Psychosis Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of non-affective psychosis 2. Working-age adult (18-65 years) 3. Social disability indicated by structured activity of 6 months 5. Under the care of secondary mental health services 6. Capacity and ability to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Organic aetiology indicated for psychosis (e.g., brain injury) 2. Severe learning disability that would prevent engagement with intervention or assessments 3. Current involvement in any other interventional research study 4. Immediate serious risk to self or other
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hours per week in structured activity, assessed through the Time Use Survey at 15 months post-randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hours per week in structured activity assessed using the Time Use Survey at 9 months 2. Functioning assessed using Recovering Quality of Life (ReQoL), Goal-Based Outcomes, and the WHO Disability Assessment Schedule (WHO-DAS) at baseline, 9 and 15 months post-randomisation 3. Quality of life assessed using EQ-5D-5L at baseline, 9 and 15 months post-randomisation 4. Psychotic symptoms assessed using Clinical Global Impression-Schizophrenia (CGI-SCH) and Scale for the Assessment of Negative Symptoms (SANS) at baseline, 9 and 15 months post-randomisation 5. Mood assessed using Patient Health Questionnaire-9 (PHQ-9) and Generalised Anxiety Disorder-7 (GAD-7) at baseline, 9 and 15 months post-randomisation 6. Hopelessness and suicidal ideation assessed using the Beck Hopelessness Scale (BHS) at baseline, 9 and 15 months post-randomisation 7. Service engagement (contact with mental health teams) and relapse rate (number of hospitalisations) recorded at 24 months 8. Education and employment status recorded at 24 months | — |
Countries
England, United Kingdom