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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH067189 | U.S. NIH Grant/Contract | View source | |
| DSIR 82-SEDR |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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This study will evaluate the effectiveness of an interactive educational website in enhancing discussions about treatment issues and improving the quality of care for people with schizophrenia.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Participants will use the interactive website |
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| 2 | Active Comparator | Participants will read written materials and watch a video |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interactive Website on management of schizophrenia | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Concordance of treatment with evidence-based recommendations | Measured at Month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Patient engagement in dialogue with clinician about schizophrenia management issues | Measured at visit immediately following intervention/control condition | |
| Clinician satisfaction with interaction with patient | Measured at visit immediately following intervention/control condition |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Donald M. Steinwachs, PhD | Johns Hopkins Bloomberg School of Public Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Hospital | Baltimore | Maryland | 21205 | United States | ||
| Johns Hopkins Bayview Medical Center |
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| Written materials and video on management of schizophrenia | Behavioral | Participants in the written materials/video group will be given the reading material and will watch a 20-minute video. |
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| Patient satisfaction with interaction with clinician | Measured at visit immediately following intervention/control condition and at Month 2 post-intervention |
| Symptoms of psychosis | Measured at Month 2 post-intervention |
| Symptoms of depression | Measured at Month 2 post-intervention |
| Quality of life ratings | Measured at Month 2 post-intervention |
| Adherence to care regimen | Measured at Month 2 post-intervention |
| Satisfaction with outcomes of care | Measured at Month 2 post-intervention |
| Baltimore |
| Maryland |
| 21224 |
| United States |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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