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Mental HealthNCT03709537

Supporting the Mental Health Workforce

A study testing Mental Health Peer Workforce Support in people with Mental Health, run by The University of Texas Health Science Center, Houston at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Emotional Health Association will engage Los Angeles County Department of Mental Health providers that employ peer workers in a training and technical assistance intervention designed to support, increase, and retain an effective peer workforce. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Mental Health
What is being tested?
Mental Health Peer Workforce Support
Could I receive a placebo?
No, everyone receives an active treatment
How many people
366 participants
Where
1 siteUnited States
Study dates
23 Oct 2018to 7 Jan 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All service providing sites within the Los Angeles Department of Mental Health will be invited to participate in the study. Sites not affiliated with the Los Angeles Department of Mental Health will be allowed to enroll in the study if they express interest but will not be actively recruited.
  • Participants must be a peer worker or supervisor of peer workers at a site participating in the study.

Who cannot join

  • Peers who do not receive pay and volunteer for less that 15 hours per week.

Trial locations and contacts

1 site in 1 country.

United States1 site

  • SHARE! Self-Help and Recovery Exchance

    Culver City, California, 90230

Other trials in United States

About this study

Official title: Local Organizational Support and Development Networks for Public Mental Health System Workforce With Lived Experience

Emotional Health Association will engage Los Angeles County Department of Mental Health providers that employ peer workers in a training and technical assistance intervention designed to support, increase, and retain an effective peer workforce. This intervention consists of a Co-Learning Collaborative, several training sessions, and the creation of Implementation Teams. Peer workers will also be encouraged to attend Recovery International, an established network of self-help support groups for mental health. Dr. Louis Brown will lead an evaluation of the efficacy of the intervention. This study will inform the use of peer workers as a component of the mental health workforce.

Read the detailed description

Evaluation of the the intervention with the peer workforce will be conducted through administration of web-based surveys of peer workers and peer supervisors at baseline and follow-up (10 months post-baseline). These two surveys will be administered to peer workers and peer supervisors at sites enrolled in the study. A letter of informational detailing the risks of participation will accompany the survey. Individuals who do not complete the web-based survey will be invited to complete a telephone interview with the same questions. Sites (where one or more peer supervisors and peer workers are located) will be randomized to either the intervention group or standard practice control group. The intervention group will engage in Co-Learning Collaborative, several training sessions, and the creation of Implementation Teams. Peer workers from the intervention group will also be encouraged to attend Recovery International, an established network of self-help support groups for mental health. Analysis of the surveys collected from both study groups will be conducted to assess the efficacy of the intervention and provide Emotional Health Association with a final report.

Conditions
Mental Health
Being tested
Mental Health Peer Workforce Support
Medical subject headings
Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mental Health Peer Workforce SupportBehavioural

    Supervisors and peer workers will participate in trainings covering effective peer services, trauma-informed effective peer supervision, and responsibilities of peer workers in a supervising relationship. A monthly Supervisors of Peer Workers meeting will support site change efforts. Sites will create an implementation team to work within their site to implement the training received.

    Peer Workers will enroll in a peer mentoring program, where they serve as peer mentors matched with fellow peer mentors. Recovery International and the Los Angeles Department of Mental Health will encourage peer workers to attend Recovery International meetings. Emotional Health Association will refer Peer Workers and their Supervisors in the intervention group to self-help support groups that reduce stress and increase resiliency.

Study groups in NCT03709537
Study groupRoleWhat they receive
Mental Health Peer Workforce SupportExperimentalSites assigned to this group will engage in Co-Learning Collaborative, several trainings, and the creation of Implementation Teams--all part of the intervention and designed to support their peer workforce.
Receives: Behavioral: Mental Health Peer Workforce Support
Control GroupNo interventionSites assigned to this group will continue practice as usual and not receive any additional peer worker training or technical assistance.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Peer-supportive organizational climate

    Peer-supportive organizational climate will be assessed by a set of 6 likert-scale questions that asks about the participant about his/her organization's administrative leadership and the support they provide.

    1= Strongly Disagree (with positive statement about organization) 7= Strongly Disagree (with positive statement about organization)

    Measured: 10 months

  2. Mental Health Stigma

    This outcome will be assessed by asking the peer supervisor a set of 15 likert-scale questions about their feelings towards individuals with mental health issues.

    1= Strongly Disagree 5= Strongly Agree

    Measured: 10 months

  3. Peer Worker Recovery

    This outcome will be assessed by a set of 24 likert scale questions that ask the participants how they feel about themselves and their lives.

    1= Strongly Disagree (with positive statement about self) 5= Strongly Agree (with positive statement about self)

    Measured: 10 months

Secondary outcomes (14)

  1. Recovery orientation of services

    This outcome will be measured with 4 questions that ask the peer workers to rate their level of agreement with statements about their organization's treatment of service users (or clients)

    1= Strongly Disagree (with positive statement about services) 7= Strongly Agree (with positive statement about services)

    Measured: 10 Months

  2. Supervisor's peer support attitudes

    This outcome will be assessed by asking the peer supervisor a set of three likert-scale questions about the importance of peer support for mental health services.

    1=Not important at all 10 =Extremely Important

    Measured: 10 Months

  3. Supervisor's job satisfaction

    This outcome will be measured using one likert-scale question that asks how satisfied the supervisors are with their job- from 1 (highly unsatisfied) to 5 (very satisfied).

    Measured: 10 Months

  4. Supervision quality (as rated by peer workers)

    This outcome will be assessed with a set of 7 likert scale questions that ask about the peer worker's experience with their supervisor.

    1= Strongly Disagree (with positive statement about supervisor) 7= Strongly Agree (with positive statement about supervisor)

    Measured: 10 Months

  5. Peer worker time spent on peer support activities

    This outcome will be measured by asking the peer workers to rate how much time they spend on 9 different support activities on a typical week-- from "None" to "40 hours plus".

    Measured: 10 Months

  6. Peer worker discrimination experience

    This will be measured with a set of 5 likert scale questions that asks the peer worker about their experience with discrimination due to their mental health.

    1= Strongly Disagree (with statement about negative experience) 5= Strongly Agree (with statement about negative experience)

    Measured: 10 Months

  7. Supervisor/peer worker relationship (as rated by supervisor)

    This outcome will be measured by a set of 12 likert scale questions from the Supervisory Relationship Measure developed by Pearce et al. 2012.

    1= Strongly Disagree (with positive statement about peer worker) 5= Strongly Agree (with positive statement about peer worker)

    Measured: 10 Months

  8. Peer worker contributions (as rated by supervisor)

    This outcome will be measured by a set of 12 likert scale questions.

    1= Strongly Disagree 7= Strongly Agree

    Measured: 10 Months

  9. Peer worker job satisfaction

    This outcome will be measured using one likert-scale question that asks how satisfied the peer workers are with their job- from 1 ("highly unsatisfied") to 5 ("very satisfied").

    Measured: 10 Months

  10. Peer worker sick leave and disability days

    This outcome will be measured with the following question from the Stapelfeldt et al 2012 instrument:

    "How many sick leave or disability days has _____ had within the last 6 months?"

    Measured: 10 Months

  11. Peer worker work-related burnout

    This will assesses with a set of 7 likert scale questions that ask the peer worker for the frequency of certain experiences at their job.

    1= Always 5= Never/Almost Never

    Measured: 10 Months

  12. Peer worker mental health problems

    This outcome will be assessed by a set of 27 likert-scale questions that asks the participant how frequent they have experienced feelings of distress in the past 30 days.

    1= Not all (pertaining to negative statement) 5= Extremely (pertaining to negative statement)

    Measured: 10 Months

  13. Peer worker social support

    This outcome will be assessed by having the peer workers answer some questions about the people in their environment who provide them with help or support.

    1= Very satisfied (with specific person's support) 6= Very dissatisfied (with specific person's support)

    Measured: 10 Months

  14. Peer worker stress

    This outcome will be measured by a set of 6 likert scale questions that ask the peer worker to rate the frequency that they have had stressful experiences in the past 30 days.

    1= Never (pertaining to negative statement) 5= Very Often (pertaining to negative statement)

    Measured: 10 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Oct 2018
  2. Study start23 Oct 2018
  3. Primary completion7 Jan 2020
  4. Study completion7 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study will draw participants from mental health sites where one or more peer supervisors and peer workers are located. These sites will be randomized to either the treatment or standard practice control group. The treatment group will receive the intervention, which consists of a Co-Learning Collaborative, several trainings, and the creation of Implementation Teams. The sites assigned as part of control group will not receive any training or additional technical assistance that is part of the intervention.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
366 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03709537
Sponsor's protocol ID
HSC-SPH-18-0357
Status last verified
Apr 2024
First submitted
12 Oct 2018
Last updated
10 Apr 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Brown LD, Vasquez D, Wolf J, Robison J, Hartigan L, Hollman R. Supporting Peer Support Workers and Their Supervisors: Cluster-Randomized Trial Evaluating a Systems-Level Intervention. Psychiatr Serv. 2024 Jun 1;75(6):514-520. doi: 10.1176/appi.ps.20230112. Epub 2024 Jan 11.

    PubMed 38204374

Questions about this trial

What is this clinical trial studying?

A study testing Mental Health Peer Workforce Support in people with Mental Health, run by The University of Texas Health Science Center, Houston at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Peer-supportive organizational climate (time frame: 10 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03709537, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Apr 2024.

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