Shared Decision Making for Patients With First-admission Schizophrenia

Yokohama City University

Status and phase: Completed; Phase 3; Phase 2

Conditions: Schizophrenia

Treatments: Behavioral: Shared Decision Making

Study type: Interventional

Funder types: Other

Identifiers

NCT01869660

SDMS-S

Details and patient eligibility

About

To determine whether shared decision making (SDM) intervention improves patient satisfaction in patients with first-admission schizophrenia compared with usual care.

Enrollment: 23 patients

Sex: All

Ages: 16 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admitted to an acute care psychiatric ward.
• Diagnosed with schizophrenia (ICD-10 codes: F20-F29)
• Aged 16 to 65 years old at admission
• No prior experience of psychiatric admission (first-admission)

Exclusion criteria

• Diagnosed with moderate to severe mental retardation
• Diagnosed with organic mental disorders (ICD10 codes: F00-F09)
• Having poor Japanese language skill
• Severe conceptual disorganization as measured by brief psychiatric rating scale of 5 or more.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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23 participants in 2 patient groups

Shared Decision Making

Experimental group

Description:

The present SDM intervention is based on principles derived from previous randomized controlled trials of SDMs. SDM meetings comprise at least 4 weekly 20 minutes sessions. Meetings have at least three professionals: a case manager (psychiatrists or nurses), a primary doctor, and a nurse/social worker. The focus of the meeting is to empower patients to discuss their attitudes and preferences toward treatments.

Treatment:

Behavioral: Shared Decision Making

Usual Care

No Intervention group

Description:

Patients with no special program about decision making.