Improving primary care for patients with psychosocial symptoms by introducing the SGE-PsyScan.
ID
Source
Brief title
Condition
- Mood disorders and disturbances NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The rate of patients who achieve a successful decrease in the level of
psychosocial symptoms as measured with the Symptom Checklist 90 (SCL-90) after
12 months. A successful treatment result is defined as a decrease in the SCL-90
patient score of 50%.
Secondary outcome
1. The level of psychosocial symptoms of patients as measured with the SCL-90
after 3 and 6 months.
2. Health technology assessment. We will measure direct and indirect costs in
both groups in order to perform a cost effectiveness analysis. Therefore we
will use the Trimbos/iMTA questionnaire for Costs associated with Psychiatric
Illness (TiC-P) and EMR parameters indicating relevant expenditures including
treatments, consultations and referrals
3. Quality of life will be measured using the EuroQol-5Dimensions-5Levels
(EQ-5D-5L) questionnaire
4. The extent of patient satisfaction with the care they receive, will be
measured using the Patient Assessment of Chronic Illness Care (PACIC)
5. Relevant psychosocial care parameters will be extracted from the EMR to
monitor changes in care patterns including previous psychosocial episodes,
numbers and types of psychosocial diagnoses, use of screening/diagnostic
instruments, comorbidity, treatments, medication prescriptions, referrals and
health care consumption.
6. Patient characteristics including gender, age, civil state, postal area code
(4 numbers), education, work and comorbidity will be assessed using the TiC-P
and the EMR. We will administer the Assessment of Chronic Illness Care (ACIC)
to the GPs who participated in the study.
Background summary
Although effective treatments for psychosocial symptoms and disorders are
available, patients frequently do not receive the most appropriate and
effective treatment for their symptoms because of inappropriate and
unstructured diagnostics of psychosocial symptoms in general practice. The
hypothesis is that by using the intervention SGE-PsyScan the clinical symptoms
of patients can be assessed more uniformly and earlier as opposed to the GPs*
assessment in usual care. As a result, patients are supposed to start a
treatment that fits the type and severity of their symptoms better and earlier.
Study objective
Improving primary care for patients with psychosocial symptoms by introducing
the SGE-PsyScan.
Study design
Parallel open randomized clinical trial with a 1-year follow-up period in a
large primary care organization in the city of Eindhoven (SGE), the
Netherlands.
Intervention
The SGE-PsyScan is an internet application to which the GP refers the patient
which includes the distress screener, the 4-Dimensional Symptom Questionnaire
(4DSQ) and a series of additional questions for differentiating between stress,
depressive, anxious and somatization symptoms. Based on the 4DSQ patients and
GPs receive advices for possible treatments.
Study burden and risks
No invasive procedures will take place. In the intervention group, the
SGE-PsyScan only provides guideline-concordant advices to patients and GPs. The
ultimate choice for treatment remains the responsibility of the patients and
the GPs. In the information for patients it is pointed out specifically that
the SGE-PsyScan does not provide a diagnosis but that it supports the GP with
assessing the patient*s symptoms. The patients in the control group will
immediately continue usual care after randomization.
P. Debyeplein 1
Maastricht 6229 HA
NL
P. Debyeplein 1
Maastricht 6229 HA
NL
Listed location countries
Age
Inclusion criteria
Patients with (suspected) psychosocial symptoms
Aged 18 years or older and capacitated
Adequate understanding of Dutch language
Able to perform SGE-PsyScan at home, individually
Exclusion criteria
Clear and treatable somatic causes of symptoms
Acute distress/danger
No written informed consent
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 |
|---|---|
| CCMO | NL44597.068.13 |