No registrations found.
ID
Source
Health condition
Empowerment, motivation, activation, working Alliance, Shared Decision Making, adherence to treatment, clinical outcome, Routine Outcome Monitoring, e-health, mental health care.
Sponsors and support
The study is embedded in The EMGO Institute for Health and Care Research (EMGO+): one of the interfaculty research institutes of the VU University Medical Center Amsterdam and the VU University Amsterdam.
Professors of Tilburg University, VU University and University of Leiden are supervising this study.
Intervention
Outcome measures
Primary outcome
The primary outcome measures are the degree in patient motivation for treatment and patient activation in mental health (treatment).
Secondary outcome
The secondary outcome measures are quality of the patient-clinician relationship, process of Shared Decision Making, patients’ adherence to treatment and clinical outcome.
Background summary
This study is designed to investigate the effectiveness of a redesigned intake process in specialised mental health care using e-health in a two-arm cluster randomised controlled trial.
The study hypothesizes that this new way of working is positively related to: 1) a higher level of autonomous motivation and an more active role of patients in their mental health treatment, 2) greater equivalence in and quality of the working relationship between patient and clinician, 3) a higher level of the application of shared decision making and treatment adherence, and 4) better clinical outcomes.
Study objective
The aim of this study is to examine whether the implementation of a redesigned intake process using e-health is effective compared to the intake as usual without an e-health intervention.
The first hypothesis is that using e-health in a new intake method will lead to a higher degree of autonomous motivation of patients for psychiatric treatment and which may in turn lead to a beneficial shift in the empowerment of patients to play an active role in their own mental health and treatment.
Second hypothesis is that motivated and active involved patients have a more equivalent interplay with their clinician. Due to the empowerment of patients and equivalence in the working relationship between patients and clinicians the application of Shared Decision Making may be encouraged.
Third it is hypothesized that improvement in motivation, active involvement and an equivalent working relationship is positively related to patient’s adherence to treatment and improved clinical outcome.
Study design
Datacollection: September 2016-March 2017
Reporting of the results is expected from September 2017.
Intervention
The intake-teams randomised to the intervention group implement e-health interventions in a redesigned intake process.
To implement this new way of working, the clinicians of the intervention teams follow a training aiming to gain insight, knowledge and skills in the application of recovery supported care, shared decision making and e-health with the purpose to motivate and empower patients in gaining an active role in their recovery and stimulating an equivalent interplay between patients and clinicians.
Margot Metz
Postbus 770
Tilburg 5000 AT
The Netherlands
tel: 06-51437269
m.metz@ggzbreburg.nl
Margot Metz
Postbus 770
Tilburg 5000 AT
The Netherlands
tel: 06-51437269
m.metz@ggzbreburg.nl
Inclusion criteria
Patients who are referred to one of the participating centers treating depression, anxiety and personality disorders, for whom a full intake is planned and who have sufficient command of the Dutch language, are eligible for participation and will be asked for written informed consent.
Exclusion criteria
Exclusion criteria for participating in this study are patients who don’t get a full intake because of a come back in treatment and patients who don’t speak and read Dutch.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5555 |
| NTR-old | NTR5677 |
| Other | Medisch Ethische Toetsingscommissie (METC) VU Medisch Centrum : 2015.434 |