Aftercare in the Community Health Center

This study is currently recruiting participants. (see Contacts and Locations)
Verified July 2014 by Norwegian University of Science and Technology
Sponsor:
Collaborator:
St. Olavs Hospital
Information provided by (Responsible Party):
Norwegian University of Science and Technology
ClinicalTrials.gov Identifier:
NCT01719354
First received: October 30, 2012
Last updated: August 11, 2014
Last verified: July 2014
  Purpose

This is a trial to examine the effects of aftercare for mental health patients in community health center (Leistad). Recruitment occurs among hospitalized patients in psychiatric hospitals (Østmarka). After discharge, patients will be randomly assigned to one of two groups: intervention group (community health center, primary care) or control group (Community mental health centers of District Psychiatric Service, specialist care).

The project's primary objective is to investigate the effect of community services on patients' functional capacity and user satisfaction after discharge. Secondly, the number of treatment days and readmissions to mental health care will be examined. The project will also compare costs of hospitalization, in psychiatric hospital and community health center respectively. Data will be collected from community health records, medical records and patient systems in psychiatric hospital, community mental health centers of District Psychiatric Service (DPS) and questionnaires filled out by patients.


Condition Intervention
Mental Disorders
Other: Community Health center
Other: Control

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Aftercare in the Community Health Center - a Venue for Identifying and Coordinating Community Services

Resource links provided by NLM:


Further study details as provided by Norwegian University of Science and Technology:

Primary Outcome Measures:
  • Consumption of community health service [ Time Frame: one year ] [ Designated as safety issue: No ]
    Measure different types of community health services in hours per week.

  • Need for community health services [ Time Frame: one year ] [ Designated as safety issue: No ]
    Using IPLOS (Norw. individual-based nursing and care statistics) form with 17 variables to identify patient needs

  • User satisfaction [ Time Frame: one year ] [ Designated as safety issue: No ]
    A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center.

  • Need for community health services [ Time Frame: one year ] [ Designated as safety issue: No ]
    Using individual-based nursing and care statistics (Norw. IPLOS) form with 17 variables to identify patient needs


Secondary Outcome Measures:
  • Number of treatment days [ Time Frame: One year ] [ Designated as safety issue: No ]
    Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center.

  • Readmission [ Time Frame: One year ] [ Designated as safety issue: No ]
    Readmission in hospital.

  • The total costs of inpatient and total costs of all health care after discharge [ Time Frame: One year ] [ Designated as safety issue: No ]
    Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center


Estimated Enrollment: 140
Study Start Date: January 2013
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Community Health center
Aftercare in a community Health center
Other: Community Health center
Observation of the functioning and coordination of health care before discharge to own home.
Active Comparator: Control
AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS.
Other: Control
standard aftercare in hospital/mental health centers of District Psychiatric Service (DPS).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • considered by the responsible manager to have given consent
  • hospitalized, diagnosed and treated such as can be continued in a District Psychiatric Service or a health center.
  • stable condition, but anxiety and disruptive behavior may occur to a lesser extent.
  • considered to have a perceived need for complex services from specialist health and community for a long time after discharge.

Exclusion Criteria:

  • not in a stable phase thus shielding required
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01719354

Contacts
Contact: Eirik Roos, Phd student 004795263222 eirikroo@ntnu.no
Contact: Aslak Steinsbekk, Prof 004741559076 aslak.steinsbekk@ntnu.no

Locations
Norway
Regional Committees for Medical and Health Research Ethics Recruiting
Trondheim, Norway, 7489
Contact: Eirik Roos    004795263222    eirikroos@ntnu.no   
Sponsors and Collaborators
Norwegian University of Science and Technology
St. Olavs Hospital
Investigators
Study Director: Aslak Steinsbekk, prof NTNU, Department of Public Health and General Practice
  More Information

No publications provided

Responsible Party: Norwegian University of Science and Technology
ClinicalTrials.gov Identifier: NCT01719354     History of Changes
Other Study ID Numbers: 2011/1770
Study First Received: October 30, 2012
Last Updated: August 11, 2014
Health Authority: Norway:National Committee for Medical and Health Research Ethics

Keywords provided by Norwegian University of Science and Technology:
Community Mental Health Centers
Norway
Aftercare

Additional relevant MeSH terms:
Mental Disorders
Psychotic Disorders
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on October 01, 2014