Need to be Needed (N2BN) Intervention

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorTemple University

About this trial

The proposed study is a randomized, controlled trial (RCT) that will examine the effectiveness of an intervention designed to reduce social isolation and loneliness of adults with serious mental illness (SMI). The intervention will focus on improving their sense of mattering by using acts of kindness and experiencing gratitude through volunteering. 120 participants will be randomly assigned to the intervention group or the attention control group. Over the course of the 6-month intervention, participants in the intervention arm, will receive weekly support from the interventionist. The interventionist and the participant will collaboratively set goals and develop an initial intervention plan, which is informed by the participants interests, values and goals. The attention control group will receive non-directive listening support through research assistants.

Data collection for all participants will occur at baseline, at the mid-point of the intervention at 3 months, and at the end of the 6-month intervention. Participants will be asked questions about quality of experience, social context and satisfaction, mattering components, kindness, gratitude, and loneliness. We will gather data on demographic background, life transitions, social network characteristics, internalized stigma, neighborhood climate, depression, and trait measures of mattering and loneliness during intake and exit interviews. Additionally, participants of the intervention arm will be asked to provide feedback about the intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A research diagnosis of Major Depression, Bipolar I, II, or Schizophrenia Spectrum disorder.

Ages 18 years old and older

Living in the community

Able to communicate in written and oral English

Disqualifiers

Having a legal guardian

Unable to give informed consent.

Living situation which restricts their ability to move freely

Trial design

Design model

Parallel

Treatments tested in this trial

  • Need to Be Needed Intervention

    Behavioral

    Interventionist-supported volunteering intervention that targets opportunities creating social connections that matter through focus on kindness and gratitude throughout the intervention.

  • Active Control Group

    Other intervention

    Weekly non-directive listening support

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Need to be Needed InterventionExperimental treatment 1 intervention
Group B: Active control groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change of Demographic Background

Standard personal characteristics will be assessed via intake interview. Demographic items will include 11 items identifying employment, income, marital status

Time frame
baseline, after 3-months, after 6-months
2

Change of Neighborhood Social Climate Scale from Housing Environment Survey

Neighborhood Social Climate Scale from Housing Environment Survey (HES) (Kloos \& Shah, 2009): This 12-item subscale from the HES includes questions related to housing type (independent, familial, group), social context (alone, partnered, with others), stability (the length lived at their current residence), and satisfaction with one's housing and neighborhood

Time frame
baseline, after 3-months, after 6-months
3

Change of Social Network

Social Network Generator (Pescosolido \& Wright, 2004): This instrument identifies important people connected with the respondent. Network size, composition, contact, closeness, reciprocity, changes will be quantified.

Time frame
baseline, after 3-months, after 6-months
4

Change of sense of mattering

Interpersonal Mattering Scale (Moschella \& Baynard, 2021; Elliott et al., 2004): This 12-item scale examines three dimensions of mattering, including awareness (a=.87), importance (a=.89), and reliance (a=86).

Time frame
baseline, after 3-months, after 6-months

Secondary outcomes

Other outcomes

Sponsors and contacts

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Temple University

Lead sponsor

National Institute on Disability, Independent Living, and Rehabilitation Research

Collaborator