Evidence map›Paper›PMID 28270129›Full record

Trial reportBMC psychiatry2017

A digital intake approach in specialized mental health care: study protocol of a cluster randomised controlled trial.

Margot J Metz, Iman Elfeddali, David G H Krol, Marjolein A Veerbeek, Edwin de Beurs, Aartjan T F Beekman, Christina M van der Feltz-Cornelis

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Connected Mental Health: Systematic Mapping Study.Journal of medical Internet research · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Margot J MetzEMGO Institute for Health and Care Research (EMGO+), VU University, Amsterdam, The Netherlands. m.metz@ggzbreburg.nl.
Iman ElfeddaliGGz Breburg, Mental Health Institute, Postbus 770, 5000 AT, Tilburg, The Netherlands.
David G H KrolGGz Breburg, Mental Health Institute, Postbus 770, 5000 AT, Tilburg, The Netherlands.
Marjolein A VeerbeekNetherlands Institute of Mental Health and Addiction (Trimbos Institute), P.O. Box 725, 3500 AS, Utrecht, The Netherlands.
Edwin de BeursDepartment of Clinical Psychology, University of Leiden, Leiden, The Netherlands.
Aartjan T F BeekmanDepartment of Psychiatry, VU University Medical Centre, Amsterdam, The Netherlands.
Christina M van der Feltz-CornelisGGz Breburg, Mental Health Institute, Postbus 770, 5000 AT, Tilburg, The Netherlands.
GGz Breburg · NLTilburg University · NLGGZ inGeest · NLLeiden University · NLTrimbos Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhancing patient participation is becoming increasingly important in mental health care as patients use to have a dependent, inactive role and nonadherence to treatment is a regular problem. Research shows promising results of initiatives stimulating patient participation in partnership with their clinicians. However, few initiatives targeting both patients' and clinicians' behaviour have been evaluated in randomised trials (RCT). Therefore, in GGz Breburg, a specialized mental health institution, a digital intake approach was developed aimed at exploring treatment needs, expectations and preferences of patients intended to prepare patients for the intake consultations. Subsequently, patients and clinicians discuss this information during intake consultations and make shared decisions about options in treatment. The aim of this trial is to test the efficacy of this new digital intake approach facilitated by Routine Outcome Monitoring (ROM), peer support and training of clinicians as compared to the intake as usual. The primary outcome is decisional conflict about choices in treatment. Secondary outcomes focus on patient participation, shared decision making, working alliance, adherence to treatment and clinical outcomes.

methodsThis article presents the study protocol of a cluster-randomised controlled trial in four outpatient departments for adults with depression, anxiety and personality disorders, working in two different regions. Randomisation is done between two similar intake-teams within each department. In the four intervention teams the new intake approach is implemented. The four control teams apply the intake as usual and will implement the new approach after the completion of the study. In total 176 patients are projected to participate in the study. Data collection will be at baseline, and at two weeks and two months after the intake. DISCUSSION: This study will potentially demonstrate the efficacy of the new digital intake approach in mental health care in terms of the primary outcome the degree of decisional conflict about choices in treatment. The findings of this study may contribute to the roll out of such eHealth initiatives fostering patient involvement in decision making about their treatment.

trial registrationTrial registration: Dutch Trial Register NTR5677 . Registered 17th January 2016.

Indexed as

Electronic Health RecordsMental HealthAdultClinical Decision-MakingCluster AnalysisDecision MakingFemaleHumansMaleMental DisordersPatient ParticipationReferral and ConsultationSingle-Blind MethodAdherence to treatmentAnxiety disorderCluster randomised controlled trialDecisional conflictDepressive disordereHealthIntakeMental health carePatient participationPatient preferencePeer supportPersonality disorderRoutine Outcome MonitoringShared Decision Making

Identifiers

PMID28270129
PMCPMC5341197
OpenAlexW2594739414

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.