No registrations found.
ID
Source
Health condition
People with severe mental illness
Sponsors and support
Intervention
Outcome measures
Primary outcome
Reach, Effectiveness, Adoption, Implementation and Maintenance
Secondary outcome
None
Background summary
Background: Cognitive Adaptation Training (CAT) is a psychosocial intervention that focuses on reducing the negative effects of cognitive disorders, especially executive functions such as planning and targeted action. International research has shown that CAT enhances multiple aspects of daily
functioning in people with severe mental illnesses (SMI). Despite this evidence, implementation of the intervention into routine care remains a challenge. In this implementation research, a newly developed implementation program based on previous experience and scientific literature, is tested. Methods: To test the effectiveness of the implementation program, a multicenter cluster randomized controlled trial (RCT) will be conducted comparing the implementation program to a single training program in four mental health institutions in The Netherlands. Focus groups, semi-structured interviews and questionnaires are used at multiple levels of service delivery (service user; professional; team; organization) to identify factors that may hamper or facilitate implementation. The RE-AIM framework is applied to measure the effectiveness of the program. Following this framework, the primary outcomes are Reach, Effectiveness, Adoption, Implementation and Maintenance. These are assessed before (T0) during (T1) and after implementation (T2). The research has a total duration of 14 months, with a follow-up measurement (T3) at 14 months after baseline. Data will be analyzed using multilevel modeling. Discussion: This implementation research may provide important information about the implementation of psychosocial interventions in practice and may result in a program that is useful for CAT, and possibly for psychosocial interventions in general.
Study objective
The teams in the intervention condition (implementation program) have implemented CAT better than the teams in de control condition.
Study design
0, 6, 12 months
Intervention
Implementation program (intervention condition), no implementation program (control condition)
Inclusion criteria
Service users, nursing staff and management of longterm rehabilitation units in The Netherlands. Service users must be above 18 years old.
Exclusion criteria
Treatment staff (psychiatrists, psychologists and nurse practitioners) of the rehabilitation teams are excluded.
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7989 |
| Other | METC UMC Groningen : M17.220439 |