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

Not Applicable

• Conditions: Bipolar Disorders
• Interventions: Behavioral: self assessment of adherence

• Registration Number: NCT02904083
• Lead Sponsor: Assistance Publique Hopitaux De Marseille

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2016-09
• Study First Submitted: 2016-09-08
• Study First Submitted QC: 2016-09-13
• Last Update Submitted: 2016-09-13
• Study First Posted: 2016-09-16
• Last Update Posted: 2016-09-16
• Study Start: 2017-06
• Primary Completion: 2019-06
• Study Completion: 2020-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 300

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control training of professionals	self assessment of adherence	patients from centers where professionals have received control training
specific training of professionals	self assessment of adherence	patients from centers where professionals have received specific training

Primary Outcome Measures

Name	Time	Method
Difference of score of Medication Adherence Rating Scale (MARS) before and after the training of the professionals	6 months

Trial Locations

Locations (1)

Assistance Publique Hôpitaux de Marseille; 🇫🇷 Marseille, France