Motivatie Onderzoek.

Background:

Currently there is a lot of unclarity about the way motivation influences the treatment of patients with severe mental illness, as well as what possibilities there are to positively influence the motivation. A better comprehension of the role of motivation is important because motivation problems coincide with dropout, a lack of compliance and thence a less favourable treatment result.



Objective of the study:

We want to study the effect of feedback to the clinician concerning the motivation of the patient to see if this feedback leads to a better motivation, compliance and treatment result because the clinician is more aware of the motivation (or the lack of motivation) of the patient and can take this into account in the treatment of the patient. Also we want to study what factors coincide with (changes in) the motivation for treatment.



Study design:

This study is a clustered randomised study that is meant to establish the influence of motivation feedback on the motivation and compliance.



Study population:

This study will be conducted with patients with psychotic disorders and personality disorders. These patients will be recruited from several treatment teams for severe mental illnesses.



Intervention:

Motivation feedback means that the clinician receives feedback concerning the motivation of the patient on several occasions. The clinician will provide oneself with feedback monthly during a session with the patient. The feedback by session begins in the first month after the baseline measurement and ends after 12 months. Two groups will be compared with each other. The first group will receive a treatment including motivation feedback en the second group will receive a treatment without motivation feedback.

We want to study the effect of feedback to the clinician concerning the motivation of the patient to see if this feedback leads to a better motivation, compliance and treatment result because the clinician is more aware of the motivation (or the lack of motivation) of the patient and can take this into account in the treatment of the patient. Also we want to study what factors coincide with (changes in) the motivation for treatment. Our hypothesis is that our intervention, called Motivation Feedback, will lead to a better motivation, better compliance and better treatment results.

Baseline assessment (T0) and follow-up assessment after one year (T1). For the clinicians and patients in the Motivation Feedback arm, short monthly assessments will take place regarding the motivation of the patient.

Motivation feedback means that the clinician receives feedback concerning the motivation of the patient on several occasions. The clinician will provide oneself with feedback monthly during a session with the patient. The feedback begins in the first month after the baseline measurement and ends after 12 months. Two groups will be compared with each other. The first group will receive a treatment including motivation feedback en the second group will receive a treatment without motivation feedback.