Trial reportPsychiatric services (Washington, D.C.)2011
A web-based program to empower patients who have schizophrenia to discuss quality of care with mental health providers.
Trial report in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Mend the Gap: Online User-Led Adjuvant Treatment for Psychosis: A Systematic Review on Recent Findings.International journal of environmental research and public health · 2025Pooled it
- Psychosocial Interventions in the Rehabilitation and the Management of Psychosis and Schizophrenia: A Systematic Review on Digitally-Delivered Interventions.Actas espanolas de psiquiatria · 2025Pooled it
- Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review.The International journal of social psychiatry · 2023Pooled it
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Digital Shared Decision-Making Interventions in Mental Healthcare: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2021Pooled it
- Communication skills training for mental health professionals working with people with severe mental illness.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness of Social Media Interventions for People With Schizophrenia: A Systematic Review and Meta-Analysis.Journal of medical Internet research · 2016Pooled it
- Virtual reality for treatment compliance for people with serious mental illness.The Cochrane database of systematic reviews · 2014Pooled it
- Trial
- Trial
- Comparison of SGA oral medications and a long-acting injectable SGA: the PROACTIVE study.Schizophrenia bulletin · 2015Trial
- A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation.Journal of medical Internet research · 2013Trial
- The ILIA study: protocol for a randomized-controlled multicenter clinical trial on smartphone- and web-based relapse monitoring for patients with schizophrenia or schizoaffective disorder.European archives of psychiatry and clinical neuroscience · 2026Article
- Consumer Co-Design of an Online Resource to Build Communication Skills of Health Consumers: Mixed Methods Study.JMIR formative research · 2025Article
- The dialogue dilemma: the role of patient-clinician communication for low-income people who smoke and manage multiple conditions.Frontiers in medicine · 2025Article
- The Role of Compassionate Technology in Blended and Digital Mental Health Interventions: Systematic Scoping Review.JMIR mental health · 2023Article
- A pilot digital intervention targeting loneliness in young people with psychosis.Social psychiatry and psychiatric epidemiology · 2020Article
- Indigeneity, diversity, and equity in Internet interventions: Could ISRII contribute to making health care a universal human right?Internet interventions · 2019Article
- Feasibility, Acceptability, and Preliminary Impacts of Web-Based Patient Education on Patients With Schizophrenia Spectrum Disorder: Quasi-Experimental Cluster Study.Journal of medical Internet research · 2019Article
- A Pilot Digital Intervention Targeting Loneliness in Youth Mental Health.Frontiers in psychiatry · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThis study evaluated a Web-based tool to help patients with schizophrenia communicate with clinicians about evidence-based treatments.
methodsFifty patients used an interactive Web-based intervention featuring actors simulating a patient discussing treatment concerns (intervention group; N=24) or were shown an educational video about schizophrenia treatment before an appointment for routine follow-up care (control group; N=26). The visits were recorded and analyzed by using the Roter Interaction Analysis System.
resultsVisits by patients in the intervention group were longer (24 versus 19 minutes, p<.05) and had a proportionately greater patient contribution to the dialogue (288 versus 229 statements, p<.05) and a smaller ratio of clinician to patient talk (1.1 versus 1.4, p<.05) compared with visits by the control group. Patients in the intervention group asked more questions about treatment (2 versus .9, p<.05), disclosed more lifestyle information (76 versus 53 statements, p<.005), and more often checked that they understood information (3.6 versus 2.1 checks, p<.05). Clinicians asked more questions about treatment (7.5 versus 5.1, p<.05) and the medical condition (7.8 versus 4.7, p<.05) to control group patients but made more statements of empathy (1.3 versus .4, p<.03) and cues of interest (48 versus 22, p<.05) with the intervention group. The patient-centeredness ratio was greater for visits by patients in the intervention group than by the control group (8.5 versus 3.2, p<.05). Patients' tone was more dominant and respectful (p<.05) and clinicians' tone was more sympathetic (p<.05) during visits by patients in the intervention.
conclusionsThe Web-based tool empowered persons with schizophrenia to engage more fully in a patient-centered dialogue about their treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.