The EPOS trial: effective patient-clinician communication in community mental health care

Not Applicable

Completed

Conditions: Schizophrenia
Mental and Behavioural Disorders

Registration Number: ISRCTN34757603

Lead Sponsor: Queen Mary University of London (UK)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 180

Inclusion Criteria

Patients:
1. Treatment in a community mental health care team in the NHS for at least one month
2. Clinical diagnosis of schizophrenia or a related disorder (F20-29)
3. Aged between 18 and 65 years
4. A mean score of less than 5 on the Short Assessment of Quality of Life (MANSA)
5. Capacity to give informed consent

Key workers:
1. Professional qualification as a clinician (nurse, social worker, psychologist, occupational therapist, doctor)
2. More than 6 months experience of working in community mental health care
3. Working as care coordinator

Exclusion Criteria

Patients:
1. Insufficient command of the English language for conducting meetings in English and filling in the assessment instruments of outcomes
2. A mean score of 5 or more on the MANSA
3. Learning difficulties

Key workers:
None

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Subjective quality of life measured on the Manchester Short Assessment of Quality of Life (MANSA)<br>Assessed at baseline, and at months 3, 6 and 12

Secondary Outcome Measures

Name	Time	Method
1. Costs of formal and informal care, assessed on the Client Service Receipt Inventory (CSRI)<br>2. Mental well-being on the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) <br>3. Needs on the Camberwell Assessment of Need Short Appraisal Schedule, patient-rated version (CANSAS)<br>4. Objective Social Outcomes measured on the SIX scale, also assessed using the MANSA (sections 2a and 3) <br>5. Psychopathological Symptoms on the Brief Psychiatric Rating Scale (BPRS)<br>6. Recovery as measured on the severity parts of each of the 24 items of the CHOICE scale <br>7. Self-Efficacy on the General Self-Efficacy Scale <br>8. Social contacts in the last week measured in a structured interview <br>9. The Therapeutic Relationship measured on the Scale to Assess Therapeutic Relationships in Community Mental Health Care (STAR) patient and clinician versions<br>All secondary outcome measures will be assessed at baseline, and at months 3, 6 and 12