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临床试验/NCT03245593
NCT03245593进行中(未招募)不适用

Shared Medical Decision Making in the Prophylactic Treatment of Bipolar Disorder

Centre Hospitalier Universitaire de Nīmes32 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2018年4月24日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
300
试验地点
32
主要终点
Measure the difference of prophylactic treatment compliance between bipolar patients receiving treatment according to standard care versus a shared decision making care plan following a mood episode.

研究概览

简要总结

The investigators hypothesize that implementation of a shared decision making care plan for prophylactic treatment will help therapeutic adherence of bipolar patients. They also anticipate that patients treated according to a shared decision making plan will have an elevated satisfaction of their care, quality of life and functionment, as well as a lower number of relapses

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • The patient must be available for the 12 months of follow-up
  • The patient is at least 18 years old
  • Patients is suffering from bipolar disorder (I or II) according to DSM-5 criteria
  • Following resolution of a mood episode (manic or depressive according to DSM-5 criteria) according to the criteria of l'International Society for Bipolar Disorder (Recovery, clinical remission of at least 4 weeks)
  • Followed by at least one of the practitioner belonging to one of the participating centers
  • Without comprehension problems of fluent French

排除标准

  • The subject is participating in an interventional study, or has participated in another interventional study within the previous 3 months
  • The subject is in a period of exclusion determined by a previous study
  • The patient is under safeguard of justice or state guardianship
  • It is impossible to give the subject informed information, or the subject refuses to sign the consent
  • The subject has already participated in this study
  • The patient has troubles linked to the usage of severe intensive substances (such as those defined by the DMS-5)
  • The patient has a revision of the initial diagnosis of bipolar disorder

结局指标

主要结局

Measure the difference of prophylactic treatment compliance between bipolar patients receiving treatment according to standard care versus a shared decision making care plan following a mood episode.

时间窗: 12 months

Clinician Rating Scale (1-7)

次要结局

  • Study the clinician-reported difference between the 2 groups in medication adherence(9 months)
  • Compare difference in therapeutic alliance between groups(12 months)
  • Compare difference in knowledge of disease and treatment necessary to making decisions between groups(12 months)
  • Clinician satisfaction concerning the decision-making process between groups(12 months)
  • Study the self-reported difference between the 2 groups in medication adherence(12 months)
  • Clinical evaluation of the difference between the 2 groups in medication adherence(12 months)
  • Compare difference in patient attitude towards the treatment between groups(12 months)
  • Compare difference in patient satisfaction concerning the therapeutic decisions taken between groups(12 months)
  • Compare difference in patient satisfaction concerning the decision-making process between groups(12 months)
  • Compare severity and intensity of suicidal ideas between groups(12 months)
  • Compare difference in the adherence to personalized follow-up between groups(12 months)
  • Compare the depressive symptomatology during evaluations between groups(12 months)
  • Compare difference in patient perceptions related to the uncertainty of the medical decisions taken between groups(12 months)
  • Compare number and duration of mood episodes between groups months(12 months)
  • Compare manic symptomatology during evaluations between groups(12 months)
  • Compare number and duration of hospitalizations in psychiatric service between groups(12 months)
  • Compare quality of life between groups(12 months)
  • Clinician satisfaction concerning the therapeutic decisions taken between groups(12 months)
  • Clinician perceptions related to the uncertainty of the medical decisions taken between groups(12 months)
  • Compare the psychosocial functioning between groups(12 months)
  • Compare length of consultations between groups(every consultation for 12 months)

研究者

发起方
Centre Hospitalier Universitaire de Nīmes
申办方类型
Other
责任方
Sponsor

研究点 (32)

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