N/A
N=192
Testing Effectiveness of a Peer-Led Intervention to Enhance Community Integration
Mental Disorders
Bottom Line
View on ClinicalTrials.gov: NCT02508480 ↗Enrolled (actual)
192
Serious AEs
1.6%
Results posted
Apr 2020
Primary outcome: Primary: Internalized Stigma of Mental Illness Scale, Change in Internalized Stigma — 2.18; 2.09; 2.11; 2.05 Score on a scale. — p=0.66
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Photovoice (Behavioral); Enhanced Control (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Boston University Charles River Campus
- Primary completion
- Feb 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Internalized Stigma of Mental Illness Scale, Change in Internalized Stigma |
2.18; 2.09; 2.11; 2.05; 2.64; 2.71 | 0.66 |
| PRIMARY Approaches to Coping With Stigma, Change in Coping With Stigma |
2.90; 2.93; 2.87; 2.97; 2.06; 1.87 | 0.884 |
| PRIMARY The Stigma Scale, Change in Perceptions of Stigma |
1.92; 1.81; 1.87; 1.75; 1.87; 1.82 | 0.135 |
| PRIMARY Heinrich's Quality of Life Scale-Client Version, Change in Quality of Life |
2.79; 2.94; 2.82; 3.10; 2.86; 2.98 | 0.25 |
| PRIMARY Temple University Community Participation Scale, Change in Community Participation |
51.25; 54.80; 47.40; 48.99; 45.75; 47.76 | 0.917 |
| SECONDARY Brief Psychiatric Rating Scale, Change in Psychiatric Symptoms |
1.79; 1.78; 1.71; 1.80; 1.77; 1.85 | 0.017 sig |
| SECONDARY Scales of Psychological Well-Being, Change in Well-being |
3.75; 3.92; 3.83; 3.90; 3.86; 3.81 | 0.597 |
| SECONDARY Maryland Assessment of Recovery, Change in Perceptions of Recovery |
3.95; 4.07; 3.94; 4.07; 3.92; 4.05 | 0.076 |
| SECONDARY Personal Growth and Recovery Scale, Change in Perceptions of Growth and Recovery |
3.31; 3.38; 3.31; 3.36; 3.32; 3.36 | 0.978 |
Summary
We are conducting a randomized clinical trial (RCT) comparing the 10-week peer-led Photovoice program to services as usual (SAU) at a large publicly funded community mental health agency in Massachusetts. The control SAU condition will be enhanced with a 60-minute peer-led group educational session about understanding and coping with prejudice and discrimination. The 10-session, peer-led Photovoice program, designed to empower individuals with serious mental illness (SMI) to confront public prejudice and discrimination and reduce personal stigma (self-stigma and perceived stigma), was developed and pilot tested at our Center, with primary contributions from staff with a lived experience of mental illness. Development of the Photovoice program was guided by an adaptation of the stress-coping model, informed by recent research and conceptualizations of the effects of stigma on people with SMI. The stress-coping model explicates the mechanisms by which public stigma about mental illness can lead to personal stigma, which in turn has a negative impact on the person's mental health and psychosocial functioning. This model also identifies critical factors that contribute to personal stigma or protect against it, as well as more vs. less adaptive coping responses, that are the primary focus of the Photovoice program.
Eligibility Criteria
Inclusion Criteria
- Age 18years and older
- Diagnosis of serious mental illness
- Receiving services at agency where study is taking place
- Willing and able to give written consent
- Conversant in English
Exclusion Criteria
- Prior exposure to Photovoice
- Cognitive disability
Data sourced from ClinicalTrials.gov (NCT02508480). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.