Patient-caregiver Collaboration for Better Cardiovascular Care for Patients With Long-term Mental Disorders: Multicentre Qualitative and Feasibility Studies

Study Overview
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Brief Summary
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People with severe and persistent mental disorders (or SMI, Severe Mental Illness) have a life expectancy which is 20 years less than the general population, mainly due to excess mortality related to cardiovascular disease. Moreover, despite an overall increase in life expectancy, the gap is widening between people with long-term psychological disorders and the general population. This early excess mortality is explained by disparities between people with SMI and the general population not only in access to and use of health services but also in the quality and type of care provided. There is also an over-representation of risk factors and cardiovascular pathologies regardless of the mental disorder, despite the current recommendations for best practices. The World Health Organization has defined the fight against somatic comorbidities as one of the axes of the European Mental Health Plan and one of the reference themes of the World Health Organization Mental Health Evidence and Research Programme (EPSM-Lille-Métropole). The Groupement de Coopération Sanitaire pour la recherche et la formation en santé mentale, which brings together 17 hospitals in France and relays the actions of the World Health Organization's Collaborating Centre, has decided to make it into a national research project. Moreover, it is recognized that medical management of a disease is all the more effective when the patient is involved. However, the empowerment of people with long-term psychological disorders has never been put at the centre of a strategy to reduce cardiovascular risk. In this context, we hypothesize that one of the keys to reducing cardiovascular risk would be to take into account the experience and representations of this risk by all stakeholders (people with long-term psychological disorders, their carers, primary health professionals and psychiatric professionals).

Official Title
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Patient-caregiver Collaboration for Better Cardiovascular Care for Patients With Long-term Mental Disorders: Multicentre Qualitative and Feasibility Studies

Conditions
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Long-term Mental Disorders

Intervention / Treatment
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* Other: Questionnaires (Phase 3)
* Other: Focus groups (Phase 2)
* Other: semi-structured interviews (Phase 1)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For all groups: Adult person, Person who has given his or her consent to participate in the study, with the consent of the tutor in the context of guardianship, Fluent use of the French language, For the Users group: - Person with a long-term psychological disorder: Long-term illness (ALD 23), followed by outpatient or full hospitalization For the Caregivers group: - Adult helping a person with a long-term psychological disorder with a Long-Term Disability (ALD 23) and who has given his or her consent to be contacted for the study, For the Primary Care Professionals group: - Primary care professional in practice following at least one person with a long-term psychological disorder with a Long-Term Disability (ALD 23), For the Psychiatric Professionals group - Professional currently in practice who is part of a psychiatry team or in private practice Exclusion Criteria: 1. For all groups: Person who is physically or psychologically unable to participate in the focus group and/or program at the time of the study Person not affiliated to the National Health Insurance Objection to participation by the patient or his legal representative, carers and health professionals. Patient under guardianship Patient who participated in Phase 1 or 2 of the study Patient not able to attend the 6-month visit

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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Users<br>Person with a long-term mental disorder | Other: Questionnaires (Phase 3)<br>* CardioVascular Risk (CVR) questionnaire representation SF12 Getting Better My Way My recovery plan Psycom Partner In Health scale<br>Other: Focus groups (Phase 2)<br>* Focus group interviews conducted by two health sociologists in 4 distinct categories: caregivers, patients, primary health care professionals and psychiatric professionals.<br>Other: semi-structured interviews (Phase 1)<br>* Conduct of exploratory semi-directive interviews with users, caregivers, primary health care professionals and psychiatric professionals by a health sociologist<br>|
| Caregivers<br>Adult helping a person with a long-term psychological disorder | Other: Focus groups (Phase 2)<br>* Focus group interviews conducted by two health sociologists in 4 distinct categories: caregivers, patients, primary health care professionals and psychiatric professionals.<br>Other: semi-structured interviews (Phase 1)<br>* Conduct of exploratory semi-directive interviews with users, caregivers, primary health care professionals and psychiatric professionals by a health sociologist<br>|
| Primary care professionals<br>Primary care professional in practice following at least one person with a long-term mental disorder | Other: Focus groups (Phase 2)<br>* Focus group interviews conducted by two health sociologists in 4 distinct categories: caregivers, patients, primary health care professionals and psychiatric professionals.<br>Other: semi-structured interviews (Phase 1)<br>* Conduct of exploratory semi-directive interviews with users, caregivers, primary health care professionals and psychiatric professionals by a health sociologist<br>|
| Psychiatric professionals<br>Psychiatric specialist working in a hospital or in private practice | Other: Focus groups (Phase 2)<br>* Focus group interviews conducted by two health sociologists in 4 distinct categories: caregivers, patients, primary health care professionals and psychiatric professionals.<br>Other: semi-structured interviews (Phase 1)<br>* Conduct of exploratory semi-directive interviews with users, caregivers, primary health care professionals and psychiatric professionals by a health sociologist<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Focus group interview completion |  | Through study completion, an average of 14 months |