Person-Centered Psychosis Care: An Educational Intervention

NCT03182283 | Completed

• 1 other identifier: PCPC
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Schizophrenia is a major mental illness that presents in young adulthood and affects \~1% of the population. Impact on affected persons life is often major and life expectancy is reduced by \~20 years. Better and more effective care models are needed to increase health in these persons. Person-centered care have been suggested to be one way to increase efficiency in care delivery for patients with chronical and complex conditions. The impact of person-centered care on a inpatient psychosis care setting is now being tested. The purpose of this study is to test whether inpatient Person-centered psychosis care (PCPC) can

1. 1.increase patient empowerment
2. 2.improve patient satisfaction
3. 3.reduce the frequency of involuntary treatments
4. 4.reduce the duration of inpatient care and
5. 5.reduce overall ward burden

Conditions

Patient-Centered Care; Psychiatry; Inpatient; Psychosis

Keywords

Person-centered care; Psychosis care; Integrated care

Outcome Measures

Primary Outcomes (1)

• Change in patient empowerment (between before and after cohorts)

  Patient reported empowerment measured by The Empowerment Scale (Rogers et al 2010).

  Baseline (for before-intervention cohort), 2 years (for after-intervention cohort)

Secondary Outcomes (4)

• Change in consumer satisfaction (between before and after cohorts)

  Baseline (for before-intervention cohort), 2 years (for after-intervention cohort)

• Change in staff care burden (before and after intervention and implementation)

  Baseline, 2 years

• Change in inpatient days with/out involuntary care (between before and after cohorts)

  Baseline (for before-intervention cohort), 2 years (for after-intervention cohort)

• Change in involuntary treatment (between before and after cohorts)

  Baseline (for before-intervention cohort), 2 years (for after-intervention cohort)

Study Arms (2)

Pre-intervention

NO INTERVENTION

All patients at the psychosis wards receive care as usual before staff goes through educational intervention.

Post-intervention

OTHER

After staff attended educational intervention and implemented Person-centered psychosis care in the wards all patients admitted will receive person-centered care.

Behavioral: Person-centered psychosis care

Interventions

Person-centered psychosis care BEHAVIORAL

Person-centered care educational intervention for staff with following implementation of person-centered care in the clinic

Post-intervention

Eligibility Criteria

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

You may qualify if:

• Diagnosis of psychotic illness in accordance with ICD-10
• Medically ready for discharge as deemed by ward psychiatrist

You may not qualify if:

• Severe cognitive disability
• Lack of basic Swedish language skills

Sponsors & Collaborators

• Göteborg University: lead
• Sahlgrenska University Hospital: collaborator
• Swedish Council for Working Life and Social Research: collaborator

Study Sites (1)

Psychosis Clinic, Sahlgrenska University Hospital

Gothenburg, Sweden

Location

Related Publications (28)

• Rossler W, Salize HJ, van Os J, Riecher-Rossler A. Size of burden of schizophrenia and psychotic disorders. Eur Neuropsychopharmacol. 2005 Aug;15(4):399-409. doi: 10.1016/j.euroneuro.2005.04.009.

  PMID: 15925493 BACKGROUND

• von Hausswolff-Juhlin Y, Bjartveit M, Lindstrom E, Jones P. Schizophrenia and physical health problems. Acta Psychiatr Scand Suppl. 2009;(438):15-21. doi: 10.1111/j.1600-0447.2008.01309.x.

  PMID: 19132962 BACKGROUND

• Tiihonen J, Lonnqvist J, Wahlbeck K, Klaukka T, Niskanen L, Tanskanen A, Haukka J. 11-year follow-up of mortality in patients with schizophrenia: a population-based cohort study (FIN11 study). Lancet. 2009 Aug 22;374(9690):620-7. doi: 10.1016/S0140-6736(09)60742-X.

  PMID: 19595447 BACKGROUND

• Lasalvia A, Boggian I, Bonetto C, Saggioro V, Piccione G, Zanoni C, Cristofalo D, Lamonaca D. Multiple perspectives on mental health outcome: needs for care and service satisfaction assessed by staff, patients and family members. Soc Psychiatry Psychiatr Epidemiol. 2012 Jul;47(7):1035-45. doi: 10.1007/s00127-011-0418-0. Epub 2011 Aug 18.

  PMID: 21850522 BACKGROUND

• Hamann J, Langer B, Winkler V, Busch R, Cohen R, Leucht S, Kissling W. Shared decision making for in-patients with schizophrenia. Acta Psychiatr Scand. 2006 Oct;114(4):265-73. doi: 10.1111/j.1600-0447.2006.00798.x.

  PMID: 16968364 BACKGROUND

• Hamann J, Cohen R, Leucht S, Busch R, Kissling W. Do patients with schizophrenia wish to be involved in decisions about their medical treatment? Am J Psychiatry. 2005 Dec;162(12):2382-4. doi: 10.1176/appi.ajp.162.12.2382.

  PMID: 16330606 BACKGROUND

• Joosten EA, DeFuentes-Merillas L, de Weert GH, Sensky T, van der Staak CP, de Jong CA. Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status. Psychother Psychosom. 2008;77(4):219-26. doi: 10.1159/000126073. Epub 2008 Apr 16.

  PMID: 18418028 BACKGROUND

• Malm U, Ivarsson B, Allebeck P, Falloon IR. Integrated care in schizophrenia: a 2-year randomized controlled study of two community-based treatment programs. Acta Psychiatr Scand. 2003 Jun;107(6):415-23. doi: 10.1034/j.1600-0447.2003.00085.x.

  PMID: 12752017 BACKGROUND

• Malm UI, Ivarsson BA, Allebeck P. Durability of the efficacy of integrated care in schizophrenia: a five-year randomized controlled study. Psychiatr Serv. 2014 Aug 1;65(8):1054-7. doi: 10.1176/appi.ps.201300164.

  PMID: 24932858 BACKGROUND

• Ekman I, Wolf A, Olsson LE, Taft C, Dudas K, Schaufelberger M, Swedberg K. Effects of person-centred care in patients with chronic heart failure: the PCC-HF study. Eur Heart J. 2012 May;33(9):1112-9. doi: 10.1093/eurheartj/ehr306. Epub 2011 Sep 15.

  PMID: 21926072 BACKGROUND

• Olsson LE, Karlsson J, Ekman I. Effects of nursing interventions within an integrated care pathway for patients with hip fracture. J Adv Nurs. 2007 Apr;58(2):116-25. doi: 10.1111/j.1365-2648.2007.04209.x.

  PMID: 17445014 BACKGROUND

• Chenoweth L, Forbes I, Fleming R, King MT, Stein-Parbury J, Luscombe G, Kenny P, Jeon YH, Haas M, Brodaty H. PerCEN: a cluster randomized controlled trial of person-centered residential care and environment for people with dementia. Int Psychogeriatr. 2014 Jul;26(7):1147-60. doi: 10.1017/S1041610214000398. Epub 2014 Mar 26.

  PMID: 24666667 BACKGROUND

• Brownie S, Nancarrow S. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clin Interv Aging. 2013;8:1-10. doi: 10.2147/CIA.S38589. Epub 2013 Jan 3.

  PMID: 23319855 BACKGROUND

• Rogers ES, Ralph RO, Salzer MS. Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. 2010 Sep;61(9):933-6. doi: 10.1176/ps.2010.61.9.933.

  PMID: 20810594 BACKGROUND

• Ahlfors UG, Lewander T, Lindstrom E, Malt UF, Lublin H, Malm U. Assessment of patient satisfaction with psychiatric care. Development and clinical evaluation of a brief consumer satisfaction rating scale (UKU-ConSat). Nord J Psychiatry. 2001;55 Suppl 44:71-90. doi: 10.1080/080394801317084437.

  PMID: 11860667 BACKGROUND

• EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9.

  PMID: 10109801 BACKGROUND

• Kinter ET, Schmeding A, Rudolph I, dosReis S, Bridges JF. Identifying patient-relevant endpoints among individuals with schizophrenia: an application of patient-centered health technology assessment. Int J Technol Assess Health Care. 2009 Jan;25(1):35-41. doi: 10.1017/S0266462309090059.

  PMID: 19126249 BACKGROUND

• Nolte, Ellen, and Martin McKee, eds. Caring for people with chronic conditions: a health system perspective. McGraw-Hill Education (UK), 2008.

  BACKGROUND

• Ashburner C, Meyer J, Johnson B, Smith C. Using action research to address loss of personhood in a continuing care setting. Illness, Crisis & Loss. 2004;12(1):23-37.

  BACKGROUND

• Opler MG, Yang LH, Caleo S, Alberti P. Statistical validation of the criteria for symptom remission in schizophrenia: preliminary findings. BMC Psychiatry. 2007 Jul 24;7:35. doi: 10.1186/1471-244X-7-35.

  PMID: 17650312 BACKGROUND

• Endicott J, Spitzer RL, Fleiss JL, Cohen J. The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976 Jun;33(6):766-71. doi: 10.1001/archpsyc.1976.01770060086012.

  PMID: 938196 BACKGROUND

• Krippendorff, Klaus. Content analysis: An introduction to its methodology. Sage, 2004.

  BACKGROUND

• Braun, Virginia, and Victoria Clarke.

  BACKGROUND

• Goulding A, Wiktorsson S, Allerby K, Ali L, Waern M. Service User and Next-of-Kin Experiences of Psychosis Inpatient Care After a Person-Centred Care Intervention. Issues Ment Health Nurs. 2025 Feb;46(2):138-147. doi: 10.1080/01612840.2024.2437429. Epub 2025 Jan 6.

  PMID: 39761213 DERIVED

• Allerby K, Gremyr A, Ali L, Waern M, Goulding A. Increasing person-centeredness in psychosis inpatient care: care consumption before and after a person-centered care intervention. Nord J Psychiatry. 2023 Aug;77(6):600-607. doi: 10.1080/08039488.2023.2199726. Epub 2023 Apr 21.

  PMID: 37083029 DERIVED

• Allerby K, Goulding A, Ali L, Waern M. Increasing person-centeredness in psychosis inpatient care: staff experiences from the Person-Centered Psychosis Care (PCPC) project. BMC Health Serv Res. 2022 May 3;22(1):596. doi: 10.1186/s12913-022-08008-z.

  PMID: 35505358 DERIVED

• Allerby K, Goulding A, Ali L, Waern M. Striving for a more person-centered psychosis care: results of a hospital-based multi-professional educational intervention. BMC Psychiatry. 2020 Nov 4;20(1):523. doi: 10.1186/s12888-020-02871-y.

  PMID: 33148190 DERIVED

• Goulding A, Allerby K, Ali L, Gremyr A, Waern M. Study protocol design and evaluation of a hospital-based multi-professional educational intervention: Person-Centred Psychosis Care (PCPC). BMC Psychiatry. 2018 Aug 30;18(1):269. doi: 10.1186/s12888-018-1852-2.

  PMID: 30165822 DERIVED

MeSH Terms

Conditions

Psychotic Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Study Officials

• Margda Waern, Professor

  Göteborg University & Sahlgrenska University Hospital

  PRINCIPAL INVESTIGATOR

• Anneli Goulding, Phd

  Sahlgrenska University Hospital & Göteborg University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Non-randomized before and after design.

Study Record Dates

• First Submitted: May 17, 2017
• First Posted: June 9, 2017
• Study Start: April 25, 2014
• Primary Completion: August 1, 2018
• Study Completion: August 1, 2018
• Last Updated: November 8, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)