New Information and Communication Technologies in the Delivery of Mental Health Treatment: Psychiatric Care Via Videoconferencing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 107
- 试验地点
- 2
- 主要终点
- Baseline Depression Severity
研究概览
简要总结
The purpose of this project is to compare the effectiveness between face-to-face consultations and consultations via videoconferencing among patients treated in the Institute of Psychiatry (IPq).
详细描述
Introduction
Within the emergence of the Internet and for the purposes of providing psychiatric services across distances, the provision of mental health service via video counseling has become a possible way of mental health service delivery. An appropriate systematization of the propaedeutic methods in psychiatry, according to the interactive resources of telemedicine, and a standardized assessment based on clinical records turn this method to a viable alternative for service delivery all over the world. The main benefit of video counseling is an increased access to care services. But, so far, there is still limited research regarding to the effectiveness of telepsychiatry in the management of mental illnesses.
Objective
To verify the applicability of psychiatric attendance via Interned-based videoconferencing, comparing various quality characteristics between this method and face-to-face attendance, on the basis of a one-year follow-up study with a randomized clinical trial (RCT) design.
Material and methods
100 patients of the Institute of Psychiatry (IPq) between 18 to 55 years old with depressive disorders are randomly allocated to a control (monthly face-to-face consultation with the attending psychiatrist) or intervention group. The intervention group will have consultations with the attending psychiatrist through internet-based videoconference. For reasons of patient safety, consultations at baseline, and after 6 and 12 months will be realized in a face-to-face form for all patients. At baseline, and after 6 and 12 months mental health, satisfaction with treatment, therapeutic relationship, and medical compliance will be assessed. Depression will be assessed at baseline, and after 3, 6, 9 and 12 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •depressive disorder
- •between 18 to 55 years
- •broadband Internet access
排除标准
- •Hamilton Depression Rating Scale total score > 15
- •severe cognitive limitations
结局指标
主要结局
Baseline Depression Severity
时间窗: 0 months (baseline)
Instrument: Hamilton Depression Rating Scale
Change from Baseline in Depression Severity at 6 months
时间窗: 6 months
Instrument: Hamilton Depression Rating Scale
Change from Baseline and 6-months Follow-up in Depression Severity at 12 months
时间窗: 12 months
Instrument: Hamilton Depression Rating Scale
Baseline Satisfaction with Treatment
时间窗: 0 months (baseline)
Instrument: Client Satisfaction Questionnaire (CSQ-8)
Change from Baseline in Satisfaction with Treatment at 6 months
时间窗: 6 months
Instrument: Client Satisfaction Questionnaire (CSQ-8)
Change from Baseline and 6-months Follow-up in Satisfaction with Treatment at 12 months
时间窗: 12 months
Instrument: Client Satisfaction Questionnaire (CSQ-8)
Baseline Mental Health
时间窗: 0 months (baseline)
Instrument: Mental Health Inventory (MHI)
Change from Baseline in Mental Health at 6 months
时间窗: 6 months
Instrument: Mental Health Inventory (MHI)
Change from Baseline and 6-months Follow-up in Mental Health at 12 months
时间窗: 12 months
Instrument: Mental Health Inventory (MHI)
Baseline Quality of Therapeutic Relationship
时间窗: 0 months (baseline)
Instrument: Working Alliance Inventory (WAI)
Change from Baseline in Quality of Therapeutic Relationship at 6 months
时间窗: 6 months
Instrument: Working Alliance Inventory (WAI)
Change from Baseline in Medical Adherence at 6 months
时间窗: 6 months
Instrument: self-reported measure of medication adherence with four items: * Do you forget to take your medication? * Are you careless at times about taking your medicine? * When you feel better, do you sometimes stop taking your medicine? * Sometimes when you feel worse, do you stop taking your medicine? Response categories are yes/no for each item with a dichotomous response and a 5-point Likert response for the last item.
Change from Baseline and 6-months Follow-up in Medical Adherence at 12 months
时间窗: 12 months
Instrument: self-reported measure of medication adherence with four items: * Do you forget to take your medication? * Are you careless at times about taking your medicine? * When you feel better, do you sometimes stop taking your medicine? * Sometimes when you feel worse, do you stop taking your medicine? Response categories are yes/no for each item with a dichotomous response and a 5-point Likert response for the last item.
Change from Baseline and 6-months Follow-up in Quality of Therapeutic Relationship at 12 months
时间窗: 12 months
Instrument: Working Alliance Inventory (WAI)
Baseline Medical Adherence
时间窗: 0 months (baseline)
Instrument: self-reported measure of medication adherence with four items: * Do you forget to take your medication? * Are you careless at times about taking your medicine? * When you feel better, do you sometimes stop taking your medicine? * Sometimes when you feel worse, do you stop taking your medicine? Response categories are yes/no for each item with a dichotomous response and a 5-point Likert response for the last item.
次要结局
未报告次要终点