Optimizing Outcomes of Dynamic Psychotherapy by the MATRIX: A Preliminary Study

NCT03813264 | Unknown

• 1 other identifier: SHA-0013-18
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Mental disorders require therapeutic effort that contains drug components and psychotherapeutic intervention. The latter requires many resources in light of the skill required. Moreover, such intervention is long, and it takes a long time to assess its effectiveness. The proposed study seeks to implement a management system (ie, a system that monitors and intervenes in ineffective and even harmful treatments) for the purpose of optimizing psychotherapies. The system monitors the improvement in patients' condition in treatment using a mobile phone-based system, and when the treatment is ineffective, it recommends correction strategies. The study will help reduce the ineffective or harmful treatment in dynamic psychotherapy, increasing the quality of care the patient receives. And will lead to the optimal utilization of resources in the mental health system.

Conditions

Psychotherapy; Mental Health; Monitoring

Keywords

MATRIX; ROM (Routine Outcome Measures); mobile-assisted PROMS; managed care

Outcome Measures

Primary Outcomes (2)

• implementation of patient/therapist mobile phone based routine monitoring tools in public psychiatric services.

  high adherence rate of routine mobile based measures

  12 months

• efficiency of a platform that combine monitor and intervene clinical practice

  outcome of psychotherapeutic treatments based on the collection of routine outcomes \[ROM\] and analysis of MATRIX as measured by the OQ-45 (the most common outcome questionnaire in psychotherapy).

  12 months

Study Arms (1)

preliminary arm

EXPERIMENTAL

pairs of patients and their therapists

Other: Routine outcome measures (ROM)

Interventions

Routine outcome measures (ROM) OTHER

The proposed study consists of two complementary processes: the first is the routine collection of clinical data using ROM; The second process is MATRIX-based intervention that is expected to improve the course of treatment.

Also known as: MATRIX (a tool for analysis of therapeutic hours)

preliminary arm

Eligibility Criteria

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

You may qualify if:

• Subjects (patients / therapists) over the age of 18.
• had agreed to participate in the study.
• eligible for psychotherapeutic treatment.
• treated with the attending clinician for at least two months.
• treated/treating with dynamic psychotherapeutic treatment only.

You may not qualify if:

• Patients who (due to cognitive impairment, language gaps, etc.) are unable to complete a questionnaire with little help.

Sponsors & Collaborators

• Shalvata Mental Health Center: lead

Study Sites (1)

Shalvata Mental Health center

Hod HaSharon, Israel

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Central Study Contacts

Shlomo Mendlovich, MD

CONTACT

+972506770178; mendlovich@clalit.org.il

Hanna Lanchinsky, Mrs

CONTACT

+97297478644; hanaln@clalit.org.il

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: director of the Shalvata Mental Health Center

Model Details: The proposed study consists of two complementary processes: the first is the routine collection of clinical data using ROM; The second process is MATRIX-based intervention that is expected to improve the course of treatment. The study will take place in the clinic complex located at the Shalvata Mental Health Center campus (Shalva clinic, departmental follow-up clinics, day department), and will include 10 therapists (psychiatrists, psychologists, social workers) and 10 patients.

Study Record Dates

• First Submitted: January 3, 2019
• First Posted: January 23, 2019
• Study Start: January 1, 2019
• Primary Completion: December 1, 2019
• Study Completion: June 1, 2020
• Last Updated: January 23, 2019

Record last verified: 2019-01

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)