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A Shared Decision-making Training for Inpatients With Schizophrenia

Not Applicable
Completed
Conditions
Schizophrenia
Schizo-affective Disorder
Interventions
Behavioral: shared decision making training
Registration Number
NCT02349880
Lead Sponsor
Technical University of Munich
Brief Summary

"Shared decision-making" is being promoted as a promising approach for engaging patients with schizophrenia in medical decisions and improving satisfaction and adherence.

To implement shared decision-making, both physicians and patients should commit to it and engage in a mutual decision process. Most research, however, has addressed interventions that either focus on the doctors' side (e.g. "communication skills") or on informing patients about treatment options (e.g. "decision aids"). These approaches have been shown to be feasible in clinical practice but had no strong effects on treatment patterns or adherence, possibly because they were insufficient to motivate and enable patients to engage actively in decision-making. Moreover, these interventions still rely on the doctor's willingness to share decisions, which has been shown to vary considerably.

To overcome these limitations and since many patients do not feel competent to participate in decision-making we developed an intervention that focuses on patients' communicative competencies. this intervention, a five session group-training, will be implemented for inpatients suffering from schizophrenia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
264
Inclusion Criteria
  • age 18-65
  • icd diagnosis F2
  • sufficient German language skills
Exclusion Criteria
  • debility

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
controlshared decision making training5 hour cognitive training
interventionshared decision making training5 hour shared decision making training
Primary Outcome Measures
NameTimeMethod
adherence to antipsychotic medication12 months
Secondary Outcome Measures
NameTimeMethod
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