Shared Decision Making for Patients With First-admission Schizophrenia
Study Details
Study Description
Brief Summary
To determine whether shared decision making (SDM) intervention improves patient satisfaction in patients with first-admission schizophrenia compared with usual care.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2/Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Shared Decision Making The present SDM intervention is based on principles derived from previous randomized controlled trials of SDMs. SDM meetings comprise at least 4 weekly 20 minutes sessions. Meetings have at least three professionals: a case manager (psychiatrists or nurses), a primary doctor, and a nurse/social worker. The focus of the meeting is to empower patients to discuss their attitudes and preferences toward treatments. |
Behavioral: Shared Decision Making
The focus of the SDM is to empower patients to discuss their attitudes and preferences toward treatments.
|
No Intervention: Usual Care Patients with no special program about decision making. |
Outcome Measures
Primary Outcome Measures
- Patient satisfaction as measured by the Japanese version of the Client Satisfaction Questionnaire (CSQ-8) [Within 7days before the date of discharge]
Secondary Outcome Measures
- Attitude toward medication as measured by the Japanese version of the Drug Attitude Inventory (DAI-10) [Within 7days before the date of discharge]
- Treatment continuation as measured by the rate of outpatient attendance during the 30 days [6 months after discharge]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Admitted to an acute care psychiatric ward.
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Diagnosed with schizophrenia (ICD-10 codes: F20-F29)
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Aged 16 to 65 years old at admission
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No prior experience of psychiatric admission (first-admission)
Exclusion Criteria:
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Diagnosed with moderate to severe mental retardation
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Diagnosed with organic mental disorders (ICD10 codes: F00-F09)
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Having poor Japanese language skill
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Severe conceptual disorganization as measured by brief psychiatric rating scale of 5 or more.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Numazu Chuou Hospital | Numazu | Shizuoka | Japan |
Sponsors and Collaborators
- Yokohama City University
Investigators
- Study Chair: Yoshio Hirayasu, PhD, Department of Psychiatry, Yokohama City University School of Medical
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SDMS-S