Systematic Use of Telepsychiatry for Outpatients

NCT05516238 | Completed

• 1 other identifier: REG-003-2021
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Implementation and evaluation of video consultation in psychiatric outpatient treatment. The study will focus on patients' experiences regarding the use of VC. The study will also examine important aspects of the telepsychiatric consultation such as therapeutic alliance, consultation content, psychopathology and satisfaction levels compared to face-to-face consultations.

Conditions

Borderline Personality Disorder; Depressive Disorder; Ptsd; Anxiety Disorders

Outcome Measures

Primary Outcomes (9)

• The demand for video consultation (VC) in clinical practice.

  The demand for VC is evaluated by the percentage of included participants who chose to be in the VC group and the actual use of VC consultation sessions during the study period, including the number of missed appointments and the number of times VC sessions have been converted to telephone or in-person (IP) consultations.

  One year

• Patients' therapeutic alliance, assessed by working alliance inventory- client version (WAI-C)

  Therapeutic alliance is evaluated with the mean change scores in the WAI-C questionnaire at baseline and posttreatment. Score ranging: from 12 to 84. Higher scores indicate a higher therapeutic alliance

  Two months.

• Patients' satisfaction, assessed by client satisfaction questionnaire 8 (CSQ-8)

  Satisfaction is evaluated with the mean change scores in the CSQ-8 questionnaire at baseline and posttreatment. Score ranging: from 8 to 32. Higher scores indicate a higher satisfaction

  Two months.

• Patients' Symptom level, assessed by Symptom Checklist -10 (SCL-10)

  Symptom level is evaluated with the mean change scores in the SCL-10 questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. Lower score indicates lower psychological distress

  Two months.

• Patients' well-being, assessed by World Health Organisation- Five Well-Being Index (WHO-5)

  Well-being level is evaluated with the mean change scores in the WHO-5 questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. Higher scores indicate higher well-being

  Two months.

• Patients' function, assessed by Sheehan Disability Scale (SDS)

  Functional impairment is evaluated with the mean change scores in the SDS questionnaire at baseline and posttreatment. Score ranging: from 0 to 30. lower scores indicate lower functional impairment

  Two months.

• Patient recovery, assessed by INSPIRE

  Patient recovery is evaluated with the mean change scores in the INSPIRE questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. A higher score indicates higher recovery

  Two months.

• The implementation and integration of VC in clinical practice, as assessed by a checklist developed for the case managers (CM).

  The following properties are used to evaluate the implementation and integration properties: 1. type of technology patients use for VC sessions (Smartphone/tablet or personal computer/laptop) 2. patients' physical location during VC session (Home or outdoor) 3. the VC sessions confidentiality (Alone or with other persons) 4. duration of VC session 5. the content of the VC sessions (supportive, therapy, medication management, crisis/acute or "mix" content) Descriptive statistics will be applied to evaluate the implementation and integration properties.

  One year

• Patients' experiences regarding the use of VC

  Semistructured interviews have been conducted to evaluate participants' experience regarding the use of VC technology in clinical practice.

  Two months

Study Arms (2)

Video group

EXPERIMENTAL

Case management through video format

Other: Case management

In-person

ACTIVE COMPARATOR

Case management through in person format

Other: Case management

Interventions

Case management OTHER

Case management cover therapy (psychotherapy/psychoeducation), medication adjustment, training in daily living skills (supportive), and direct consultations in crises.

In-person; Video group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age \> 18 years
• Danish-speaking.

You may not qualify if:

• Additionally, Participants in the VC group were excluded if they did not have a smartphone, tablet, laptop, or personal computer with a webcam.

Sponsors & Collaborators

• Psychiatric Research Unit, Region Zealand, Denmark: lead

Study Sites (1)

Psychiatric research unit, Region Zealand,

Slagelse, Denmark

Location

MeSH Terms

Conditions

Borderline Personality Disorder; Depressive Disorder; Stress Disorders, Post-Traumatic; Anxiety Disorders

Interventions

Case Management

Condition Hierarchy (Ancestors)

Personality Disorders; Mental Disorders; Mood Disorders; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Design

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

Study Record Dates

• First Submitted: May 10, 2022
• First Posted: August 25, 2022
• Study Start: April 21, 2021
• Primary Completion: April 26, 2022
• Study Completion: April 26, 2022
• Last Updated: March 31, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)