Improving community-based mental health care in India and Pakista

Not Applicable

Completed

• Conditions: Improving the quality of life for individuals with long-term psychosis (duration of >2 years); Mental and Behavioural Disorders; Unspecified nonorganic psychosis

• Registration Number: ISRCTN13022816
• Lead Sponsor: ational Institute for Health Research

Brief Summary

2023 Protocol article in https://pubmed.ncbi.nlm.nih.gov/36703162/ (added 27/01/2023)

Detailed Description

Not available

Study Timeline

• Study Start: 2022-02-09
• Study Completion: 2024-03-11
• Last Update Posted: 22 July 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 420

Inclusion Criteria

Patients with a diagnosis of psychosis, currently not receiving inpatient treatment, with a duration of illness greater than 2 years

Patients:
1. Diagnosis of psychosis
2. Aged over 18 years
3. Capacity for informed consent
4. Can speak and understand the local language
5. Has a low quality of life (<5 on the MANSA)

Clinicians:
1. Any professional background or lay community worker
2. Regular contact with patients with psychosis

Exclusion Criteria

Patients:
1. Dementia and/or significant cognitive impairment and/or severe learning disability
2. Organic psychosis or drug-induced psychosis if given as the primary diagnosis
3. Unable to provide informed consent

Clinicians:
1. Does not have regular contact with individual(s) with chronic psychosis
2. Unable to speak either Urdu or Tamil

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Subjective quality of life measured using the Manchester Short Assessment of Quality of Life (MANSA) at baseline, 6 and 12 months

Secondary Outcome Measures

Name	Time	Method
1. Hospitalisation measured using the Client Service Resource Inventory (CSRI) at baseline, 6 and 12 months <br>2. Symptoms measured using the Brief Psychiatric Rating Scale (BPRS) at baseline, 6 and 12 months <br>3. Negative symptoms measured using the Scale for the Assessment of Negative Symptoms (SANS) at baseline, 6 and 12 months <br>4. Objective social situation measured using the Objective Social Outcomes Index (SIX) at baseline, 6 and 12 months <br>5. Therapeutic alliance measured using the Helping Alliance Questionnaire (HAQ-II) at baseline, 6 and 12 months <br>6. Health-related quality of life measured using EQ5D-3L at baseline, 6 and 12 months <br>7. Service use measured using the Client Service Receipt Inventory (CSRI) at baseline, 6 and 12 months