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临床试验/ACTRN12605000531617
ACTRN12605000531617已完成1 期

Australian Integrated Mental Health Initiative - Evidence based health promotion strategies to people with chronic or recurring mental disorders (CRMD) to improve mental health outcomes, reduce physical risks and promote social and community functioning - NHMRC Health Research Partnership.

Professor David Kavanagh (& Rural Stream)0 个研究点目标入组 1,000 人开始时间: 2005年9月27日最近更新:

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
1,000

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Prevention
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 ot stated(—)
性别
All

入选标准

  • Each stream have specific inclusion and exclusion criteria for recruitment of both patients and professionals (clinician, practitioners and mental health service provider). (i) High Support: clinician recruitment -a total of 140 clinicians working with people with CRMD will be recruited and randomly allocated to immediate or delayed interventions. Eligibility requires that they are working actively with at least 3 patients who meet patient eligibility; patient recruitment - 840 patients will be randomly allocated from caseload in each condition. Patients are to be: 18 years or over; diagnosis of psychotic disorder or at least 6 months duration.
  • inclusion of patients with comorbid substance misuse or personality disorders is allowed; high support needs on the CANSAS scale. (ii) Rural Stream: Participants include 6 groups: (60) GPs in Qld;(approx 70) mental health staff in participating towns (4 pairs of rural centres) to receive immediate or delayed interventions; cross sectional patients (minimum of 10 with CRMD from each GP and a minimum of 20 patients surveyed from each GP (all are sampled from the waiting rooms of all participating GPs); Longitudinal patient sample: 240 patients to be recruited from GP and Mental Health Services. Adults with a history of treatment by antidepressants, mood stabilisers, antipsychotics with an DSM-IV disorder with at least 6 months duration; comorbidity will not result in exclusion.
  • A community sample will be recruited from each town (50 surveys per town at each assessment) Focus groups: participants will be adults with CRMD and carers; key community representatives, GPs and mental health staff (6-10 in each group, 1 group of each type in each town) . (iii) Indigenous people in remote communities for Far North Queensland (from approx total population 15000) and Top End of the Northern Territory (from approx total population of 25,000) suffering from chronic and relapsing mental illness and their families. It will utilise existing primary care and specialist mental health consultancy services and build on a set of existing initiatives across two service settings.

排除标准

  • Exclusion of patients with dementia, moderate or severe mental retardation, brain injury;
  • Patients with dementia and severe mental retardation or brain injury will be excluded.

研究者

发起方
Professor David Kavanagh (& Rural Stream)

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