Effectiveness of the psychiatric rehabilitation approach in the Netherlands

ISRCTN ISRCTN73683215
DOI https://doi.org/10.1186/ISRCTN73683215
Secondary identifying numbers N/A
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
18/03/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr W. Swildens
Scientific

Altrecht Institute for Mental Health Care
Lange Nieuwstraat 119
Utrecht
3512 PG
Netherlands

Phone +31 (0)30 2308820
Email w.swildens@altrecht.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffectiveness of the psychiatric rehabilitation approach in the Netherlands
Study objectivesThe central research question is: what is the effectiveness of psychiatric rehabilitation (PR) in attaining patients personal rehabilitation goals, in improving patients functioning, empowerment and quality of life compared to 'rehabilitation as usual'?

PR is a systematic rehabilitation process consisting of three phases:
1. Diagnosis: helping patients gain insight into their future goals in the rehabilitation areas (housing, work/daily activities, learning and social contacts), and insight into which skills and resources are needed to attain these goals
2. Planning: describing the interventions necessary to attain the clients' rehabilitation goals
3. Intervention: conducting resource development and/or skill development
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedPsychiatric mental disorders/illness
InterventionThe study is designed as a randomised controlled trial (RCT) in four mental health organisations, comparing:
1. PR by fully trained rehabilitation workers (EXP)
3. ‘Rehabilitation as usual’ by case managers/psychiatric–MHC nurses with no PR training (CC)

A total of 160 patients were planned to be included in the RCT: 80 EXP and 80 CC. Fidelity criteria for the performance of PR in the experimental condition were developed at the start of the study. The patients can receive either the PR intervention or ‘rehabilitation as usual’ during the whole research period of two years following randomisation.

In both conditions there is a minimum of at least once per three weeks an individual contact between the patient and the rehabilitation worker.
Intervention typeOther
Primary outcome measureThe primary outcome criterion is goal attainment. Patients are interviewed three times, at the start (T0) after one year (T1) and after two years (T2). At the same time rehabilitation workers and psychiatrists are asked to fill out questionnaires.
Secondary outcome measuresOther outcome criteria are (changes in):
1. Functioning
2. Empowerment
3. Quality of life
4. Met and unmet needs for care
Overall study start date01/05/2003
Completion date01/01/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants157
Key inclusion criteria1. Adults with severe mental illness who receive Mental Health Care (MHC) in clinical settings or in out-patients settings
2. Must have a wish for change in at least one of the main rehabilitation areas (housing, work/daily activities, learning and social contacts)
3. Patients must have new goals: he/she is not already trying to obtain the goals mentioned with a rehabilitation worker
4. Patients must accept the rehabilitation offer and participate in the research
5. Patients should be willing to give informed consent
Key exclusion criteriaThere are no other exclusion criteria patients with severe mental illness with different ages, and different psychiatric diagnosis can participate
Date of first enrolment01/05/2003
Date of final enrolment01/01/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Altrecht Institute for Mental Health Care
Utrecht
3512 PG
Netherlands

Sponsor information

Altrecht Institute for Mental Health Care (The Netherlands)
Hospital/treatment centre

Nieuwstraat 119
Utrecht
3512 PG
Netherlands

ROR logo "ROR" https://ror.org/050jqep38

Funders

Funder type

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Private sector organisation / Other non-profit organizations
Alternative name(s)
Netherlands Organisation for Health Research and Development
Location
Netherlands
Groningen Mental Health Care (The Netherlands)

No information available

Bavo RNO Group (The Netherlands)

No information available

Eindhoven Mental Health Care (The Netherlands)

No information available

Altrecht Mental Health Care (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 24-month outcome results 01/12/2011 Yes No
Results article results 01/12/2016 Yes No

Editorial Notes

18/03/2016: Publication reference added.