Quality of Life
Conditions
Keywords
Partners for change outcome management system, Feedback-informed treatment, Routine Outcome management
Brief summary
Feedback Informed Treatment (FIT) is a systematic feedback method. FIT is based on two simple questionnaires and aims to assess and improve the effectiveness of therapeutic treatment. Treatment outcomes are assessed with the Outcome Rating Scale (ORS), a four-item self-report instrument measuring client functioning in the area of quality of life. Therapeutic alliance is assessed using the four-item Session Rating Scale (SRS). In FIT the feedback from the client is used to continuous adjustment and improvement of therapy. SFI will study the effect of using feedback in social work with floated support in the municipality of Copenhagen. Floating Support is a service that provides housing related support to vulnerable citizens to enable them to maintain their independence in their own home. The project is based on three different types of floating support. The aim of floating support is to improve the citizen's mental, physical and social well-being and thereby makes it more likely that the citizen can live independently at home. The study is a randomized controlled trial in which half of the caseworkers are allocated to be trained in the use of FIT, while the other half serves as a control group and will continue to work as usual. SFI is studying whether FIT can help to improve the impact of the floating support service on the citizen's mental, physical and social well-being and the citizens' likelihood of living in their own homes.
Detailed description
The study was designed as a cluster randomized controlled trial, where the investigators randomized 65 support workers to a treatment group (that used FIT) or a control group (that did not use FIT) at the beginning of the experiment. The investigators used block randomization within each unit to ensure that the number of support workers was evenly distributed between the treatment and control groups within each organizational unit. The investigators generated the random sequence using SAS. When a support worker resigned during the experiment, another support worker with the same allocation took over the resigned worker's clients. If a new support worker was employed during the experiment in a unit with an even number of workers, the support worker was randomized to either the treatment group or the control group by simple randomization. If the unit had an uneven number of support workers, the new support worker was allocated to a group that ensured the unit kept the same uneven number of treatment and control workers. The study included clients who had already begun in the support service before the experiment started and clients that started in the support service during the experiment. If a support worker only had one or two contacts with a new client, the client was not included in the study. The study period was 16 months and ended when FIT was implemented in the control group.
Interventions
BEHAVIORALFeedback Informed Treatment
FIT is based on two simple questionnaires and aims to assess and improve the effectiveness of therapeutic treatment. Treatment outcomes are assessed with the Outcome Rating Scale (ORS), a four-item self-report instrument measuring client functioning in the area of quality of life. Therapeutic alliance is assessed using the four-item Session Rating Scale (SRS). In FIT the feedback from the client is used to continuous adjustment and improvement of therapy
Sponsors
Copenhagen Municipality, Denmark
VIVE - The Danish Center for Social Science Research
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Citizens who will receive floating support at the municipality of Copenhagen
Exclusion criteria
* Citizens who refuses to get the support. If the caseworkers do not think the citizen will need further support.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| WHO5 wellbeing scale | 1-15 month after baseline | The investigators measured the participants wellbeing using the WHO5 wellbeing scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of floating support service | 1-15 month after baseline | The investigators measured treatment duration as the length of the floating support service in the experiment period |
| Successful support | 1-15 month after baseline | It floating support service has been successful. Service stopped by caseworker because goal for service reached. |
| Number of eviction cases | 1-15 month after baseline | As a measure of possible eviction, the investigators used the mandatory notification sent to the municipality when a citizen living in the public housing sector is subject to an eviction case sent to the Danish bailiff's court. |
| Drop outs | 1-15 month after baseline | Number of Drop outs from the floating service |
| Social relations | 1-15 month after baseline | Social relations measured by items from WHO100 |
| Physical wellbeing | 1-15 month after baseline | Physical wellbeing measured with items from WHO100 |
| General health | 1-15 month after baseline | To measure general health, the investigators used a single global item, that has been used in the SF-36 questionnaire |
Countries
Denmark
Outcome results
None listed