Peer Facilitated Waitlist Controlled Transportation Study

Official title

Enhancing Community Mobility in Individuals With Serious Mental Illnesses Through Peer-Facilitated Travel Training: A Two-armed Waitlist Controlled Trial

Overview

The goal of this clinical trial is to test the effectiveness of a peer-facilitated travel intervention in adults with serious mental illnesses. This project aims to address the following hypotheses: 1. Individuals with SMI receiving either of the two peer-mediated travel training transportation interventions will experience an increase in transportation self-efficacy and transportation skills. 2. Participants in the intervention arms will increase their transport utilization, participate in significantly more activities in the community, and make significantly more trips in the community. 3. Individuals with SMI receiving peer-mediated travel training interventions will retain post-test levels of community participation and self-efficacy 2 months after intervention. Participants will be assigned to an 8-week travel-training intervention either using a bike-share program or public transportation. All participants will complete three data-collection research interviews.

Detailed description

This project proposes using a two-armed, waitlist controlled trial to test the effectiveness of peer-facilitated travel interventions and their ability to enhance community mobility and increase feelings of self-efficacy in individuals with serious mental illness (SMI). The first intervention arm is an 8-week bikeshare intervention, which consists of individual trainings on using a bike sharing program; the second intervention arm is an 8-week public transportation intervention, which consists of individual trainings for using public transportation in the Philadelphia area. The investigators seek to enroll a total of 180 individuals from community mental health agencies in the Philadelphia area and expect recruitment to take 3 years. Eligible participants will be individuals who meet criteria indicating that they have an SMI, are between the ages of 18-65, and are both willing and able to learn to use public transportation and ride a bicycle. Data will be collected via face-to-face or web-based video call interviews at 3 time points: baseline, 2-months post-baseline, and 4-months post-baseline. Participants will also complete short surveys about their travel behaviors over the phone in the seven days after each interview. There will also be a subsample of participants who will provide additional GPS data.

Interventions

• Behavioral Bike-Share Travel Training
  Half of the participants not assigned to the waitlist will begin the bike-share intervention arm immediately after the baseline research interview. The bike-share arm will last for 8 weeks and be delivered by a community peer specialist. Half of the participants assigned to the waitlist will begin the bike-share intervention arm after an 8-week waiting period.
• Behavioral Public Transportation Travel Training
  Half of the participants not assigned to the waitlist or bike-share arm will begin the public transportation intervention arm immediately after the baseline research interview. The public transportation arm will last for 8 weeks and be delivered by a community peer specialist. Half of the participants assigned to the waitlist will begin the public transportation intervention arm after an 8-week waiting period.

Primary outcome measures

• Temple University Community Participation Measure [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• LASA Sedentary Behaviors Questionnaire [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• Transportation Appraisal Scale [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• Indego Skills Survey [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• SEPTA Skills Survey [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• University of California, San Diego Performance-Based Skills Assessment (UPSA- Modified) [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• National Household Travel Survey [Time frame: Administered daily for 7 days after baseline, 2-month, and 4-month follow-up interviews.]
• GPS [Time frame: GPS data collection will last for 14 days after initial baseline interviews and another 14 days after completion of the 8-week intervention.]

Secondary outcome measures (7)

• Internalized Stigma of Mental Illness Inventory (ISMI) (Brief Version) [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• University of California, Los Angeles, Loneliness Scale [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• Pearlin Mastery Scale (Coping) [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• SF- 36 v2 [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• The PERMA - Profiler Measure [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• Recovery Assessment Scale (RAS) [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]
• Group Identification Scale (GIS) [Time frame: Asked at baseline, 2-month, and 4-month follow-ups interviews.]

Eligibility criteria

Inclusion criteria

• are between the ages of 18 and 65
• are diagnosed with a SMI (confirmed via the MINI)
• score at least an 8 on a travel skills assessment
• indicates that they can ride a bicycle
• have expressed interest in using a bikeshare and public transportation
• are able to provide informed consent

Exclusion criteria

• score less than 8 on a travel skills assessment
• express no interest in independent transportation
• are non-English speaking individuals
• are unable to provide consent
• are living in a setting where mobility and participation is restricted
• have a limiting physical condition that would prevent their ability to ride a bicycle independently

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Other

Study locations

United States · 1 center

• Pathways To Housing PA — Philadelphia

Identifiers

NCT: NCT06370767 · 25634

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗