Implementation of REFOCUS Training Program in Mental Health Services
ConditionMental Disorders
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age15-65
SponsorHôpital le Vinatier
About this trial
Training of mental health service teams in the orientation of care towards recovery through a 3-day training course: REFOCUS. This training aims to orient care towards recovery. Following this training, evaluation of the effectiveness of the implementation of REFOCUS training in mental health services.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 15 to 65 years old.
Diagnosis of schizophrenia, schizoaffective disorder, schizotypal disorder and schizophreniform disorder or bipolar disorder, borderline personality disorder, disabling anxiety or depressive disorder (DSM-V criteria; APA, 2013).
Patients cared for by the team or unit benefiting from REFOCUS training
French mother tongue.
Disqualifiers
Age less than 15 years old
Patients under guardianship
Presence of an associated intellectual disability
Neurological disorders of vascular, infectious or neurodegenerative origin.
Trial design
Design model
Crossover
Treatments tested in this trial
Implementation of a training centered around the notions of recovery with mental health services first year
Other interventionStepped wedge design so same procedure for both arms Stepped-wedge design with randomization stratified by cluster (training over the 1st or 2nd year) according to professional practice (intra-hospital, CMP / CATTP, day hospital, Psychosocial Rehabilitation Center, mobile team, medical sector) social) of the teams formed by the 18 centers participating in the study
Implementation of a training centered around the notions of recovery with mental health services second year
Other interventionStepped wedge design so same procedure for both arms Stepped-wedge design with randomization stratified by cluster (training over the 1st or 2nd year) according to professional practice (intra-hospital, CMP / CATTP, day hospital, Psychosocial Rehabilitation Center, mobile team, medical sector) social) of the teams formed by the 18 centers participating in the study
Treatment groups
760 Participants
are divided into 2 treatment groupsGroup A: Arm number one (2023)Other 1 intervention
Group B: Arm number two (2024)Other 1 intervention
Trial outcomes
Primary outcomes
1
Questionnaire about the Process of Recovery QPR Intra- and inter-group comparison in users with severe psychiatric disorders
Intra- and inter-group comparison of the score on the self-assessment scale of the stage of recovery (Questionnaire about the Process of Recovery; QPR) in users with severe psychiatric disorders The QPR has 15 items each scored on a 4-point scale (0= disagree strongly, 1=disagree, 2=neither agree nor disagree, 3=agree, 4=agree strongly). Higher scores are indicative of recovery. However, those involved in developing this measure suggest that scores should not only be added to give total scores, but the QPR should be used as described above e.g. as a tool for considering personal goals for recovery, health and wellbeing.
Time frame
Two yearsSecondary outcomes
1
Recovery Self-Assessment (RSA) health professional version to assess the perception of having a recovery-oriented practice
Intra- and inter-group comparison of scores on the following scales: The Recovery Self-Assessment (RSA) is a 36-item measure designed to gauge the degree to which programs implement recovery-oriented practices. It is a self-reflective tool designed to identify strengths and target areas of improvement as agencies and systems strive to offer recovery-oriented care.
Time frame
One year2
Self-stigma scale (Internalized Stigma of Mental Illness)
Intra- and inter-group comparison of scores on the following scale
Time frame
One year3
Warwick-Edinburgh Mental Well Being Scale (WEMWBS) for mental well-being
Intra- and inter-group comparison of scores on the following scale Scoring. The 14-item scale WEMWBS is very simple to score. The total score is obtained by summing the score for each of the 14 items. The scoring range for each item is from 1 - 5 and the total score is from 14-70.
Time frame
One year4
Qualitative component
A qualitative analysis will be conducted with trainers, trained mental health professionals and patients followed by trained professionals, using semi-structured individual interviews or focus groups. For this study, participants will be asked about their experience following the implementation of REFOCUS training in recovery-oriented practices. The focus groups will be facilitated by at least two members of the research team, recorded with the participants' consent and fully transcribed. They will be conducted until data saturation is achieved. The data will be analysed using the thematic content analysis method. The COREQ grid will be used to write the protocol and analyse the results. Multiple triangulation of the data will help to refine the understanding of the problem and limit the risk of interpretation bias
Time frame
Two yearsSponsors and contacts
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Source ClinicalTrials.gov