Back to resultsAftercare in the Community Health Center
Primary Purpose
Mental Disorders
Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Community Health center
Control
Sponsored by
About this trial
This is an interventional treatment trial for Mental Disorders focused on measuring Community Mental Health Centers, Norway, Aftercare
Eligibility 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
Sites / Locations
- Regional Committees for Medical and Health Research Ethics
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Community Health center
Control
Arm Description
Aftercare in a community Health center
AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS.
Outcomes
Primary Outcome Measures
Consumption of community health service
Measure different types of community health services in hours per week.
Need for community health services
Using IPLOS (Norw. individual-based nursing and care statistics) form with 17 variables to identify patient needs
User satisfaction
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
Using individual-based nursing and care statistics (Norw. IPLOS) form with 17 variables to identify patient needs
Secondary Outcome Measures
Number of treatment days
Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center.
Readmission
Readmission in hospital.
The total costs of inpatient and total costs of all health care after discharge
Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center
Full Information
NCT ID
NCT01719354
First Posted
October 30, 2012
Last Updated
February 12, 2017
Sponsor
Norwegian University of Science and Technology
Collaborators
St. Olavs Hospital
1. Study Identification
Unique Protocol Identification Number
NCT01719354
Brief Title
Aftercare in the Community Health Center
Official Title
Aftercare in the Community Health Center - a Venue for Identifying and Coordinating Community Services
Study Type
Interventional
2. Study Status
Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
January 2013 (Actual)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
April 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Norwegian University of Science and Technology
Collaborators
St. Olavs Hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mental Disorders
Keywords
Community Mental Health Centers, Norway, Aftercare
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
41 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Community Health center
Arm Type
Experimental
Arm Description
Aftercare in a community Health center
Arm Title
Control
Arm Type
Active Comparator
Arm Description
AFtercare as usual in hospital/Mental health centers of District Psychiatric Service (DPS.
Intervention Type
Other
Intervention Name(s)
Community Health center
Intervention Description
Observation of the functioning and coordination of health care before discharge to own home.
Intervention Type
Other
Intervention Name(s)
Control
Intervention Description
standard aftercare in hospital/mental health centers of District Psychiatric Service (DPS).
Primary Outcome Measure Information:
Title
Consumption of community health service
Description
Measure different types of community health services in hours per week.
Time Frame
one year
Title
Need for community health services
Description
Using IPLOS (Norw. individual-based nursing and care statistics) form with 17 variables to identify patient needs
Time Frame
one year
Title
User satisfaction
Description
A qualitative analysis of interviews of 10 patients who have been admitted to the District Psychiatric Service and community health center.
Time Frame
one year
Title
Need for community health services
Description
Using individual-based nursing and care statistics (Norw. IPLOS) form with 17 variables to identify patient needs
Time Frame
one year
Secondary Outcome Measure Information:
Title
Number of treatment days
Description
Number of treatment days in hospital and District Psychiatric Service compared with number of treatment days in community health center.
Time Frame
One year
Title
Readmission
Description
Readmission in hospital.
Time Frame
One year
Title
The total costs of inpatient and total costs of all health care after discharge
Description
Costs per day in hospital; Costs per day for District Psychiatric Service; Costs per day in community health center
Time Frame
One year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aslak Steinsbekk, prof
Organizational Affiliation
NTNU, Department of Public Health and General Practice
Official's Role
Study Director
Facility Information:
Facility Name
Regional Committees for Medical and Health Research Ethics
City
Trondheim
ZIP/Postal Code
7489
Country
Norway
12. IPD Sharing Statement
Citations:
PubMed Identifier
30419894
Citation
Roos E, Bjerkeset O, Steinsbekk A. Health care utilization and cost after discharge from a mental health hospital; an RCT comparing community residential aftercare and treatment as usual. BMC Psychiatry. 2018 Nov 12;18(1):363. doi: 10.1186/s12888-018-1941-2.
Results Reference
derived
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Aftercare in the Community Health Center
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