Introduction Seminar About Patient Participation and Treatment Options Decisional Preferences

NCT01601587 | Completed

• 1 other identifier: 4.2009.77.2009/1980 ( part 2)
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Patient participation (PP) in Hospital is a goal defined by the Norwegian Health Authorities and it is a mandatory activity for District Psychiatric out-patient Centres (DPC) in Norway: patients are entitled to have influence on their treatment and should receive sufficient information directed at empowerment. Nevertheless, studies from Norway have found that patients who seek help are dissatisfied with the information they receive and doubt their possibility for real influence on their treatment. One way to improve individual PP might be to give patients sufficient information and education before they start their treatment in the form of an educational group intervention, an introduction seminar (IS); this group intervention is less time and resource consuming than individual interventions. Aims: The main purpose of this project is to develop and evaluate an IS for patients on a waiting list of DPC. The seminar will educate patients, so they can actively participate in their own treatment and, thereby, choosing treatment, reducing the risk of dropping out of treatment. Another aim is to enable patients to participate in their own treatment, to cope with their problems while they are waiting for treatment by providing them contact with primary health care and user organizations during their waiting time, and to increase adherence. Methods: The project involves three components: an exploratory study of educational content of the seminar; RCT of that 4-hours program (to examine its effect on treatment preferences and choices, activation, satisfaction, mental health and cost-benefit) and then a post-seminar qualitative evaluation, which will be used to create a broad yet deep understanding of the practical side of the participants'experience and the seminar's effect.

Conditions

Mental Health Disorders

Keywords

Introductory Seminar; Waiting list; Community Mental Health Centre

Outcome Measures

Primary Outcomes (4)

• Selected Treatment

  one single question

  1 month

• Health Care utilization

  Health care registration (adherence, attendance, consultations, dropout's rates and cost)

  1 year

• Health Care utilization

  Health care registration (adherence, attendance, consultations, dropout's rates and cost)

  2 years

• coping

  Patient Activation Measure (PAM-13)

  4 months

Secondary Outcomes (4)

• Preferences for involvement in treatment decision making

  Baseline, 1, 4 and 12 months

• Treatment Satisfaction

  Baseline, 1, 4, and 12 months

• Quality of Life

  Baseline, 1, 4 and 12 months

• Motivation

  Baseline, 1, 4 and 12 months

Study Arms (2)

Treatment as usual

NO INTERVENTION

Patients will receive treatment as usual

Introduction Seminar

OTHER

Psychoeducational group

Other: A psychoeducational group intervention.

Interventions

A psychoeducational group intervention. OTHER

The intervention is an introduction seminar. It will be held over FOUR hours. Up to 15 patients can participate in each seminar. The content of the was developed based on study 1. The presentation about available treatment options and patient's rights are made by multi professional health personnel and user representatives. More specifically, this will be done under the following topics: 1. What is mental health? 2. Treatment options: orientation about individual and group based treatment modalities. 3. Former patients experience with their own treatment, self-help and participation. 4. How to influence and participate actively in the treatment and patient rights. 5. What can I do while I wait for treatment and where can I otherwise do to avoid aggravation?

Introduction Seminar

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• older than 18 years
• referred for out-patient treatment
• guarantee of starting treatment between 2 and 4 months

You may not qualify if:

• guarantee of starting treatment in less than 2 months
• Patients who do not understand the consequences of taking part of the study

Sponsors & Collaborators

• Norwegian University of Science and Technology: lead
• St. Olavs Hospital: collaborator

Study Sites (1)

Tiller DPS

Trondheim, 7055, Norway

Location

Related Publications (1)

• Lara-Cabrera ML, Salvesen O, Nesset MB, De las Cuevas C, Iversen VC, Grawe RW. The effect of a brief educational programme added to mental health treatment to improve patient activation: A randomized controlled trial in community mental health centres. Patient Educ Couns. 2016 May;99(5):760-8. doi: 10.1016/j.pec.2015.11.028. Epub 2015 Dec 2.

  PMID: 26682971 RESULT

Study Officials

• Olav Linaker, md phd

  National Taiwan Normal University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 10, 2012
• First Posted: May 18, 2012
• Study Start: May 1, 2012
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: September 5, 2018

Record last verified: 2018-08

Locations

NO (1)