Ignite Creation Date:
2024-05-06 @ 6:45 PM
Last Modification Date:
2024-10-26 @ 2:54 PM
Study NCT ID:
NCT05774106
Status:
RECRUITING
Last Update Posted:
2023-03-17
First Post:
2022-12-21
Brief Title:
The Therapeutic Relationship Between the Case Manager and the Person With Severe Mental Health Disorder
Sponsor:
Fundació Sant Joan de Déu
Organization:
Fundació Sant Joan de Déu
Study Overview
Official Title:
The Therapeutic Relationship Between the Mental Health Case Manager and the Person With Severe Mental Health Disorder a Mixed-methods Study
Status:
RECRUITING
Status Verified Date:
2023-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The first mental health case management programs appear progressively in Spain from the trend towards community mental health with the aim of caring for people with severe mental health disorders outside from hospitals accompanying them in their recovery process The mental health nurse case manager is an example of advanced practice in in terms of assistance to the most seriously ill in the community mental health network
The use of the therapeutic relationship as the central axis of care for the person is becomes an essential tool for patient recovery This study aims through participatory action to inquire about the relationship therapy and its effect on the persons recovery There will be a mixed methods research First a participatory intervention with nurses through the recording of four focus groups with the aim of understand plan change and maintain the practices surrounding the relationship therapy with their patients Second this intervention will be measured by administering scales to patients linked to the mental health case management program that provides service to different areas of the Barcelona Metropolitan Area The variables to measure will be the quality of the therapeutic relationship the recovery of the person and the overall functionality These variables will be measured before and after finishing the participatory intervention All data will be anonymized transcribed and analyzed using the software correspondent
The use of the therapeutic relationship as the central axis of care for the person is becomes an essential tool for patient recovery This study aims through participatory action to inquire about the relationship therapy and its effect on the persons recovery There will be a mixed methods research First a participatory intervention with nurses through the recording of four focus groups with the aim of understand plan change and maintain the practices surrounding the relationship therapy with their patients Second this intervention will be measured by administering scales to patients linked to the mental health case management program that provides service to different areas of the Barcelona Metropolitan Area The variables to measure will be the quality of the therapeutic relationship the recovery of the person and the overall functionality These variables will be measured before and after finishing the participatory intervention All data will be anonymized transcribed and analyzed using the software correspondent
Detailed Description:
Two circular spirals following Kemmis Mctaggart Participative Action Research PAR principles will be conducted Each spiral includes the following stages planning action observation and reflection
Initially stage 0 the principal investigator will conduct an analysis of the current situation by observing recording and analyzing the situation The field diary will be used as a tool to assist in the data collection Afterwards a baseline measurement of the selected variables will be made by the principal investigator to both patients and participating professionals
The first PAR cycle begins in January 2023 agreement and planning about how the observation of the therapeutic relationship will be carried out focus group the subsequent action-observation which will be collected using a reflective diary and the reflection in the discussion group based on the contributions of the reflective diaries which will be contrasted with the available evidence with the aim of creating a dialogue
The estimated duration of the first cycle is 2 months The second cycle of PRA starts in March 2023 it begins with a focus group to discuss a new planning of strategies to implement changes After a new period of action and self-observation of the changes through reflective diary the fourth and last group discussion group is held with the purpose of sharing and evaluating the whole process The estimated duration of this second cycle is 2 months
At the end of the second cycle May 2023 a follow-up measurement post-test will be carried out by the principal investigator The estimated duration for this process is 1 month
Note the PAR process will be conducted only with case managers
Initially stage 0 the principal investigator will conduct an analysis of the current situation by observing recording and analyzing the situation The field diary will be used as a tool to assist in the data collection Afterwards a baseline measurement of the selected variables will be made by the principal investigator to both patients and participating professionals
The first PAR cycle begins in January 2023 agreement and planning about how the observation of the therapeutic relationship will be carried out focus group the subsequent action-observation which will be collected using a reflective diary and the reflection in the discussion group based on the contributions of the reflective diaries which will be contrasted with the available evidence with the aim of creating a dialogue
The estimated duration of the first cycle is 2 months The second cycle of PRA starts in March 2023 it begins with a focus group to discuss a new planning of strategies to implement changes After a new period of action and self-observation of the changes through reflective diary the fourth and last group discussion group is held with the purpose of sharing and evaluating the whole process The estimated duration of this second cycle is 2 months
At the end of the second cycle May 2023 a follow-up measurement post-test will be carried out by the principal investigator The estimated duration for this process is 1 month
Note the PAR process will be conducted only with case managers
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None