A System for Preference Assessment in Mental Health
SPA
Implementing Patient-Centered Decision Support for Mental Health
1 other identifier
interventional
61
1 country
1
Brief Summary
It is important that individuals with serious mental illness make informed choices among alternative healthcare treatments based on their preferences. However, at present, individuals' preferences are often not being elicited, nor used to guide which treatments are made available. In this pilot project, the investigators implement and evaluate a computerized method for assessing treatment preferences of individuals with schizophrenia. The investigators use weight management treatments for this initial test of the system. If this assessment method is found to predict treatment use and satisfaction, it can be used to guide implementation of treatments that improve outcomes while meeting individuals' preferences.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2014
Longer than P75 for not_applicable
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
June 16, 2014
CompletedFirst Submitted
Initial submission to the registry
June 30, 2014
CompletedFirst Posted
Study publicly available on registry
July 8, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2017
CompletedNovember 6, 2017
November 1, 2017
3.4 years
June 30, 2014
November 2, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Days until using weight services
Utilization of the weight services offered. This includes the number of days until starting to use weight services. This is assessed using information regarding attendance at weight services, and by survey administered by interview.
3 months
Participant preferences regarding weight services
Individuals' preferences are assessed regarding different attributes of weight treatments. These are assessed using computerized conjoint analysis methods.
Baseline
Satisfaction with the weight services provided
Satisfaction with the weight services provided. This is assessed using the Client Satisfaction Questionnaire administered by interview.
3 months
Number of weight services used
Utilization of the weight services offered. This includes the number of weight service sessions attended. This is assessed using information regarding attendance at weight services, and by survey administered by interview.
3 months
Secondary Outcomes (1)
Feasibility and acceptability of implementing preference assessment
Baseline
Other Outcomes (1)
Aspects of the Theory of Planned Behavior
Baseline and 3 months
Study Arms (1)
Psychosocial Weight Intervention
EXPERIMENTALWeekly group intervention for diet and exercise, designed specifically for individuals with serious mental illness and the cognitive deficits that accompany those illnesses
Interventions
Weekly group intervention for diet and exercise, designed specifically for individuals with serious mental illness and the cognitive deficits that accompany those illnesses
Eligibility Criteria
You may qualify if:
- diagnosis of schizophrenia
- age 18 or older
- Body Mass Index (BMI) of either 28.0-29.9 and gained 10 pounds in the last 3 months; OR, BMI of 30 or above
- able to provide informed consent
You may not qualify if:
- a medical condition for which a weight program is contraindicated
- pregnant and nursing mothers
- attendance at a psychosocial intervention for weight management in the past month
- individuals with legal conservators who manage informed consent
- can not speak English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UCLA Center for Health Services and Society
Los Angeles, California, 90024, United States
Related Publications (5)
Young AS, Niv N, Chinman M, Dixon L, Eisen SV, Fischer EP, Smith J, Valenstein M, Marder SR, Owen RR. Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERI. Community Ment Health J. 2011 Apr;47(2):123-35. doi: 10.1007/s10597-010-9328-y. Epub 2010 Jul 25.
PMID: 20658320BACKGROUNDCohen AN, Chinman MJ, Hamilton AB, Whelan F, Young AS. Using patient-facing kiosks to support quality improvement at mental health clinics. Med Care. 2013 Mar;51(3 Suppl 1):S13-20. doi: 10.1097/MLR.0b013e31827da859.
PMID: 23407006BACKGROUNDBrown AH, Cohen AN, Chinman MJ, Kessler C, Young AS. EQUIP: implementing chronic care principles and applying formative evaluation methods to improve care for schizophrenia: QUERI Series. Implement Sci. 2008 Feb 15;3:9. doi: 10.1186/1748-5908-3-9.
PMID: 18279505BACKGROUNDChinman M, Young AS, Schell T, Hassell J, Mintz J. Computer-assisted self-assessment in persons with severe mental illness. J Clin Psychiatry. 2004 Oct;65(10):1343-51. doi: 10.4088/jcp.v65n1008.
PMID: 15491237BACKGROUNDYoung AS. The client, the clinician, and the computer. Psychiatr Serv. 2010 Jul;61(7):643. doi: 10.1176/ps.2010.61.7.643. No abstract available.
PMID: 20591993BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alexander S Young, MD, MSHS
University of California, Los Angeles
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
June 30, 2014
First Posted
July 8, 2014
Study Start
June 16, 2014
Primary Completion
October 31, 2017
Study Completion
October 31, 2017
Last Updated
November 6, 2017
Record last verified: 2017-11
Data Sharing
- IPD Sharing
- Will not share