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REFOCUS Randomised Controlled Trial (RCT)

REFOCUS: a cluster randomised controlled trial of recovery interventions within community based mental health teams

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN02507940
Enrollment
420
Registered
2010-11-25
Start date
2011-04-18
Completion date
Unknown
Last updated
2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psychosis Mental and Behavioural Disorders Psychosis

Interventions

The intervention teams will receive personal recovery intervention. The intervention comprises an 12-month (updated 09/08/2011
18-month at time of registration) team-level pro-recovery intervention in addition to standard care. The intervention involves two components: 1. Recovery-promoting relationships 2. Pro-recovery worki

Sponsors

King's College London (KCL)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Service user criteria: 1. Aged 16 - 65 years, either sex 2. Primary clinical diagnosis of psychosis, e.g. schizophrenia, schizo-affective disorder, bipolar disorder 3. Expectation that service user will be in contact with team for 18 months 4. Not currently receiving in-patient care 5. Speaks and understands English 6. In opinion of clinician, is sufficiently well to participate Team inclusion criteria: 1. Community-based mental health team with the SLaM Psychosis Clinical Academic Group (CAG) or any in2gether 2. Provide a care co-ordinating function

Exclusion criteria

Exclusion criteria: 1. Currently receiving in-patient care 2. Does not speak and/or understand English

Design outcomes

Primary

MeasureTime frame
Questionnaire about the Process of Recovery (QPR), measured at baseline and 12 months post-baseline (updated 09/08/2011; 18 months at time of registration)

Secondary

MeasureTime frame
Staff-rated measures (updated 09/08/2011; 18 months post-baseline measurements at time of registration): 1. Recovery Knowledge Inventory (RKI) - a 20-item staff-rated measure of staff knowledge and attitudes about recovery, measured at baseline and 12 months post-baseline 2. Mental Illness: Clinicians' Attitudes (MICA) Scale - a 16-item of attitudes towards mental illness, measured at baseline and 12 months post-baseline 3. Health of the Nation Outcome Scale (HoNOS) is a 12-item staff-rated measure of social disability, measured at baseline and 12 months post-baseline 4. Camberwell Assessment of Needs Short Appraisal Schedule (CANSAS-S) assesses social and health needs over 22 domains, staff rated, measured at baseline and 12 months post-baseline 5. Mental Health Confidence Scale (MHCS) is a 16 item measure of self-efficacy, optimism, advocacy, measured at baseline and 12 months post-baseline 6. Herth Hope Index (HHI) is a 12-item service user-rated measure of client levels of hope, measured at baseline and 12 months post-baseline 7. Manchester Short Assessment of Quality of Life (MANSA) a 16-item measure, measured at baseline and 12 months post-baseline 8. Goal Attainment Scale (GAS)/Preferred Personal Outcomes(PPO) - individualised approach to measuring recovery, measured at baseline and 12 months post-baseline 9. Client Satisfaction Questionnaire8 (CSQ8) is an 8 item measure of client satisfaction with mental health services, measured at baseline and 12 months post-baseline 10. Camberwell Assessment of Needs Short Appraisal Schedule (CANSAS-SU) assesses social and health needs over 22 domains, service user rated, measured at baseline and 12 months post-baseline 11. The Importance of services in recovery - TEAM (INSPIRE-worker) is new measure of recovery orientation of services, measured at baseline and 12 months post-baseline 12. National Adult Reading Test (NART) is measure of pre-morbid level of intellectual functioning, measured at baseline and 12 months post-

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 27, 2026