Shared Medical Decision Making in the Prophylactic Treatment of Bipolar Disorder (ShareD-BD)

December 11, 2025 updated by: Centre Hospitalier Universitaire de Nīmes
The investigators hypothesize that implementation of a shared decision making care plan for prophylactic treatment will help therapeutic adherence of bipolar patients. They also anticipate that patients treated according to a shared decision making plan will have an elevated satisfaction of their care, quality of life and functionment, as well as a lower number of relapses

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

300

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Bordeaux, France, 33076
        • CH Charles Perrens
      • Bron, France, 69678
        • CH Le Vinatier
      • Béziers, France, 34500
        • Ch Beziers
      • Clermont-Ferrand, France, 63003
        • CHU de Clermont Ferrand - Hôpital Gabriel-Montpied
      • Clermont-Ferrand, France, 63037
        • CH Sainte-Marie de Clermont-Ferrand
      • Clermont-Ferrand, France, 63003
        • Chu Gabriel Montpied Clermont Ferrand
      • Créteil, France, 94010
        • APHP - Centre Hospitalier Henri Mondor
      • Grenoble, France, 38043
        • CHU de Grenoble - Hopital Albert Michallon
      • Limoges, France, 87025
        • CH Limoges
      • Marseille, France, 13274
        • APHM - Hôpital Sainte-Marguerite
      • Montpellier, France, 34295
        • CHU de Montpellier - Hôpital Lapeyronie
      • Nancy, France, 54000
        • CHU Nancy
      • Nantes, France, 44000
        • CHU Nantes
      • Nîmes, France, 30029
        • CHU Nimes
      • Nîmes, France, 30000
        • Clinique des troubles thymiques
      • Paris, France, 75475
        • APHP - Hôpital Saint Louis-Lariboisière-Fernand-Widal

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Study Population

Patients with biopolar disorder in consultation at one of the recruiting centers

Description

Inclusion Criteria:

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • The patient must be available for the 12 months of follow-up
  • The patient is at least 18 years old
  • Patients is suffering from bipolar disorder (I or II) according to DSM-5 criteria
  • Following resolution of a mood episode (manic or depressive according to DSM-5 criteria) according to the criteria of l'International Society for Bipolar Disorder (Recovery, clinical remission of at least 4 weeks)
  • Followed by at least one of the practitioner belonging to one of the participating centers
  • Without comprehension problems of fluent French

Exclusion Criteria:

  • The subject is participating in an interventional study, or has participated in another interventional study within the previous 3 months
  • The subject is in a period of exclusion determined by a previous study
  • The patient is under safeguard of justice or state guardianship
  • It is impossible to give the subject informed information, or the subject refuses to sign the consent
  • The subject has already participated in this study
  • The patient has troubles linked to the usage of severe intensive substances (such as those defined by the DMS-5)
  • The patient has a revision of the initial diagnosis of bipolar disorder

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Shared Decision making for care
Completion of the Ottawa Personal Decision Guide to help guide care with the support of online and printed material describing the therapeutic options available
Other: Standard decision making for care
Care of patients according to standard practice of managing patients with bipolar disorder

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Measure the difference of prophylactic treatment compliance between bipolar patients receiving treatment according to standard care versus a shared decision making care plan following a mood episode.
Time Frame: 12 months
Clinician Rating Scale (1-7)
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Study the clinician-reported difference between the 2 groups in medication adherence
Time Frame: 3 months
Clinician Rating Scale (1-7)
3 months
Study the clinician-reported difference between the 2 groups in medication adherence
Time Frame: 6 months
Clinician Rating Scale (1-7)
6 months
Study the clinician-reported difference between the 2 groups in medication adherence
Time Frame: 9 months
Clinician Rating Scale (1-7)
9 months
Study the self-reported difference between the 2 groups in medication adherence
Time Frame: 3 months
Medication Adherence Rating Scale( 0-10),
3 months
Study the self-reported difference between the 2 groups in medication adherence
Time Frame: 6 months
Medication Adherence Rating Scale( 0-10),
6 months
Study the self-reported difference between the 2 groups in medication adherence
Time Frame: 9 months
Medication Adherence Rating Scale( 0-10),
9 months
Study the self-reported difference between the 2 groups in medication adherence
Time Frame: 12 months
Medication Adherence Rating Scale( 0-10),
12 months
Clinical evaluation of the difference between the 2 groups in medication adherence
Time Frame: 3 months
Plasma levels of medication for treatment of bipolar disorder, Lithium, anticonvulsants, second generation antipsychotics and antidepressants
3 months
Clinical evaluation of the difference between the 2 groups in medication adherence
Time Frame: 6 months
Plasma levels of medication for treatment of bipolar disorder, Lithium, anticonvulsants, second generation antipsychotics and antidepressants
6 months
Clinical evaluation of the difference between the 2 groups in medication adherence
Time Frame: 9 months
Plasma levels of medication for treatment of bipolar disorder, Lithium, anticonvulsants, second generation antipsychotics and antidepressants
9 months
Clinical evaluation of the difference between the 2 groups in medication adherence
Time Frame: 12 months
Plasma levels of medication for treatment of bipolar disorder, Lithium, anticonvulsants, second generation antipsychotics and antidepressants
12 months
Compare difference in the adherence to personalized follow-up between groups
Time Frame: 3 months
percentage of consultations missed
3 months
Compare difference in the adherence to personalized follow-up between groups
Time Frame: 6 months
percentage of consultations missed
6 months
Compare difference in the adherence to personalized follow-up between groups
Time Frame: 9 months
percentage of consultations missed
9 months
Compare difference in the adherence to personalized follow-up between groups
Time Frame: 12 months
percentage of consultations missed
12 months
Compare difference in patient perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 3 months
decisional conflict scale (0-100)
3 months
Compare difference in patient perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 6 months
decisional conflict scale (0-100)
6 months
Compare difference in patient perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 9 months
decisional conflict scale (0-100)
9 months
Compare difference in patient perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 12 months
decisional conflict scale (0-100)
12 months
Compare difference in patient satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 3 months
adapted QSH-45: 3 questions scored 1-5
3 months
Compare difference in patient satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 6 months
adapted QSH-45: 3 questions scored 1-5
6 months
Compare difference in patient satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 9 months
adapted QSH-45: 3 questions scored 1-5
9 months
Compare difference in patient satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 12 months
adapted QSH-45: 3 questions scored 1-5
12 months
Compare difference in patient satisfaction concerning the decision-making process between groups
Time Frame: 3 months
Adapted clinical decision making involvement and satisfaction score 3 questions scored 1-5
3 months
Compare difference in patient satisfaction concerning the decision-making process between groups
Time Frame: 6 months
Adapted clinical decision making involvement and satisfaction score 3 questions scored 1-5
6 months
Compare difference in patient satisfaction concerning the decision-making process between groups
Time Frame: 9 months
Adapted clinical decision making involvement and satisfaction score 3 questions scored 1-5
9 months
Compare difference in patient satisfaction concerning the decision-making process between groups
Time Frame: 12 months
Adapted clinical decision making involvement and satisfaction score 3 questions scored 1-5
12 months
Compare difference in therapeutic alliance between groups
Time Frame: 3 months
4-Point ordinal Alliance Scale
3 months
Compare difference in therapeutic alliance between groups
Time Frame: 6 months
4-Point ordinal Alliance Scale
6 months
Compare difference in therapeutic alliance between groups
Time Frame: 9 months
4-Point ordinal Alliance Scale
9 months
Compare difference in therapeutic alliance between groups
Time Frame: 12 months
4-Point ordinal Alliance Scale
12 months
Compare difference in knowledge of disease and treatment necessary to making decisions between groups
Time Frame: 3 months
Knowledge questionnaire: % correct answers
3 months
Compare difference in knowledge of disease and treatment necessary to making decisions between groups
Time Frame: 6 months
Knowledge questionnaire: % correct answers
6 months
Compare difference in knowledge of disease and treatment necessary to making decisions between groups
Time Frame: 9 months
Knowledge questionnaire: % correct answers
9 months
Compare difference in knowledge of disease and treatment necessary to making decisions between groups
Time Frame: 12 months
Knowledge questionnaire: % correct answers
12 months
Compare difference in patient attitude towards the treatment between groups
Time Frame: 3 months
Beliefs about Medicines Questionnaire: 18 questions 1-5
3 months
Compare difference in patient attitude towards the treatment between groups
Time Frame: 6 months
Beliefs about Medicines Questionnaire: 18 questions 1-5
6 months
Compare difference in patient attitude towards the treatment between groups
Time Frame: 9 months
Beliefs about Medicines Questionnaire: 18 questions 1-5
9 months
Compare difference in patient attitude towards the treatment between groups
Time Frame: 12 months
Beliefs about Medicines Questionnaire: 18 questions 1-5
12 months
Compare number and duration of mood episodes between groups months
Time Frame: 3 months
number of events; number of days
3 months
Compare number and duration of mood episodes between groups months
Time Frame: 6 months
number of events; number of days
6 months
Compare number and duration of mood episodes between groups months
Time Frame: 9 months
number of events; number of days
9 months
Compare number and duration of mood episodes between groups months
Time Frame: 12 months
number of events; number of days
12 months
Compare number and duration of hospitalizations in psychiatric service between groups
Time Frame: 3 months
number of events; number of days
3 months
Compare number and duration of hospitalizations in psychiatric service between groups
Time Frame: 6 months
number of events; number of days
6 months
Compare number and duration of hospitalizations in psychiatric service between groups
Time Frame: 9 months
number of events; number of days
9 months
Compare number and duration of hospitalizations in psychiatric service between groups
Time Frame: 12 months
number of events; number of days
12 months
Compare manic symptomatology during evaluations between groups
Time Frame: 3 months
Young Mania Rating Scale
3 months
Compare manic symptomatology during evaluations between groups
Time Frame: 6 months
Young Mania Rating Scale
6 months
Compare manic symptomatology during evaluations between groups
Time Frame: 9 months
Young Mania Rating Scale
9 months
Compare manic symptomatology during evaluations between groups
Time Frame: 12 months
Young Mania Rating Scale
12 months
Compare the depressive symptomatology during evaluations between groups
Time Frame: 3 months
Montgomery-Asberg Depression Rating Scale
3 months
Compare the depressive symptomatology during evaluations between groups
Time Frame: 6 months
Montgomery-Asberg Depression Rating Scale
6 months
Compare the depressive symptomatology during evaluations between groups
Time Frame: 9 months
Montgomery-Asberg Depression Rating Scale
9 months
Compare the depressive symptomatology during evaluations between groups
Time Frame: 12 months
Montgomery-Asberg Depression Rating Scale
12 months
Compare severity and intensity of suicidal ideas between groups
Time Frame: 3 months
Columbia-Suicide Severity Rating Scale
3 months
Compare severity and intensity of suicidal ideas between groups
Time Frame: 6 months
Columbia-Suicide Severity Rating Scale
6 months
Compare severity and intensity of suicidal ideas between groups
Time Frame: 9 months
Columbia-Suicide Severity Rating Scale
9 months
Compare severity and intensity of suicidal ideas between groups
Time Frame: 12 months
Columbia-Suicide Severity Rating Scale
12 months
Compare the psychosocial functioning between groups
Time Frame: 3 months
Functioning Assessment Short Test (0-72)
3 months
Compare the psychosocial functioning between groups
Time Frame: 6 months
Functioning Assessment Short Test (0-72)
6 months
Compare the psychosocial functioning between groups
Time Frame: 9 months
Functioning Assessment Short Test (0-72)
9 months
Compare the psychosocial functioning between groups
Time Frame: 12 months
Functioning Assessment Short Test (0-72)
12 months
Compare quality of life between groups
Time Frame: 3 months
WHOQOL-BREF (0-100)
3 months
Compare quality of life between groups
Time Frame: 6 months
WHOQOL-BREF (0-100)
6 months
Compare quality of life between groups
Time Frame: 9 months
WHOQOL-BREF (0-100)
9 months
Compare quality of life between groups
Time Frame: 12 months
WHOQOL-BREF (0-100)
12 months
Compare length of consultations between groups
Time Frame: every consultation for 12 months
minutes
every consultation for 12 months
Clinician satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 3 months
adapted QSH-45 doctor version 3 questions scored 1-5
3 months
Clinician satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 6 months
adapted QSH-45 doctor version 3 questions scored 1-5
6 months
Clinician satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 9 months
adapted QSH-45 doctor version 3 questions scored 1-5
9 months
Clinician satisfaction concerning the therapeutic decisions taken between groups
Time Frame: 12 months
adapted QSH-45 doctor version 3 questions scored 1-5
12 months
Clinician satisfaction concerning the decision-making process between groups
Time Frame: 3 months
Adapted clinical decision making involvement and satisfaction score doctor version 3: questions scored 1-5
3 months
Clinician satisfaction concerning the decision-making process between groups
Time Frame: 6 months
Adapted clinical decision making involvement and satisfaction score doctor version 3: questions scored 1-5
6 months
Clinician satisfaction concerning the decision-making process between groups
Time Frame: 9 months
Adapted clinical decision making involvement and satisfaction score doctor version 3: questions scored 1-5
9 months
Clinician satisfaction concerning the decision-making process between groups
Time Frame: 12 months
Adapted clinical decision making involvement and satisfaction score doctor version 3: questions scored 1-5
12 months
Clinician perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 3 months
decisional conflict scale doctor version (0-100)
3 months
Clinician perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 6 months
decisional conflict scale doctor version (0-100)
6 months
Clinician perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 9 months
decisional conflict scale doctor version (0-100)
9 months
Clinician perceptions related to the uncertainty of the medical decisions taken between groups
Time Frame: 12 months
decisional conflict scale doctor version (0-100)
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Ludovic SAMALIN, University Hospital, Clermont-Ferrand

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 24, 2018

Primary Completion (Estimated)

December 1, 2025

Study Completion (Estimated)

December 1, 2025

Study Registration Dates

First Submitted

August 7, 2017

First Submitted That Met QC Criteria

August 7, 2017

First Posted (Actual)

August 10, 2017

Study Record Updates

Last Update Posted (Estimated)

December 18, 2025

Last Update Submitted That Met QC Criteria

December 11, 2025

Last Verified

February 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • PREPS/2016/LS-01

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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