Efficacy of shared decision making on treatment satisfaction for patients with first-admission schizophrenia: study protocol for a randomised controlled trial

BMC Psychiatry

Study Protocol

Mio Ishii¹  Hiroto Ito²  Yasuyuki Okumura³  Naoya Sugiyama⁴  Hana Hasegawa⁴  Yoshio Hirayasu⁴  Toshie Noda⁵ 

[1] Department of Psychiatry, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan;Numazu Chuo Hospital, 24-1 Nakase-cho, Numazu, 410-8575, Shizuoka, Japan;Department of Social Psychiatry, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8502, Tokyo, Japan;Department of Social Psychiatry, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8502, Tokyo, Japan;Department of Social Psychiatry, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8502, Tokyo, Japan;Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, 1-5-11 Nishishimbashi, Minato-ku, 105-0003, Tokyo, Japan;Numazu Chuo Hospital, 24-1 Nakase-cho, Numazu, 410-8575, Shizuoka, Japan;Numazu Chuo Hospital, 24-1 Nakase-cho, Numazu, 410-8575, Shizuoka, Japan;Department of Social Psychiatry, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, 187-8502, Tokyo, Japan;

关键词: Schizophrenia;    Shared decision making;    Patient satisfaction;    Randomised controlled trial;    Study protocol;   

DOI  :  10.1186/1471-244X-14-111

 received in 2014-02-17, accepted in 2014-04-03,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundShared decision making is a promising model for patient-centred medicine, resulting in better clinical outcomes overall. In the mental health field, interventions that consider the patient-centred perspective—such as patient quality of life, involvement in the treatment, treatment satisfaction, and working alliance—have increased and better clinical outcomes discovered for patients with schizophrenia. However, few studies have examined the efficacy of shared decision making for schizophrenia treatment. The objective of this study is to evaluate the effect of a shared decision making intervention compared to treatment as usual on patient satisfaction at discharge for first-admission patients with schizophrenia.Methods/DesignThis is a randomised, parallel-group, two-arm, open-label, single-centre study currently being conducted in an acute psychiatric ward of Numazu Chuo Hospital, Japan. We are recruiting patients between 16 and 65 years old who are admitted to the ward with a diagnosis of schizophrenia without prior experience of psychiatric admission. Fifty-eight participants are being randomised into a shared decision making intervention group or a treatment as usual control group in a 1:1 ratio. The intervention program was developed based on a shared decision making model and is presented as a weekly course lasting the duration of the patients’ acute psychiatric ward stay. The primary outcome measure is patient satisfaction at discharge as assessed by the Client Satisfaction Questionnaire. Due to the study’s nature, neither the patient nor staff can be blinded.DiscussionThis is the first randomised controlled trial to evaluate the efficacy of shared decision making for patients with early-treatment-stage schizophrenia. The intervention program in this study is innovative in that it includes both of the patient and staff who are involved in the treatment.Trial registrationThe study has been registered with ClinicalTrials.gov as NCT01869660.

【 授权许可】

CC BY   
© Ishii et al.; licensee BioMed Central Ltd. 2014