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A Recovery-Oriented Intervention for People With Psychosis: A Pilot Randomized Controlled Trial.
- Source :
- Psychiatric Services; Nov2022, Vol. 73 Issue 11, p1225-1231, 7p
- Publication Year :
- 2022
-
Abstract
- <bold>Objective: </bold>This pilot randomized controlled trial evaluated the effectiveness of critical time intervention-task shifting (CTI-TS) for people with psychosis in Santiago, Chile, and Rio de Janeiro. CTI-TS is a 9-month intervention involving peer support workers and is designed to maintain treatment effects up to 18 months.<bold>Methods: </bold>A total of 110 people with psychosis were recruited when they enrolled in community mental health clinics (Santiago, N=60; Rio de Janeiro, N=50). Participants within each city were randomly assigned to either CTI-TS or usual care for 9 months. Primary outcomes were quality of life, measured with the World Health Organization Quality of Life Assessment-Brief Version (WHOQOL-BREF), and unmet needs, measured with the Camberwell Assessment of Need (CAN), at 18-month follow-up. Results were analyzed according to intention-to-treat guidelines. Generalized estimating equations, with observations clustered within cities, and multiple imputation for missing data were used.<bold>Results: </bold>At 18 months, both groups showed improved primary outcomes. In both unadjusted and fully adjusted analyses, no significant differences between CTI-TS and usual care (WHOQOL-BREF question on quality of life and CAN mean number of unmet needs) were found.<bold>Conclusions: </bold>Three factors might explain the lack of difference between CTI-TS and usual care: first-contact enrollment precluded rapport prior to randomization, a minority of patients were uncomfortable with peers being on the treatment team, and primary outcome measures may not have been sensitive enough to capture the effects of a recovery-oriented intervention. The results have implications for the design of transitional services for people with psychosis, especially in Latin America. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10752730
- Volume :
- 73
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Psychiatric Services
- Publication Type :
- Academic Journal
- Accession number :
- 159948970
- Full Text :
- https://doi.org/10.1176/appi.ps.202000843