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

Johns Hopkins Bloomberg School of Public Health

Status: Completed

Conditions: Schizophrenia

Treatments: Behavioral: Written materials and video on management of schizophrenia; Behavioral: Interactive Website on management of schizophrenia

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00312949

R01MH067189 (U.S. NIH Grant/Contract)

DSIR 82-SEDR

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 56 patients

Sex: All

Ages: 13+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of schizophrenia
• Able to read and write English
• Scheduled to see a participating clinician at one of the study sites

Exclusion criteria

• N/A

Trial design

56 participants in 2 patient groups

1

Experimental group

Description:

Participants will use the interactive website

Treatment:

Behavioral: Interactive Website on management of schizophrenia

2

Active Comparator group

Description:

Participants will read written materials and watch a video

Treatment:

Behavioral: Written materials and video on management of schizophrenia