Peer support and skills training through an eating club for people with psychotic disorders: a feasibility study

Vogel, Jelle Sjoerd; Swart, Marte; Slade, Mike; Bruins, Jojanneke; van der Gaag, Mark; Castelein, Stynke

Abstract

Objective
The HospitalitY (HY) intervention is a novel recovery oriented intervention for people with psychotic disorders in which peer support and home-based skill training are combined in an eating club. A feasibility study was conducted to inform a subsequent randomised trial.

Methods
This study evaluated three eating clubs consisting of nine participants and three nurses. Semi-structured interviews and pre- and post-intervention measures (18 weeks) of personal recovery, quality of life and functioning were used to evaluate the intervention. Participants received individual skills training, guided by self-identified goals, while organising a dinner at their home. During each dinner, participants engaged in peer support, led by a nurse.

Results
In personal interviews participants reported positive effects on social support, loneliness, and self-esteem. Nurses reported that participants became more independent during the intervention. Participants were satisfied with the HY-intervention (attendance rate = 93%). All were able to organise a dinner for their peers with practical support from a nurse. Pre- and post -intervention measures did not show important improvements.

Limitations
Outcome measures were not sensitive to change, likely due to a short intervention period (5 months) and a limited number of participants (N = 9). Using Goal Attainment Scaling to evaluate personal goals turned out to be unfeasible.

Conclusions
The HY-intervention is feasible for participants with psychotic disorders. This study refined intervention and research design for the upcoming multicentre randomised controlled trial. We expect that the Experience Sampling Method will be more sensitive to changes in recovery outcomes than regular pre-post intervention measures.

Citation

Vogel, J. S., Swart, M., Slade, M., Bruins, J., van der Gaag, M., & Castelein, S. (2019). Peer support and skills training through an eating club for people with psychotic disorders: a feasibility study. Journal of Behavior Therapy and Experimental Psychiatry, 64, 80-86. https://doi.org/10.1016/j.jbtep.2019.02.007

• Journal Article Type: Article
• Acceptance Date: Feb 20, 2019
• Online Publication Date: Feb 28, 2019
• Publication Date: Sep 30, 2019
• Deposit Date: Mar 13, 2019
• Journal: Journal of Behavior Therapy and Experimental Psychiatry
• Print ISSN: 0005-7916
• Electronic ISSN: 1873-7943
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 64
• Pages: 80-86
• DOI: https://doi.org/10.1016/j.jbtep.2019.02.007
• Keywords: Loneliness; Mental health recovery; Nursing; Schizophrenia/rehabilitation; Social support
• Public URL: https://nottingham-repository.worktribe.com/output/1636915
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0005791618300387
• Additional Information: This article is maintained by: Elsevier; Article Title: Peer support and skills training through an eating club for people with psychotic disorders: A feasibility study; Journal Title: Journal of Behavior Therapy and Experimental Psychiatry; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.jbtep.2019.02.007; Content Type: article; Copyright: © 2019 Elsevier Ltd. All rights reserved.