Skip to main content Accessibility help
×
Home

Structured patient–clinician communication and 1-year outcome in community mental healthcare: Cluster randomised controlled trial

  • Stefan Priebe (a1), Rosemarie McCabe (a1), Jens Bullenkamp (a2), Lars Hansson (a3), Christoph Lauber (a4), Rafael Martinez-Leal (a5), Wulf Rössler (a4), Hans Salize (a2), Bengt Svensson (a3), Francisco Torres-Gonzales (a5), Rob Van Den Brink (a6), Durk Wiersma (a6) and Donna J. Wright (a1)...

Abstract

Background

Patient–clinician communication is central to mental healthcare but neglected in research.

Aims

To test a new computer-mediated intervention structuring patient–clinician dialogue (DIALOG) focusing on patients' quality of life and needs for care.

Method

In a cluster randomised controlled trial, 134 keyworkers in six countries were allocated to DIALOG or treatment as usual; 507 people with schizophrenia or related disorders were included. Every 2 months for 1 year, clinicians asked patients to rate satisfaction with quality of life and treatment, and request additional or different support. Responses were fed back immediately in screen displays, compared with previous ratings and discussed. Primary outcome was subjective quality of life, and secondary outcomes were unmet needs and treatment satisfaction.

Results

Of 507 patients, 56 were lost to follow-up and 451 were included in intention-to-treat analyses. Patients receiving the DIALOG intervention had better subjective quality of life, fewer unmet needs and higher treatment satisfaction after 12 months.

Conclusions

Structuring patient–clinician dialogue to focus on patients' views positively influenced quality of life, needs for care and treatment satisfaction.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Structured patient–clinician communication and 1-year outcome in community mental healthcare
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Structured patient–clinician communication and 1-year outcome in community mental healthcare
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Structured patient–clinician communication and 1-year outcome in community mental healthcare
      Available formats
      ×

Copyright

Corresponding author

Dr Stefan Priebe, Unit for Social and Community Psychiatry, Queen Mary, University of London, Newham Centre for Mental Health, London E13 8SP, UK. Email: S.Priebe@qmul.ac.uk

Footnotes

Hide All

Declaration of interest

None.

Funding detailed in Acknowledgements.

Footnotes

References

Hide All
Ahmed, M. & Boisvert, C. (2006) Using computers as visual aids to enhance communication in therapy. Computers in Human Behavior, 22, 847855.
Gilbody, S. M., House, A. O. & Sheldon, T. (2001) Routinely administered questionnaires for depression and anxiety: systematic review. BMJ, 322, 406409.
Holloway, F. & Carson, J. (1998) Intensive case management for the severely mentally ill. Controlled trial. British Journal of Psychiatry, 172, 1922.
Ihaka, R. & Gentleman, R. (1996) R: a language for data analysis and graphics. Journal of Computational and Graphical Statistics, 5, 299314.
Kay, S., Fiszbein, A. & Opler, L. (1987) The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.
Lasalvia, A., Bonetto, C., Malchiodi, F., et al (2005) Listening to patients’ needs to improve their subjective quality of life. Psychological Medicine, 35, 16551665.
Lehman, A. F. (1988) A Quality of Life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 5162.
Little, P., Everitt, H., Williamson, I., et al (2001) Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ, 323, 908911.
Marshall, M., Lockwood, A., Green, G., et al (2004) Systematic assessments of need and care planning in severe mental illness: cluster randomised controlled trial. British Journal of Psychiatry, 185, 163168.
McCabe, R. & Priebe, S. (2002) Focussing on quality of life in treatment. International Review of Psychiatry, 14, 225230.
McGuffin, P., Farmer, A. & Harvey, I. (1991) A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Archives of General Psychiatry, 48, 764770.
Nguyen, T. D., Attkisson, C. C. & Stegner, B. L. (1983) Assessment of patient satisfaction: development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6, 299313.
Priebe, S., Huxley, S., Knight, S., et al (1999) Application and results of the Manchester Short Assessment of Quality of Life (MANSA). International Journal of Social Psychiatry, 45, 712.
Priebe, S., McCabe, R., Bullenkamp, J., et al (2002) The impact of routine outcome measurement on treatment processes in community mental health care: approach and methods of the MECCA study. Epidemiologia e Psichiatria Sociale, 11, 198205.
Rosenheck, R., Stroup, S., Keefe, R. S. E., et al (2005) Measuring outcome priorities and preferences in people with schizophrenia. British Journal of Psychiatry, 187, 529536.
Slade, M., Phelan, M., Thornicroft, G., et al (1996) The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill. Social Psychiatry and Psychiatric Epidemiology, 31, 109113.
Slade, M., McCrone, P., Kuipers, E., et al (2006) Use of standardised outcome measures in adult mental health services: randomised controlled trial. British Journal of Psychiatry, 189, 330336.
Trieman, N., Leff, J. & Glover, G. (1999) Outcome of long stay psychiatric patients resettled in the community: prospective cohort study. BMJ, 319, 1316.
Van Os, J., Altamura, A. C., Bobes, J., et al (2004) Evaluation of the Two-Way Communication Checklist as a clinical intervention: results of a multinational, randomised controlled trial. British Journal of Psychiatry, 184, 7983.
Type Description Title
PDF
Supplementary materials

Priebe et al. supplementary material
Supplementary Material

 PDF (21 KB)
21 KB
UNKNOWN
Supplementary materials

Priebe et al. supplementary material
Supplementary Material

 Unknown (548 bytes)
548 bytes

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Structured patient–clinician communication and 1-year outcome in community mental healthcare: Cluster randomised controlled trial

  • Stefan Priebe (a1), Rosemarie McCabe (a1), Jens Bullenkamp (a2), Lars Hansson (a3), Christoph Lauber (a4), Rafael Martinez-Leal (a5), Wulf Rössler (a4), Hans Salize (a2), Bengt Svensson (a3), Francisco Torres-Gonzales (a5), Rob Van Den Brink (a6), Durk Wiersma (a6) and Donna J. Wright (a1)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *