Evidence map›Paper›PMID 37681407›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial.

Stefan Weinmann, Konstantinos Nikolaidis, Gerhard Längle, Sebastian von Peter, Peter Brieger, Jürgen Timm, Lasse Fischer, Svenja Raschmann, Martin Holzke, Julian Schwarz and 9 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Trial
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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

19 authors.

Stefan WeinmannDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Hospital an der Lindenhöhe, Offenburg, Germany.ORCID 0000-0002-0953-4696
Konstantinos NikolaidisDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Am Urban und Vivantes Hospital im Friedrichshain, Charité University Medicine Berlin, Berlin, Germany.ORCID 0009-0006-7755-9357
Gerhard LängleCentre for Psychiatry Suedwuerttemberg, Zwiefalten, Germany.
Sebastian von PeterDepartment of Psychiatry and Psychotherapy, Brandenburg Medical School Theodor Fontane, Immanuel Hospital Rüdersdorf, Rüdersdorf, Germany.
Peter Briegerkbo-Isar-Amper-Klinikum, Region München, Munich, Germany.
Jürgen TimmCompetence Center for Clinical Trials Bremen, University of Bremen, Bremen, Germany.
Lasse FischerCompetence Center for Clinical Trials Bremen, University of Bremen, Bremen, Germany.
Svenja RaschmannCentre for Psychiatry Suedwuerttemberg, Zwiefalten, Germany.
Martin HolzkeCentre for Psychiatry Suedwuerttemberg, Ravensburg, Germany.
Julian SchwarzDepartment of Psychiatry and Psychotherapy, Brandenburg Medical School Theodor Fontane, Immanuel Hospital Rüdersdorf, Rüdersdorf, Germany.
Luisa Klockekbo-Isar-Amper-Klinikum, Region München, Munich, Germany.
Sandeep RoutDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Neukölln, Berlin, Germany.
Constanze HirschmeierDepartment for Psychiatry and Psychotherapy, Charité University Medicine Berlin, Berlin, Germany.
Uwe HerwigCenter for Psychiatry Reichenau, Reichenau, Germany.
Janina RichterDepartment of Psychiatry and Psychotherapy, University Hospital Tuebingen, Tübingen, Germany.
Reinhold KilianDepartment of Psychiatry and Psychotherapy II, BKH Günzburg, Ulm University, GünzburgGermany.
Johanna BaumgardtResearch Institute of the Local Health Care Funds (WIdO), Berlin, Germany.
Johannes HamannBezirksklinikum Mainkofen, Deggendorf, Germany.ORCID 0000-0002-3861-6017
Andreas BechdolfDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Vivantes Hospital Am Urban und Vivantes Hospital im Friedrichshain, Charité University Medicine Berlin, Berlin, Germany.ORCID 0000-0003-4796-3392

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInpatient equivalent home treatment (IEHT), implemented in Germany since 2018, is a specific form of home treatment. Between 2021 and 2022, IEHT was compared to inpatient psychiatric treatment in a 12-months follow-up quasi-experimental study with two propensity score matched cohorts in 10 psychiatric centers in Germany. This article reports results on the treatment during the acute episode and focuses on involvement in decision-making, patient satisfaction, and drop-out rates.

methodsA total of 200 service users receiving IEHT were compared with 200 matched statistical "twins" in standard inpatient treatment. Premature termination of treatment as well as reasons for this was assessed using routine data and a questionnaire. In addition, we measured patient satisfaction with care with a specific scale. For the evaluation of patient involvement in treatment decisions, we used the 9-item Shared Decision Making Questionnaire (SDM-Q-9).

resultsPatients were comparable in both groups with regard to sociodemographic and clinical characteristics. Mean length-of-stay was 37 days for IEHT and 28 days for inpatient treatment. In both groups, a similar proportion of participants stopped treatment prematurely. At the end of the acute episode, patient involvement in decision-making (SDM-Q-9) as well as treatment satisfaction scores were significantly higher for IEHT patients compared to inpatients.

conclusionsCompared to inpatient care, IEHT treatment for acute psychiatric episodes was associated with higher treatment satisfaction and more involvement in clinical decisions.

Indexed as

Decision Making, SharedInpatientsDecision MakingHumansPatient ParticipationPatient SatisfactionPersonal Satisfactioncrisis resolution teamevaluationhome treatmentpsychiatric servicessevere mental illness

Identifiers

PMID37681407
PMCPMC10594305

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Registered trials

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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.