[Real-time experiences, physical activity, and biological outcomes in the personal recovery of patients in mental health supported accommodations: a non-randomized multicenter clinical trial.].

The EMPOWER-RES trial is designed to compare personal recovery-oriented treatment versus standard treatment in patients residing in mental health supported accommodations in Italy.

• The study is a non-randomized multicenter clinical trial.
• The personal recovery-oriented treatment group includes n=36 patients and the standard treatment group includes n=36 patients.
• Patients will be matched by sex, age, and diagnosis.
• The target population is people with severe mental disorders (SMDs) living in supported accommodations (SAs).

The personal recovery-oriented intervention uses the Mental Health Recovery Star as its core tool.

• The Mental Health Recovery Star represents ten life dimensions.
• The tool monitors the stages of change in patients.
• The intervention is framed around the concept of personal recovery, defined as 'living life to the fullest potential'.

The study integrates real-time digital data collection and biological markers alongside standardized clinical assessments.

• A mobile application will collect real-time data on patients' daily experiences, mood, and social interactions.
• Accelerometers will monitor patients' physical activity and sleep-wake rhythms.
• Standardized assessments will be administered to patients, caregivers, and professionals at baseline and after six months.
• Biological markers are included as part of the assessment framework.

The primary hypothesis is that personal recovery-oriented treatment will significantly increase Personal and Social Functioning as measured by the PSP score.

• The primary outcome threshold is defined as a PSP score increase of ≥5 points at 6 months.
• Secondary outcomes include reduction of caregiver burden and professional burnout.
• Results are not yet available at the time of publication.

The study also investigates the burden experienced by caregivers and mental health professionals as secondary outcomes.

• The study aims to determine whether personal recovery-oriented interventions can reduce caregiver burden.
• Reduction of professional burnout among mental health professionals is also a secondary study aim.
• Assessments are administered to patients, caregivers, and professionals at both baseline and six-month follow-up.

People with severe mental disorders in Italian supported accommodations face persistent symptoms, functional impairment, and social exclusion.

• SMDs are described as associated with 'persistent symptoms, functional impairment, and social exclusion.'
• The adoption of personal recovery approaches in SAs 'remains challenging.'
• The goal of SAs is stated to be promoting personal recovery, though this is not consistently achieved under standard treatment.