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Feasibility, acceptability and preliminary evaluation of a user co-facilitated psychoeducational programme: a feasibility proof-of-concept randomised control trial.

Title: Feasibility, acceptability and preliminary evaluation of a user co-facilitated psychoeducational programme: a feasibility proof-of-concept randomised control trial.
Authors: Skliarova T; Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. tatiana.skliarova@ntnu.no.; Lara-Cabrera ML; Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Nidelv Community Mental Health Centre, Department of Mental Healthcare, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.; Hafstad H; Vårres Regional User-Led Center Mid-Norway, Trondheim, Norway.; Havnen A; Nidaros Community Mental Health Center, Division of Psychiatry, St. Olavs University Hospital, Trondheim, Norway.; Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Saether SG; Blue Cross Lade Addiction Treatment Centre, Trondheim, Norway.; Salvesen Ø; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.; Vaag J; Department of Psychology, Inland University of Applied Sciences, Lillehammer, Norway.; Torgersen T; Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; Nidelv Community Mental Health Centre, Department of Mental Healthcare, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Source: BMC psychiatry [BMC Psychiatry] 2024 Sep 16; Vol. 24 (1), pp. 615. Date of Electronic Publication: 2024 Sep 16.
Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
MeSH Terms: Attention Deficit Disorder with Hyperactivity*/therapy ; Attention Deficit Disorder with Hyperactivity*/psychology ; Patient Satisfaction* ; Proof of Concept Study*; Patient Acceptance of Health Care/psychology ; Patient Education as Topic/methods ; Psychotherapy, Group/methods ; Quality of Life/psychology ; Adult ; Female ; Humans ; Male ; Middle Aged ; Feasibility Studies ; Norway ; Self Efficacy
Abstract: Background: Mental health settings are increasingly using co-facilitation of educational group interventions in collaboration with patient partners and service users. However, despite promising results, limited information is available regarding the feasibility and satisfaction levels of these programmes among adults newly diagnosed with attention-deficit hyperactivity/impulsivity disorder (ADHD). Hence, this study aimed to determine the feasibility, acceptability, and preliminary effects of a user co-facilitated psychoeducational group programme for adults diagnosed with ADHD.; Methods: This feasibility proof-of-concept randomised controlled trial recruited outpatients from a Norwegian community mental health centre. Outpatients randomised to the intervention group (IG) received a psychoeducational programme supplementing Treatment As Usual (TAU), while the control group received TAU. Feasibility was determined by the acceptance rate, adherence rate, and dropout rate. Acceptability was measured with the Client Satisfaction Questionnaire and a 3-item scale measuring satisfaction with the received information. To test the preliminary effects, self-efficacy, symptom severity, and quality of life were measured at baseline and pre- and post-intervention.; Results: Feasibility was demonstrated; most of the patients were willing to enrol, participants attended 82% of the psychoeducational programme, and only 13% dropped out of the study. The between-group analyses revealed that the IG reported significantly greater mean satisfaction than the CG. Moreover, the intervention group was more satisfied with the information they received during the psychoeducational programme. Concerning the preliminary effects, the linear mixed model showed improvement in quality of life (the subscale relationship); however, other patient-reported outcomes did not show improvements.; Conclusions: This proof-of-concept randomised controlled trial supports the feasibility and acceptability of the user co-facilitated psychoeducational programme for patients newly diagnosed with ADHD in an outpatient setting. While preliminary findings indicate promise in enhancing patient-reported outcomes, a larger study is warranted to assess the intervention's effectiveness rigorously.; Trial Registration: NCT03425, 09/11/2017.; (© 2024. The Author(s).)
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Contributed Indexing: Keywords: Adult ADHD; Co-creation; Feasibility; Group treatment; Patient education; Patient satisfaction; Peer co-led; Psychoeducation; Randomised controlled trial; Self-efficacy; Self-management; User-centred design
Molecular Sequence: ClinicalTrials.gov NCT00003425
Entry Date(s): Date Created: 20240916 Date Completed: 20240917 Latest Revision: 20250227
Update Code: 20260130
PubMed Central ID: PMC11403850
DOI: 10.1186/s12888-024-06015-4
PMID: 39285365
Database: MEDLINE

Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't