Study of the Effectiveness of Specific Training of Health Professionals on Adherence in Bipolar Disorder (CONCORDE)

Public Assistance-Hospitals of Marseille (AP-HM)

Status: Unknown

Conditions: Bipolar Disorders

Treatments: Behavioral: self assessment of adherence

Study type: Interventional

Funder types: Other

Identifiers

NCT02904083

2015-07

Details and patient eligibility

About

Bipolar disorders are common psychiatric disorders characterized by severe and recurrent symptomatic periods (Major Depressive Episode, mania, hypomania) and interictal periods characterized by persistent residual symptoms, impaired functioning and quality of life. In addition, the prognosis of bipolar disorder is aggravated by an increased risk of suicide and a high frequency of somatic comorbidities. Poor adherence is one of the major factors influencing the course of the disorder and one of the causes of ineffective treatments. Considering that between 20 and 60% of patients with bipolar disorder have problems with adherence. Adherence is modulated by a number of socio-demographic, clinical and neuropsychological factors. It is also modulated by the knowledge, beliefs and In addition, studies have shown that the reasons attributed to poor adherence are different depending on whether questioning patients or healthcare professionals. This fault diagnosis, assessment of the causes and "fit" into the reasons associated with poor adherence is an aggravating factor of the problem. However, this factor seems modifiable by better training of professionals. A team from Newcastle University in England has developed a training program for all health professionals to improve the diagnosis and understanding of compliance issues in bipolar patients and provide simple tools to fight against patients with this problem. The investigators assume that this training will improve medication adherence among outpatients by trained professionals.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Suffering from bipolar disorder type 1, type 2 or unspecified according to the DSM IV
• Do not presenting mood episode as defined in DSM IV
• With at least one medication prescribed mood stabilizer goal, whatever its observance

Exclusion criteria

• Patients full-time hospitalized at the time of inclusion

Trial design

300 participants in 2 patient groups

specific training of professionals

Experimental group

Description:

patients from centers where professionals have received specific training

Treatment:

Behavioral: self assessment of adherence

control training of professionals

Active Comparator group

Description:

patients from centers where professionals have received control training

Treatment:

Behavioral: self assessment of adherence