The Two-Way Communication Checklist (2-COM) in First Episode Psychosis Patients in Hong Kong
The Two-Way Communication Checklist (2-COM) in First Episode Psychosis Patients in Hong Kong: an Open Label Randomized Controlled Trial
調査の概要
詳細な説明
Communication is at the heart of psychiatric practice. Good communication has positive impact on treatment, treatment satisfaction and treatment adherence. However, different characteristics of psychosis barricade the communication between clinicians and patients. Consequently, the divergent views of needs of care between patients and clinicians may be established due to miscommunication. Such divergence may barricade the planning and the outcome of treatment.
In Hong Kong, the core psychiatric services as well as early intervention for first episode psychosis patients are provided by psychiatric outpatient clinics. Mental health services in Hong Kong are overwhelmed by large demands of the services and inadequate mental health care workforce such as low psychiatrists-to-population ratio and psychiatric nurse-to-population ratio. The large demands of services and inadequate mental health care workforce restrained the services' quality. In some busy psychiatric outpatient clinic, a clinician needs to consult 30 patients in a 3-hour session. Hui et al. (2008) study showed that the mean consultation time in one of the general psychiatric outpatient clinic in Hong Kong is 5.8 minutes.
To sum up, a cost-effectiveness instrument is in need for the early intervention psychiatric outpatient clinic in Hong Kong. The instrument has to reduce the needs' divergence, communication between clinicians and patients, and enhance the patients' involvement of clinical decision-making in the rushed psychiatric consultation. The Two-Way Communication Checklist (2-COM) may satisfy the demand.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Hong Kong、香港
- EASY Clinic, Queen Mary Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
Patients will be included if they meet the following criteria:
- attended the EASY service;
- were diagnosed with schizophrenia ,schizoaffective disorder or schizophreniform disorder according to ICD-10;
- were age between 15-64;
- were able to complete the informed consent.
Exclusion Criteria:
Patients will be excluded if they meet the following criteria:
- had history of substance misuse;
- had history of intellectual disability;
- were non- Chinese speaking patients
- had violent risk
- had suicidal risk
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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アクティブコンパレータ：2-COM group
Patients will use the Two-Way Communication Checklist (2-COM) once in a psychiatric consultation.
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The Two-Way Communication Checklist (2-COM) is a communication tool developed by Van Os et al. (2002).
It aims to provide an opportunity for patients to voice their needs and problem to minimize the discrepancy and miscommunication between patient and professional carer.
2-COM questionnaire was designed to give patients while they are waiting for consultation.
Patients can either tick yes or no in the questionnaire to decide which the perceived problems are and which needs they want to discuss with the clinician.
During the consultation, the ticked items would be discussed.
他の名前：
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プラセボコンパレーター：TAU group
Treatment as usual (TAU) group.
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Patients will attend a psychiatric consultation as usual.
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Satisfaction level (patient satisfaction questionnaire)
時間枠：within 30 minutes after a psychiatric consultation
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A patient satisfaction questionnaire as used in Hui et al. (2008) was adopted in this study.
This was a self-administered questionnaire rated on a 5-point Likert scale (1 = very satisfactory to 5 = very unsatisfactory).
The questionnaire consisted of 2 parts.
Part A has 6 items concerning the perceived attitude of the clinician (subscale score range, 6-30).
Part B has 11 items concerning communication with the clinician (subscale score range, 11-55).
The higher score indicates the higher satisfaction.
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within 30 minutes after a psychiatric consultation
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change of treatment (checklist)
時間枠：within 30 minutes after a psychiatric consultation
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A checklist that measured change in treatment was adopted.
This checklist included 4 items which will be rated on a dichotomous selection (yes/no) by clinician.
The 4 items are related to the change of medication, providing information about treatment, involvement of other members of the care team and professional support services.
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within 30 minutes after a psychiatric consultation
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Consultation time
時間枠：From the time of patients' entering the consultation room till leaving the consultation room in a psychiatric consultation, up to 5 hours
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The consultation time will be counted between patients' entering and leaving the consultation room by a stopwatch.
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From the time of patients' entering the consultation room till leaving the consultation room in a psychiatric consultation, up to 5 hours
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協力者と研究者
捜査官
- 主任研究者：Wing Leong Chau, RN(Psy)、Kwai Chung Hospital, Hong Kong
出版物と役立つリンク
一般刊行物
- Lam MM, Pearson V, Ng RM, Chiu CP, Law CW, Chen EY. What does recovery from psychosis mean? Perceptions of young first-episode patients. Int J Soc Psychiatry. 2011 Nov;57(6):580-7. doi: 10.1177/0020764010374418. Epub 2010 Jul 5.
- Hui, C. L. M., Wong, G. H. Y., Lam, C. Y. K., Chow, P. P. L. & Chen, E. Y. H. (2008). Patients-clinician communication and needs identification for outpatients with schizophrenia in Hong Kong: role of the 2-COM instrument. Hong Kong Journal of Psychiatry, 18(2), 69-74.
- Chan KK, Mak WW. The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community. Qual Life Res. 2014 Nov;23(9):2559-68. doi: 10.1007/s11136-014-0695-7. Epub 2014 Apr 23.
- Wong GH, Hui CL, Wong DY, Tang JY, Chang WC, Chan SK, Lee EH, Xu JQ, Lin JJ, Lai DC, Tam W, Kok J, Chung DW, Hung SF, Chen EY. Developments in early intervention for psychosis in Hong Kong. East Asian Arch Psychiatry. 2012 Sep;22(3):100-4.
便利なリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
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