Clinical trial NCT01796223: Effects of Systematic Patient Feedback on Therapy Outcome
Official title: Effects of Systematic Patient Feedback on Therapy Outcome and Dropout: A Randomized Controlled Study on Adult Out-patients at a Community Mental Health Centre.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Disorders
Keywords: Community mental health services
Psychotherapy
Physician-Patient Relations
Norway
Lead sponsor: Norwegian University of Science and Technology
Sponsor class: OTHER
First posted: 2013-02-21
Enrollment: 170
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Health care utilization
timeFrame: 12 months
Secondary outcomes:
measure: Symptom level
timeFrame: T 0 (baseline) and T4 (6 months, end of treatment)
measure: Patient satisfaction
timeFrame: T0, T2 (2 months), T4 (6 months, end of treatment)
measure: Level of functioning
timeFrame: T1 (1 hour start of treatment) and T4 (6 months or end of treatment)
measure: Preferences for involvement in decision making
timeFrame: T0, T2 (2 months) and T3 (3 months)
measure: Patient Activation Measure
timeFrame: T0, T1 (1 hour start of treatment), T3 (3 months) and T4 (6 months)
measure: Alliance
timeFrame: T1 (1 hour start of treatment), T2 (2 months
Other outcomes:
measure: Use of health services
timeFrame: 12 months
Locations:
city: Trondheim
country: Norway
facility: Tiller Distriktspsykiatriske Senter
Study officials:
affiliation: Norwegian University of Science and Technology
name: Olav M Linaker, MD, PhD
role: STUDY_CHAIR
affiliation: National Taiwan Normal University
name: Mariela M Lara, MA
role: PRINCIPAL_INVESTIGATOR
References:
citation: Brattland H, Koksvik JM, Burkeland O, Grawe RW, Klockner C, Linaker OM, Ryum T, Wampold B, Lara-Cabrera ML, Iversen VC. The effects of routine outcome monitoring (ROM) on therapy outcomes in the course of an implementation process: A randomized clinical trial. J Couns Psychol. 2018 Oct;65(5):641-652. doi: 10.1037/cou0000286. Epub 2018 Aug 16.
citation: Brattland H, Koksvik JM, Burkeland O, Klockner CA, Lara-Cabrera ML, Miller SD, Wampold B, Ryum T, Iversen VC. Does the working alliance mediate the effect of routine outcome monitoring (ROM) and alliance feedback on psychotherapy outcomes? A secondary analysis from a randomized clinical trial. J Couns Psychol. 2019 Mar;66(2):234-246. doi: 10.1037/cou0000320. Epub 2019 Jan 31.