Introduction Seminar About Patient Participation and Treatment Options for Psychiatric Patients on Waiting List

Introduction Seminar About Patient Participation and Treatment Options for Patients on Waiting List in a Community Mental Health Centre - Development, Effect, Experiences and Costs

Patient participation is a central concept in Norwegian health policy. It is mandatory in hospitals and emphasised as one of the most prioritised areas by the Government. Studies from Norway have repeatedly found that patients who seek help in community mental health centres ("DPS") are dissatisfied with the information they receive and about their possibility for real influence in their treatment.

One way to improve individual patient participation might be to give patients information before they start their treatment. This can be done as group based patient education to reduce the resources needed. Furthermore, as there are waiting lists for treatment, such introduction seminars could be held while patients are waiting to use this time in a meaningful way.

The present study therefore aims at testing the effect of an introduction seminar for patients on waiting list in a community mental health centre.

Study Overview

• Status: Completed
• Conditions: Mental Disorders
• Intervention / Treatment: Other: Usual care; Behavioral: Introduction seminar

• Study Type: Interventional
• Enrollment (Actual): 92
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Norway
  • Trondheim, Norway, 7055
    • Tiller DPS

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients older than 18 years referred for out patient treatment who get a guarantee of starting treatment between 2 and 6 months will be included.

Exclusion Criteria:

• patients with a guarantee of starting treatment in less than two months and
• patients who do not understand the consequences of taking part in the study

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

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Usual care	Other: Usual care; Usual care
Experimental: Introduction seminar; Psychoeducation for patients on waiting list	Behavioral: Introduction seminar; The seminar will be held over two half days, each lasting 2.5 hours. Up to 30 patients can participate in each seminar. The details of the content of the program will be developed based on study one. The preliminarily plans are to give general information about the community mental health centre, the available treatment options and patients rights by presentations from health personnel and user representatives. At the end of each day, the patients will be divided into small groups mentored by health personnel were they can discuss the presentations and ask questions. In the breaks, literature and other type of information for patients will be on display. All participants will get a folder with details of the program and leaflets from patient organisations and governmental agencies.; Other Names: psychoeducation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Behavior and symptoms	Behavior and Symptom Identification Scale (BASIS-32)	12 months
knowledge on treatment preference		1 month
patient activation (coping)	measured with Patient Activation Measure (PAM)	4 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Client satisfaction	Satisfaction measured with Client Satisfaction Questionnaire (CSQ-8)	Baseline, 4 and 12 months
Perceived participation	Perceived participation measured with Perception of care (PoC)	Baseline, 4 and 12 months
Psychiatric Out-Patient Experiences	Psychiatric Out-Patient Experiences Questionnaire (POPEQ)	Baseline, 4 and 12 months
Quality of Life	WHO-5	Baseline, 4 and 12 months
motivation for treatment	motivation for treatment (questions)	Baseline, 1 and 4 months
costs	data on health care use, sick leave, medication and other direct and indirect costs will be collected	Baseline, 1, 4 and 12 months
Knowledge	measured using a self developed questionnaire	Baseline, 1, 4 and 12 months

Collaborators and Investigators

• Sponsor: Norwegian University of Science and Technology
• Collaborators: Helse Nord-Trøndelag HF

Publications and helpful links

General Publications

• Koksvik JM, Linaker OM, Grawe RW, Bjorngaard JH, Lara-Cabrera ML. The effects of a pretreatment educational group programme on mental health treatment outcomes: a randomized controlled trial. BMC Health Serv Res. 2018 Aug 29;18(1):665. doi: 10.1186/s12913-018-3466-2.

Study record dates

Study Major Dates

• Study Start: June 1, 2009
• Primary Completion (Actual): June 1, 2011
• Study Completion (Actual): July 1, 2012

Study Registration Dates

• First Submitted: August 26, 2009
• First Submitted That Met QC Criteria: August 26, 2009
• First Posted (Estimate): August 27, 2009

Study Record Updates

• Last Update Posted (Actual): September 5, 2018
• Last Update Submitted That Met QC Criteria: August 31, 2018
• Last Verified: August 1, 2018

More Information

Terms related to this study

• Keywords: Mental disorders; Psychoeducation; Patient participation; Waiting list; Introduction seminar
• Additional Relevant MeSH Terms: Schizophrenia Spectrum and Other Psychotic Disorders; Psychotic Disorders; Mental Disorders
• Other Study ID Numbers: Introduction seminar

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No