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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


Jelle Sjoerd Vogel

Marte Swart

Professor of Mental Health Recovery and Social Inclusion

Jojanneke Bruins

Mark van der Gaag

Stynke Castelein


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.

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.

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.

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.

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.

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
Keywords Loneliness; Mental health recovery; Nursing; Schizophrenia/rehabilitation; Social support
Public URL
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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:; Content Type: article; Copyright: © 2019 Elsevier Ltd. All rights reserved.