Evidence map›Paper›PMID 30157839›Full record

Trial reportBMC health services research2018

The effects of a pretreatment educational group programme on mental health treatment outcomes: a randomized controlled trial.

John Morten Koksvik, Olav Morten Linaker, Rolf Wilhelm Gråwe, Johan Håkon Bjørngaard, Mariela Loreto Lara-Cabrera

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00967265 (Introduction Seminar About Patient Participation and Treatment Options for Patients on Waiting List in a Community Mental Health Centre - Development, Effect, Experiences and Costs), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT00967265 nacompletednot on this map

Introduction Seminar About Patient Participation and Treatment Options for Patients on Waiting List in a Community Mental Health Centre - Development, Effect, Experiences and Costs

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2009 to 2012Enrolled92ConditionsMental DisordersArmsIntroduction seminar, Usual care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Beyond tumor biology: nursing interventions for psychological and immune health in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
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

5 authors.

John Morten KoksvikDepartment of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Pb 8905 MTFS, 7491, Trondheim, Norway. john.m.koksvik@ntnu.no.ORCID http://orcid.org/0000-0002-4726-0577
Olav Morten LinakerDepartment of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Pb 8905 MTFS, 7491, Trondheim, Norway.
Rolf Wilhelm GråweDepartment of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Pb 8905 MTFS, 7491, Trondheim, Norway.
Johan Håkon BjørngaardDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Mariela Loreto Lara-CabreraTiller Community Mental Health Center, Division of Mental Health Care, St. Olavs University Hospital, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients dropping out of mental health treatment is considered a widespread and significant obstacle to providing effective treatment, thus reducing the probability of patients achieving the desired improvement. Here, relative to ordinary treatment, we investigate the effects of providing an educational group programme before mental health treatment on mental health symptomatology and the risk of patients dropping out or prematurely discontinuing treatment.

methodsA randomized controlled trial in which adults referred to a community mental health center were randomized to either a Control Group (n = 46) or a pretreatment educational programme followed by treatment as usual (Intervention Group, n = 45). The primary outcome was self-reported mental health symptomatology assessed with BASIS-32. Data were analyzed by multilevel linear regression and Cox's regression.

resultsWe recruited 93 patients during a 26-month period. Assessments were performed before (0 month, baseline) and after the intervention (1 month, before treatment initiation), and after 4 and 12 months. The net difference in BASIS-32 score between 0 and 1-month was - 0.27 (95% confidence interval CI] -0.45 to - 0.09) in favor of the intervention group. Although both groups had a significant and continuous decline in psychopathology during the treatment (from 1 month and throughout the 4- and 12-month follow-up assessments), the group difference detected before treatment (between 0 and 1 month) persisted throughout the study. Premature treatment discontinuation was partially prevented. The dropout risk was 74% lower in the Intervention Group than in the Control Group (hazard ratio 0.26, 95% CI = 0.07-0.93).

conclusionsA brief educational intervention provided before mental health treatment seems to have an immediate and long-lasting effect on psychopathology, supplementary to traditional treatment. Such an intervention might also have a promising effect on reducing treatment dropout.

trial registrationNCT00967265 , clinicaltrials.gov . Registered August 27, 2009, retrospectively registered.

Indexed as

AdultAmbulatory CareCommunity Mental Health CentersFemaleHumansMaleMental DisordersMental HealthOutpatientsPatient DropoutsPatient Education as TopicPatient Reported Outcome MeasuresPsychotherapy, BriefPsychotherapy, GroupRisk FactorsSelf ReportCommunity mental health centersMental healthPatient dropoutPatient educationPeer groupRandomised controlled trialSelf-management

Identifiers

PMID30157839
PMCPMC6114285

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.