social well-being and thereby makes it more likely that the citizen can live independently at home. The study is a randomized controlled trial in which half of the caseworkers are allocated to be trained in the use of FIT, while the other half serves as a control group and will continue to work as usual. SFI is studying whether FIT can help to improve the impact of the floating support service on the citizen's mental, physical and social well-being and the citizens' likelihood of living in their own homes.

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Key information

Conditions

Quality of Life

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

SFI the Danish National Centre for Social Research

Copenhagen, DK-1052, Denmark

About this study

The study was designed as a cluster randomized controlled trial, where the investigators randomized 65 support workers to a treatment group (that used FIT) or a control group (that did not use FIT) at the beginning of the experiment. The investigators used block randomization within each unit to ensure that the number of support workers was evenly distributed between the treatment and control groups within each organizational unit. The investigators generated the random sequence using SAS.

When a support worker resigned during the experiment, another support worker with the same allocation took over the resigned worker's clients. If a new support worker was employed during the experiment in a unit with an even number of workers, the support worker was randomized to either the treatment group or the control group by simple randomization. If the unit had an uneven number of support workers, the new support worker was allocated to a group that ensured the unit kept the same uneven number of treatment and control workers.

The study included clients who had already begun in the support service before the experiment started and clients that started in the support service during the experiment. If a support worker only had one or two contacts with a new client, the client was not included in the study.

The study period was 16 months and ended when FIT was implemented in the control group.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Citizens who will receive floating support at the municipality of Copenhagen

Exclusion criteria

  • Citizens who refuses to get the support. If the caseworkers do not think the citizen will need further support.

Treatment and study plan

Feedback Informed Treatment

Behavioral

FIT is based on two simple questionnaires and aims to assess and improve the effectiveness of therapeutic treatment. Treatment outcomes are assessed with the Outcome Rating Scale (ORS), a four-item self-report instrument measuring client functioning in the area of quality of life. Therapeutic alliance is assessed using the four-item Session Rating Scale (SRS). In FIT the feedback from the client is used to continuous adjustment and improvement of therapy

Primary outcomes

  1. WHO5 wellbeing scale

    Time frame: 1-15 month after baseline

    The investigators measured the participants wellbeing using the WHO5 wellbeing scale

Secondary outcomes

  1. Drop outs

    Time frame: 1-15 month after baseline

    Number of Drop outs from the floating service

  2. Length of floating support service

    Time frame: 1-15 month after baseline

    The investigators measured treatment duration as the length of the floating support service in the experiment period

  3. Successful support

    Time frame: 1-15 month after baseline

    It floating support service has been successful. Service stopped by caseworker because goal for service reached.

  4. Number of eviction cases

    Time frame: 1-15 month after baseline

    As a measure of possible eviction, the investigators used the mandatory notification sent to the municipality when a citizen living in the public housing sector is subject to an eviction case sent to the Danish bailiff's court.

  5. General health

    Time frame: 1-15 month after baseline

    To measure general health, the investigators used a single global item, that has been used in the SF-36 questionnaire

  6. Social relations

    Time frame: 1-15 month after baseline

    Social relations measured by items from WHO100

  7. Physical wellbeing

    Time frame: 1-15 month after baseline

    Physical wellbeing measured with items from WHO100

Sponsors and collaborators

Lead sponsor

VIVE - The Danish Center for Social Science Research

Other

Collaborators

  • Copenhagen Municipality, Denmark

Registry information

Official study title

The Impact of Feedback Informed Treatment in Floating Support Service - a Randomized Controlled Trial

Acronym: FIT

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
May 3, 2022
Registry last updated
Apr 27, 2023

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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