Effects of Systematic Patient Feedback on Therapy Outcome

Effects of Systematic Patient Feedback on Therapy Outcome and Dropout: A Randomized Controlled Study on Adult Out-patients at a Community Mental Health Centre.

The aim of this study is to evaluate the effects of a feedback-system in psychotherapy on adult out-patients at a community mental health centre. It is hypothesized that the intervention will lead to more effective treatment, decreasing treatment dropout as well as improving patient-therapist relationship and patient activation in treatment.

Study Overview

Status

Completed

Conditions

Study Type

Interventional

Enrollment (Actual)

170

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 Locations

      • Trondheim, Norway
        • Tiller Distriktspsykiatriske Senter

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

Genders Eligible for Study

All

Description

The aim is to include a total of 128 patients.

Inclusion Criteria:

  • Referred for treatment of mental disorder(s)

Exclusion Criteria:

  • Psychiatric emergency
  • Poor/no understanding of Norwegian language
  • Lack of ability to execute the practical procedures required for the project

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Feedback
Feedback system included in psychotherapy
The Partners for Change Outcome Management System, administered at the beginning and ending of every therapy session.
Other Names:
  • PCOMS
  • KOR (Norwegian)
Active Comparator: control
Psychotherapy as usual

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Health care utilization
Time Frame: 12 months
Referral- and drop-out rate
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Symptom level
Time Frame: T 0 (baseline) and T4 (6 months, end of treatment)
Outcome Rating Scale and BASIS 32 and WHO-5
T 0 (baseline) and T4 (6 months, end of treatment)
Patient satisfaction
Time Frame: T0, T2 (2 months), T4 (6 months, end of treatment)
Client Satisfaction Questionnaire (CSQ-8; Attkinson & Zwick, 1982)
T0, T2 (2 months), T4 (6 months, end of treatment)
Level of functioning
Time Frame: T1 (1 hour start of treatment) and T4 (6 months or end of treatment)
Global Assessment of Functioning (GAF; Hall, 1995)
T1 (1 hour start of treatment) and T4 (6 months or end of treatment)
Preferences for involvement in decision making
Time Frame: T0, T2 (2 months) and T3 (3 months)
Modified Control Preferences Scale (6 items)
T0, T2 (2 months) and T3 (3 months)
Patient Activation Measure
Time Frame: T0, T1 (1 hour start of treatment), T3 (3 months) and T4 (6 months)
Patient Activation Measure Mental Health Questionnaire (13 items)
T0, T1 (1 hour start of treatment), T3 (3 months) and T4 (6 months)
Alliance
Time Frame: T1 (1 hour start of treatment), T2 (2 months
Working Alliance Inventory (WAI-S)
T1 (1 hour start of treatment), T2 (2 months

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Use of health services
Time Frame: 12 months
Number of visits at general practitioner or other health services
12 months

Collaborators and Investigators

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

Investigators

  • Study Chair: Olav M Linaker, MD, PhD, Norwegian University of Science and Technology
  • Principal Investigator: Mariela M Lara, MA, National Taiwan Normal University

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)

December 1, 2012

Primary Completion (Actual)

June 1, 2017

Study Completion (Actual)

June 1, 2017

Study Registration Dates

First Submitted

February 19, 2013

First Submitted That Met QC Criteria

February 19, 2013

First Posted (Estimate)

February 21, 2013

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

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2011/1271 (Registry Identifier: Regional committee for medical research ethics)

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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