Effects of Systematic Patient Feedback on Therapy Outcome

Study Overview
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Brief Summary
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The aim of this study is to evaluate the effects of a feedback-system in psychotherapy on adult out-patients at a community mental health centre. It is hypothesized that the intervention will lead to more effective treatment, decreasing treatment dropout as well as improving patient-therapist relationship and patient activation in treatment.

Official Title
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Effects of Systematic Patient Feedback on Therapy Outcome and Dropout: A Randomized Controlled Study on Adult Out-patients at a Community Mental Health Centre.

Conditions
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Mental Disorders

Intervention / Treatment
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* Behavioral: Feedback
* Behavioral: Control


Participation Criteria
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Eligibility Criteria
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The aim is to include a total of 128 patients. Inclusion Criteria: Referred for treatment of mental disorder(s) Exclusion Criteria: Psychiatric emergency Poor/no understanding of Norwegian language Lack of ability to execute the practical procedures required for the project

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Feedback<br>Feedback system included in psychotherapy | Behavioral: Feedback<br>* The Partners for Change Outcome Management System, administered at the beginning and ending of every therapy session.<br>* Other names: KOR (Norwegian);|
| Active Comparator: control<br>Psychotherapy as usual | Behavioral: Control<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health care utilization | Referral- and drop-out rate | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Symptom level | Outcome Rating Scale and BASIS 32 and WHO-5 | T 0 (baseline) and T4 (6 months, end of treatment) | 
| Patient satisfaction | Client Satisfaction Questionnaire (CSQ-8; Attkinson & Zwick, 1982) | T0, T2 (2 months), T4 (6 months, end of treatment) | 
| Level of functioning | Global Assessment of Functioning (GAF; Hall, 1995) | T1 (1 hour start of treatment) and T4 (6 months or end of treatment) | 
| Preferences for involvement in decision making | Modified Control Preferences Scale (6 items) | T0, T2 (2 months) and T3 (3 months) | 
| Patient Activation Measure | Patient Activation Measure Mental Health Questionnaire (13 items) | T0, T1 (1 hour start of treatment), T3 (3 months) and T4 (6 months) | 
| Alliance | Working Alliance Inventory (WAI-S) | T1 (1 hour start of treatment), T2 (2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Community mental health services, Psychotherapy, Physician-Patient Relations, Norway