Patient Guided Psychiatric Admissions
1 other identifier
interventional
53
1 country
1
Brief Summary
To meet the requirement for increased patient involvement, several Community Mental Health Centres (CMHC) have initiated a service called "patient-guided admissions". The investigators will compare a group with "patient guided admission/self-referral to inpatient beds" with a group having treatment as usual. It is expected that patients in the intervention group will experience more increased feeling of coping (patient activation) after 4 months and 12 months as a result of participating in "patient-guided admissions" than patients getting treatment as usual. In addition the total number of inpatient days either in the CMHC, psychiatric hospital or community rehabilitation centre is expected to be clearly lower in the intervention group than in the 'treatment-as-usual' group during one year after intake. Also the number of involuntary admissions either as inpatient or outpatient will be significant lower in the intervention group than the 'treatment-as-usual' group.The number of admissions in CMHC and psychiatric hospital, as well as the number of outpatient consultations in primary care, CMHC and psychiatric hospitals, will be lower in the intervention group than in the 'treatment-as-usual' group. Patients in the intervention group will experience improved mental health, increased feeling of coping (patient activation) and increased experience of recovery after 4 months and 12 months as a result of participating in "patient-guided admissions".
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable schizophrenia
Started May 2010
Typical duration for not_applicable schizophrenia
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2010
CompletedFirst Submitted
Initial submission to the registry
May 19, 2010
CompletedFirst Posted
Study publicly available on registry
May 31, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedApril 4, 2017
March 1, 2017
3.6 years
May 19, 2010
March 31, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Patient activation/coping
Patient Activation Measure (PAM 13)
4 months
Patient activation/coping
Patient Activation Measure (PAM 13)
12 months
Secondary Outcomes (6)
Number of admissions
12 months
Total number of inpatient days
12 months
Number of outpatient consultations
12 months
Number of involuntary admissions
12 months
Symptoms/functioning and recovery
4 months
- +1 more secondary outcomes
Study Arms (2)
admissions contract
EXPERIMENTALcontract regarding "patient-guided admissions"
wait list control
ACTIVE COMPARATOR1 year on waiting list
Interventions
Patient-guided admissions contract regarding "patient-guided admissions" starting a year after.
contract regarding "patient-guided admissions" starting immediately
Eligibility Criteria
You may qualify if:
- schizophrenia or bipolar disorder
- long term care
- established relationship with the ward
You may not qualify if:
- extensive substance use problems
- self-destructive behavior
- not able to consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
St.Olavs hospital, Psykisk helsevern, Nidaros DPS
Trondheim, 7440, Norway
Related Publications (3)
Moljord IE, Helland-Hansen KA, Salvesen O, Olso TM, Gudde CB, Rise MB, Steinsbekk A, Eriksen L. Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial. BMC Health Serv Res. 2016 Sep 22;16(1):513. doi: 10.1186/s12913-016-1712-z.
PMID: 27659102RESULTMoljord IEO, Lara-Cabrera ML, Salvesen O, Rise MB, Bjorgen D, Antonsen DO, Olso TM, Evensen GH, Gudde CB, Linaker OM, Steinsbekk A, Eriksen L. Twelve months effect of self-referral to inpatient treatment on patient activation, recovery, symptoms and functioning: A randomized controlled study. Patient Educ Couns. 2017 Jun;100(6):1144-1152. doi: 10.1016/j.pec.2017.01.008. Epub 2017 Jan 11.
PMID: 28096034RESULTSigrunarson V, Moljord IE, Steinsbekk A, Eriksen L, Morken G. A randomized controlled trial comparing self-referral to inpatient treatment and treatment as usual in patients with severe mental disorders. Nord J Psychiatry. 2017 Feb;71(2):120-125. doi: 10.1080/08039488.2016.1240231. Epub 2016 Oct 14.
PMID: 27739334RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lasse Eriksen, PhD
St. Olavs Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2010
First Posted
May 31, 2010
Study Start
May 1, 2010
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
April 4, 2017
Record last verified: 2017-03