Effectiveness of an Interactive Educational Website for Improving the Quality of Mental Health Care for People With Schizophrenia

• Concordance of treatment with evidence-based recommendations [ Time Frame: Measured at Month 6 ] [ Designated as safety issue: No ]
  

• Patient engagement in dialogue with clinician about schizophrenia management issues [ Time Frame: Measured at visit immediately following intervention/control condition ] [ Designated as safety issue: No ]
  
• Clinician satisfaction with interaction with patient [ Time Frame: Measured at visit immediately following intervention/control condition ] [ Designated as safety issue: No ]
  
• Patient satisfaction with interaction with clinician [ Time Frame: Measured at visit immediately following intervention/control condition and at Month 2 post-intervention ] [ Designated as safety issue: No ]
  
• Symptoms of psychosis [ Time Frame: Measured at Month 2 post-intervention ] [ Designated as safety issue: No ]
  
• Symptoms of depression [ Time Frame: Measured at Month 2 post-intervention ] [ Designated as safety issue: No ]
  
• Quality of life ratings [ Time Frame: Measured at Month 2 post-intervention ] [ Designated as safety issue: No ]
  
• Adherence to care regimen [ Time Frame: Measured at Month 2 post-intervention ] [ Designated as safety issue: No ]
  
• Satisfaction with outcomes of care [ Time Frame: Measured at Month 2 post-intervention ] [ Designated as safety issue: No ]
  

Schizophrenia is a disabling mental disorder that causes hallucinations and delusions in those affected by it. Research has proven that certain treatment methods are more effective in treating schizophrenia than others. However, not everyone with schizophrenia responds to treatment in the same way, and not all physicians use the same treatment methods. Educating individuals with schizophrenia about all treatments available instead of only the treatments they are receiving may improve the quality of care and lead to better correlation between treatment and quality standards. This study will evaluate the effectiveness of an interactive educational website in enhancing discussions about treatment issues and improving the congruence between expected quality of treatment and treatment received among people with schizophrenia.

Participants in this open label study will be randomly assigned to either use the interactive website or read written materials and watch a video. All three sources will contain information about evidence-based treatment recommendations. Both groups will complete a brief interview before performing their assigned tasks. Upon completion of the interview, participants in the written materials/video group will be given the reading material and will watch a 20-minute video. Participants in the web-user group will sit with a laptop computer, answer questions about themselves and their treatment, receive feedback on care that may be inconsistent with current recommendations, and receive suggestions on how to discuss this with their physicians. Participants in clinical settings will be asked to allow their next clinician visit to be audiotaped to assess outcomes. A phone interview will be conducted with all participants 2 months following the intervention to assess treatment satisfaction and other outcomes. Medical records will be reviewed to collect treatment information 6 months before and after the intervention.