The browser you are using is not supported by this website. All versions of Internet Explorer are no longer supported, either by us or Microsoft (read more here: https://www.microsoft.com/en-us/microsoft-365/windows/end-of-ie-support).

Please use a modern browser to fully experience our website, such as the newest versions of Edge, Chrome, Firefox or Safari etc.

Structured patient-clinician communication and 1-year outcome in community mental healthcare - Cluster randomised controlled trial

På svenska

Author

  • Stefan Priebe
  • Rosemarie McCabe
  • Jens Bullenkamp
  • Lars Hansson
  • Christoph Lauber
  • Rafael Martinez-Leal
  • Wulf Roessler
  • Hans Salize
  • Bengt Svensson
  • Francisco Torres-Gonzales
  • Rob Van den Brink
  • Durk Wiersma
  • Donna J. Wright
Show all

Summary, in English

Background Patient-clinician communication is central to mental healthcare but neglected in research. Aims To testa new computer-mediated intervention structuring patient-clinician dialogue (DIALOG) focusing on patients' quality of life and needs for care. Method In a cluster randomised controlled trial, 134 key workers in six countries were allocated to DIALOG or treatment as usual; 507 people with schizophrenia or related disorders were included. Every 2 months for I year, clinicians asked patients to rate satisfaction with quality of life and treatment, and request additional or different support. Responses were fed back immediately in screen displays, compared with previous ratings and discussed. Primary outcome was subjective quality of life, and secondary outcomes were unmet needs and treatment satisfaction. Results Of 507 patients, 56 were lost to follow-up and 451 were included in intention-to-treat analyses. Patients receiving the DIALOG intervention had better subjective quality of life, fewer unmet needs and higher treatment satisfaction after 12 months. Conclusions Structuring patient clinician dialogue to focus on patients' views positively influenced quality of life, needs for care and treatment satisfaction.

Publishing year

2007

Language

English

Pages

420-426

Publication/Series

British Journal of Psychiatry

Volume

191

Issue

5

Document type

Journal article

Publisher

Cambridge University Press

Topic

  • Psychiatry

Status

Published

Research group

  • Mental Health Services Research

ISBN/ISSN/Other

  • ISSN: 0007-1250