Jelle Sjoerd Vogel1, Marte Swart2, Mike Slade3, Jojanneke Bruins2, Mark van der Gaag4, Stynke Castelein5. 1. Lentis Psychiatric Institute, Groningen, the Netherlands; University of Groningen, University Medical Center Groningen, Rob Giel Research Center, Groningen, the Netherlands; University of Groningen, Faculty of Behavioural and Social Sciences, Groningen, the Netherlands. Electronic address: js.vogel@lentis.nl. 2. Lentis Psychiatric Institute, Groningen, the Netherlands; University of Groningen, University Medical Center Groningen, Rob Giel Research Center, Groningen, the Netherlands. 3. University of Nottingham, School of Health Sciences, Nottingham, United Kingdom. 4. VU University Amsterdam, Department of Clinical Psychology, Amsterdam, the Netherlands; EMGO + Institute of Health and Care Research, Amsterdam, the Netherlands; Parnassia Psychiatric Institute, Department of Psychiatry, The Hague, the Netherlands. 5. Lentis Psychiatric Institute, Groningen, the Netherlands; University of Groningen, University Medical Center Groningen, Rob Giel Research Center, Groningen, the Netherlands; University of Groningen, Faculty of Behavioural and Social Sciences, Groningen, the Netherlands.
Abstract
OBJECTIVE: The HospitalitY (HY) intervention is a novel recovery oriented intervention for people with psychotic disorders in which peer support and home-based skill training are combined in an eating club. A feasibility study was conducted to inform a subsequent randomised trial. METHODS: This study evaluated three eating clubs consisting of nine participants and three nurses. Semi-structured interviews and pre- and post-intervention measures (18 weeks) of personal recovery, quality of life and functioning were used to evaluate the intervention. Participants received individual skills training, guided by self-identified goals, while organising a dinner at their home. During each dinner, participants engaged in peer support, led by a nurse. RESULTS: In personal interviews participants reported positive effects on social support, loneliness, and self-esteem. Nurses reported that participants became more independent during the intervention. Participants were satisfied with the HY-intervention (attendance rate = 93%). All were able to organise a dinner for their peers with practical support from a nurse. Pre- and post -intervention measures did not show important improvements. LIMITATIONS: Outcome measures were not sensitive to change, likely due to a short intervention period (5 months) and a limited number of participants (N = 9). Using Goal Attainment Scaling to evaluate personal goals turned out to be unfeasible. CONCLUSIONS: The HY-intervention is feasible for participants with psychotic disorders. This study refined intervention and research design for the upcoming multicentre randomised controlled trial. We expect that the Experience Sampling Method will be more sensitive to changes in recovery outcomes than regular pre-post intervention measures.
RCT Entities:
OBJECTIVE: The HospitalitY (HY) intervention is a novel recovery oriented intervention for people with psychotic disorders in which peer support and home-based skill training are combined in an eating club. A feasibility study was conducted to inform a subsequent randomised trial. METHODS: This study evaluated three eating clubs consisting of nine participants and three nurses. Semi-structured interviews and pre- and post-intervention measures (18 weeks) of personal recovery, quality of life and functioning were used to evaluate the intervention. Participants received individual skills training, guided by self-identified goals, while organising a dinner at their home. During each dinner, participants engaged in peer support, led by a nurse. RESULTS: In personal interviews participants reported positive effects on social support, loneliness, and self-esteem. Nurses reported that participants became more independent during the intervention. Participants were satisfied with the HY-intervention (attendance rate = 93%). All were able to organise a dinner for their peers with practical support from a nurse. Pre- and post -intervention measures did not show important improvements. LIMITATIONS: Outcome measures were not sensitive to change, likely due to a short intervention period (5 months) and a limited number of participants (N = 9). Using Goal Attainment Scaling to evaluate personal goals turned out to be unfeasible. CONCLUSIONS: The HY-intervention is feasible for participants with psychotic disorders. This study refined intervention and research design for the upcoming multicentre randomised controlled trial. We expect that the Experience Sampling Method will be more sensitive to changes in recovery outcomes than regular pre-post intervention measures.
Authors: Jelle Sjoerd Vogel; Jojanneke Bruins; Levi Halbersma; Rianne Janine Lieben; Steven de Jong; Mark van der Gaag; Stynke Castelein Journal: Int J Ment Health Nurs Date: 2020-03-09 Impact factor: 3.503