The Compliance Project Concerning People With Schizophrenia
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Purpose
The purpose of this study is to determine whether individual and/ or system orientated interventions can help the problem of people with schizophrenia dropping out of their drug treatment
| Condition | Intervention |
|---|---|
|
Schizophrenia |
Behavioral: motivational interviewing Other: The System-Orientated Intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Individual Versus System Orientated Interventions in Handling Drug Related Problems in People With Schizophrenia |
- compliance assessed on a compliance-scale [ Time Frame: follow-up time 6 months ] [ Designated as safety issue: Yes ]
- assessment on a variety of scales concerning subjective well-being, GAF, PANSS-remission,CGI, side-effects. [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 70 |
| Study Start Date: | May 2007 |
| Study Completion Date: | July 2009 |
| Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: motivational interviewing |
Behavioral: motivational interviewing
An individual intervention building on the "Motivational Interviewing" by Miller and Rollnick. Several studies has proved effectiveness of this therapy form in improving drug compliance. Patients will be offered individual motivational therapy
Other Name: compliance therapy
|
| Experimental: The System Orientated Intervention |
Other: The System-Orientated Intervention
Principles in this intervention come from "Clinical Risk Managing" and quality assurance. It focuses on daily problems in drug handling, including dropping out of drug therapy, by looking at the system as a whole.Some cases, where patients dropped out of drug therapy will be carefully analysed in order to identify week points in the system, and subsequently alter the instructions for drug therapy, information, reminders and so on.
Other Name: Clinical Risk Managing in Handling Compliance Problems
|
Detailed Description:
50% of people with schizophrenia do not take the prescribed medication leading to repeating relapses with loss of social and cognitive skills.
The individual intervention is based on "Motivational Interviewing" by Miller and "Concordance Strategies" by R. Gray.It is a cognitive behavioral therapy.
The system orientated intervention is building on principles from quality assurance and clinical risk managing. It seeks to improve the quality in the medical treatment by use of standards, monitoring, audit and root cause analysis,and thereby trying to find weak points in the system and subsequently improve the common practice.
Eligibility| Ages Eligible for Study: | 23 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnoses of schizophrenia or schizoaffective psychosis
- 23 years or more
- Ethnic dane
- Living in the city of Odense.
Exclusion Criteria:
- not subject to legal action
Contacts and Locations| Denmark | |
| Department of psychiatry, Odense University Hospital | |
| Odense, Denmark, 5000 C | |
| Study Director: | Bent Nielsen, Ph. D. | University of Southern Denmark |
More Information
No publications provided
| Responsible Party: | MD, PhD Bent Nielsen, Department of Psychiatry, Odense, Denmark |
| ClinicalTrials.gov Identifier: | NCT00497848 History of Changes |
| Other Study ID Numbers: | MIH, Denmark |
| Study First Received: | July 6, 2007 |
| Last Updated: | June 23, 2011 |
| Health Authority: | Denmark: The Ministry of the Interior and Health |
Additional relevant MeSH terms:
|
Schizophrenia Schizophrenia and Disorders with Psychotic Features Mental Disorders |
ClinicalTrials.gov processed this record on June 18, 2013