Study of the Effectiveness of Specific Training of Health Professionals on Adherence in Bipolar Disorder

Study Overview
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Brief Summary
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Bipolar disorders are common psychiatric disorders characterized by severe and recurrent symptomatic periods (Major Depressive Episode, mania, hypomania) and interictal periods characterized by persistent residual symptoms, impaired functioning and quality of life. In addition, the prognosis of bipolar disorder is aggravated by an increased risk of suicide and a high frequency of somatic comorbidities. Poor adherence is one of the major factors influencing the course of the disorder and one of the causes of ineffective treatments. Considering that between 20 and 60% of patients with bipolar disorder have problems with adherence. Adherence is modulated by a number of socio-demographic, clinical and neuropsychological factors. It is also modulated by the knowledge, beliefs and In addition, studies have shown that the reasons attributed to poor adherence are different depending on whether questioning patients or healthcare professionals. This fault diagnosis, assessment of the causes and fit into the reasons associated with poor adherence is an aggravating factor of the problem. However, this factor seems modifiable by better training of professionals. A team from Newcastle University in England has developed a training program for all health professionals to improve the diagnosis and understanding of compliance issues in bipolar patients and provide simple tools to fight against patients with this problem. The investigators assume that this training will improve medication adherence among outpatients by trained professionals.

Conditions
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Bipolar Disorders

Intervention / Treatment
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* Behavioral: self assessment of adherence


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Suffering from bipolar disorder type 1, type 2 or unspecified according to the DSM IV Do not presenting mood episode as defined in DSM IV With at least one medication prescribed mood stabilizer goal, whatever its observance Exclusion Criteria: Patients full-time hospitalized at the time of inclusion

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

Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: specific training of professionals<br>patients from centers where professionals have received specific training | Behavioral: self assessment of adherence<br> <br> |
| Active Comparator: control training of professionals<br>patients from centers where professionals have received control training | Behavioral: self assessment of adherence<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference of score of Medication Adherence Rating Scale (MARS) before and after the training of the professionals |  | 6 months |