Shared Decision Making for Patients With First-admission Schizophrenia
Shared Decision Making for Patients With First-admission Schizophrenia: a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Shizuoka
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Numazu, Shizuoka, Japan
- Numazu Chuou Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Admitted to an acute care psychiatric ward.
- Diagnosed with schizophrenia (ICD-10 codes: F20-F29)
- Aged 16 to 65 years old at admission
- No prior experience of psychiatric admission (first-admission)
Exclusion Criteria:
- Diagnosed with moderate to severe mental retardation
- Diagnosed with organic mental disorders (ICD10 codes: F00-F09)
- Having poor Japanese language skill
- Severe conceptual disorganization as measured by brief psychiatric rating scale of 5 or more.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Shared Decision Making
The present SDM intervention is based on principles derived from previous randomized controlled trials of SDMs.
SDM meetings comprise at least 4 weekly 20 minutes sessions.
Meetings have at least three professionals: a case manager (psychiatrists or nurses), a primary doctor, and a nurse/social worker.
The focus of the meeting is to empower patients to discuss their attitudes and preferences toward treatments.
|
The focus of the SDM is to empower patients to discuss their attitudes and preferences toward treatments.
|
|
No Intervention: Usual Care
Patients with no special program about decision making.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Patient satisfaction as measured by the Japanese version of the Client Satisfaction Questionnaire (CSQ-8)
Time Frame: Within 7days before the date of discharge
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Within 7days before the date of discharge
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Attitude toward medication as measured by the Japanese version of the Drug Attitude Inventory (DAI-10)
Time Frame: Within 7days before the date of discharge
|
Within 7days before the date of discharge
|
|
Treatment continuation as measured by the rate of outpatient attendance during the 30 days
Time Frame: 6 months after discharge
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6 months after discharge
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Yoshio Hirayasu, PhD, Department of Psychiatry, Yokohama City University School of Medical
Publications and helpful links
General Publications
- Ishii M, Okumura Y, Sugiyama N, Hasegawa H, Noda T, Hirayasu Y, Ito H. Feasibility and efficacy of shared decision making for first-admission schizophrenia: a randomized clinical trial. BMC Psychiatry. 2017 Feb 6;17(1):52. doi: 10.1186/s12888-017-1218-1.
- Ishii M, Okumura Y, Sugiyama N, Hasegawa H, Noda T, Hirayasu Y, Ito H. Efficacy of shared decision making on treatment satisfaction for patients with first-admission schizophrenia: study protocol for a randomised controlled trial. BMC Psychiatry. 2014 Apr 14;14:111. doi: 10.1186/1471-244X-14-111.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SDMS-S
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