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ArticleTrials2024

Enhancing patient-clinician collaboration during treatment decision-making: study protocol for a community-engaged, mixed method hybrid type 1 trial of collaborative decision skills training (CDST) for veterans with psychosis.

Emily B H Treichler, Lauren E McBride, Elissa Gomez, Joanna Jain, Sydney Seaton, Kasey E Yu, David Oakes, Dimitri Perivoliotis, Vanessa Girard, Samantha Reznik and 6 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04324944 (Improving Collaborative Decision Making in Veterans With Serious Mental Illness), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04324944 nacompletednot on this map

Improving Collaborative Decision Making in Veterans With Serious Mental Illness

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2025Enrolled39ConditionsSchizophrenia, Schizoaffective Disorder, Delusional Disorder, Major Depressive Disorder With Psychotic FeaturesArmsCollaborative Decision Skills Training, Leveling Up
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Emily B H TreichlerVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA. etreichler@health.ucsd.edu.
Lauren E McBrideVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
Elissa GomezVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
Joanna JainVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
Sydney SeatonVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
Kasey E YuVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
David OakesVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.
Dimitri PerivoliotisDepartment of Psychiatry, University of California San Diego, 9500 Gilman Drive 0804, La Jolla, CA, 92093, USA.
Vanessa GirardVA San Diego Psychology Service, San Diego, CA, USA.
Samantha ReznikUniversity of Texas at Austin, Texas Institute for Excellence in Mental Health, Austin, USA.
Michelle P SalyersDepartment of Psychology, Indiana University-Purdue University at Indianapolis, Indianapolis, IN, USA.
Michael L ThomasDepartment of Psychology, Colorado State University, Fort Collins, CO, USA.
William D SpauldingDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Eric L GranholmDepartment of Psychiatry, University of California San Diego, 9500 Gilman Drive 0804, La Jolla, CA, 92093, USA.
Borsika A RabinUC San Diego Dissemination and Implementation Science Center, University of California San Diego, La Jolla, CA, USA.
Gregory A LightVA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA.

Funding

Rehabilitation Research and Development Service 1IK2RX00307901A2RRD VA IK2 RX003079
6 · The paper itself

Abstract

backgroundPatient participation in treatment decision making is a pillar of recovery-oriented care and is associated with improvements in empowerment and well-being. Although demand for increased involvement in treatment decision-making is high among veterans with serious mental illness, rates of involvement are low. Collaborative decision skills training (CDST) is a recovery-oriented, skills-based intervention designed to support meaningful patient participation in treatment decision making. An open trial among veterans with psychosis supported CDST's feasibility and demonstrated preliminary indications of effectiveness. A randomized control trial (RCT) is needed to test CDST's effectiveness in comparison with an active control and further evaluate implementation feasibility.

methodsThe planned RCT is a hybrid type 1 trial, which will use mixed methods to systematically evaluate the effectiveness and implementation feasibility of CDST among veterans participating in a VA Psychosocial Rehabilitation and Recovery Center (PRRC) in Southern California. The first aim is to assess the effectiveness of CDST in comparison with the active control via the primary outcome, collaborative decision-making behavior during usual care appointments between veterans and their VA mental health clinicians, and secondary outcomes (i.e., treatment engagement, satisfaction, and outcome). The second aim is to characterize the implementation feasibility of CDST within the VA PRRC using the Practical Robust Implementation and Sustainability Model framework, including barriers and facilitators within the PRRC context to support future implementation. DISCUSSION: If CDST is found to be effective and feasible, implementation determinants gathered throughout the study can be used to ensure sustained and successful implementation at this PRRC and other PRRCs and similar settings nationally.

trial registrationClinicalTrials.gov NCT04324944. Registered on March 27, 2020. Trial registration data can be found in Appendix 1.

Indexed as

Patient ParticipationPsychotic DisordersRandomized Controlled Trials as TopicVeteransCaliforniaClinical Decision-MakingCooperative BehaviorDecision MakingDecision Making, SharedFeasibility StudiesHumansPhysician-Patient RelationsUnited StatesUnited States Department of Veterans AffairsImplementation sciencePerson-centered careRecoverySchizophreniaShared decision-making

Identifiers

PMID38840160
PMCPMC11155075

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.