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A randomised controlled trial of a computerised clinical decision support system for the management of psychiatric disorder in primary care.

Completed
Conditions
Schizophrenia and other psychoses
Mental and Behavioural Disorders
Mental disorder, not otherwise specified
Registration Number
ISRCTN57116180
Lead Sponsor
Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
762
Inclusion Criteria

1. Five general practices in Bristol and Cardiff participated in the study.
2. Eligible subjects were consecutive general practitioner (GP) attenders who were aged 16 years and over who completed the general health questionnaire (GHQ-12).
3. Subjects who had a positive GHQ score (i.e. >3) and who achieved a score of 12 or more on the CIS-R (Computerised Interview Schedule [Reduced]) were randomised.

Exclusion Criteria

1. A previous diagnosis of a psychotic illness
2. A mental handicap or cognitive impairment
3. Language or literacy difficulties
4. A severe or terminal physical illness

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
12-item General Health Questionnaire (GHQ12)<br><br>Outcome was assessed at 6 weeks and 6 months. The subjects were sent the questionnaires by post and were reminded by telephone if they did not respond.
Secondary Outcome Measures
NameTimeMethod
1. Quality of life assessed with 6 questions<br>2. Satisfaction with treatment assessed with 1 question: If a friend were in need of similar help from a general practitioner would you recommend your GP to him/her? <br>3. Number of consultations in primary care assessed both by asking the subjects, and also by recording the number of consultations in the primary care notes of the subjects<br>4. In 2 of the practices we recorded the psychotropic medication prescriptions for all those in the trial.
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