Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Outcome of Stage-specific Early Intervention for Psychosis in Hong Kong: A Randomized Controlled Study
Brief Summary: One of the commonly adopted strategies in improving outcome in psychotic disorders is by focused, specific and intensive intervention in the initial few years of the disorder. However the effects of intervention and the optimal duration of intervention have seldom been examined in randomized studies. This study uses a randomized controlled study design to investigate the effectiveness of stage-specific case-management in improving outcome of first episode psychotic disorders. It also addresses whether two years of case-management is less effective than four years of case-management over a four year period. A total of 360 subjects, who aged 25 above, and diagnosed with first episode psychotic disorders, will be and randomized into 3 groups: (1) standard care alone without case management, (2) two-year case management, (3) four-year case management. All groups will receive usual standard care treatment. This four-year follow-up study will assess symptoms, functioning, quality of life as well as health economics data.


Options:
A: Arm Label: case management (4 yrs); Type: EXPERIMENTAL; Interventions: Behavioral: stage-specific case-management | Arm Label: case management (2 yrs) and standard care (2 yrs); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: stage-specific case-management | Arm Label: standard care (4 yrs); Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: stage-specific case-management; Assigned to Arm(s): case management (2 yrs) and standard care (2 yrs), case management (4 yrs)
B: Arm Label: Individual psychoeducation; Type: EXPERIMENTAL; Interventions: Other: Individual psychoeducation | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Other: Control | Intervention Type: OTHER; Name: Control; Assigned to Arm(s): Control | Intervention Type: OTHER; Name: Individual psychoeducation; Assigned to Arm(s): Individual psychoeducation
C: Arm Label: Treatment as usual; Type: ACTIVE_COMPARATOR; Interventions: Other: Treatment as Usual in the community | Arm Label: STEP Care; Type: EXPERIMENTAL; Interventions: Behavioral: Cognitive Behavioral Group Therapy, Behavioral: Cognitive remediation, Drug: Medications, Behavioral: MFG, Behavioral: Assertive case management | Intervention Type: BEHAVIORAL; Name: Cognitive Behavioral Group Therapy; Assigned to Arm(s): STEP Care | Intervention Type: BEHAVIORAL; Name: Cognitive remediation; Assigned to Arm(s): STEP Care | Intervention Type: DRUG; Name: Medications; Assigned to Arm(s): STEP Care | Intervention Type: BEHAVIORAL; Name: MFG; Assigned to Arm(s): STEP Care | Intervention Type: BEHAVIORAL; Name: Assertive case management; Assigned to Arm(s): STEP Care | Intervention Type: OTHER; Name: Treatment as Usual in the community; Assigned to Arm(s): Treatment as usual
D: Arm Label: Treatment As Usual (TAU); Type: ACTIVE_COMPARATOR; Interventions: Other: Treatment As Usual (TAU) | Arm Label: TAU+CBT for pts+Family Intervention+CM; Type: EXPERIMENTAL; Interventions: Behavioral: TAU+CBT for pts+Family Intervention+CM. | Intervention Type: OTHER; Name: Treatment As Usual (TAU); Assigned to Arm(s): Treatment As Usual (TAU) | Intervention Type: BEHAVIORAL; Name: TAU+CBT for pts+Family Intervention+CM.; Assigned to Arm(s): TAU+CBT for pts+Family Intervention+CM

Answer: A