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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Need to Be Needed Intervention
BehavioralInterventionist-supported volunteering intervention that targets opportunities creating social connections that matter through focus on kindness and gratitude throughout the intervention.
Active Control Group
Other interventionWeekly non-directive listening support
Treatment groups
Trial outcomes
Primary outcomes
Change of Demographic Background
Standard personal characteristics will be assessed via intake interview. Demographic items will include 11 items identifying employment, income, marital status
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
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.
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).
Sponsors and contacts
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Temple University
Lead sponsor
National Institute on Disability, Independent Living, and Rehabilitation Research
Collaborator