Plain English Summary
Not provided at time of registration
Trial website
Contact information
Type
Scientific
Primary contact
Dr W. Swildens
ORCID ID
Contact details
Altrecht Institute for Mental Health Care
Lange Nieuwstraat 119
Utrecht
3512 PG
Netherlands
+31 (0)30 2308820
w.swildens@altrecht.nl
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Effectiveness of the psychiatric rehabilitation approach in the Netherlands
Acronym
Study hypothesis
The 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
Not provided at time of registration
Study design
Randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Not specified
Trial type
Treatment
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Psychiatric mental disorders/illness
Intervention
The 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/psychiatricMHC 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 type
Other
Phase
Not Specified
Drug names
Primary outcome measures
The 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 measures
Other outcome criteria are (changes in):
1. Functioning
2. Empowerment
3. Quality of life
4. Met and unmet needs for care
Overall trial start date
01/05/2003
Overall trial end date
01/01/2007
Reason abandoned
Eligibility
Participant inclusion criteria
1. 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
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
157
Participant exclusion criteria
There are no other exclusion criteria patients with severe mental illness with different ages, and different psychiatric diagnosis can participate
Recruitment start date
01/05/2003
Recruitment end date
01/01/2007
Locations
Countries of recruitment
Netherlands
Trial participating centre
Altrecht Institute for Mental Health Care
Utrecht
3512 PG
Netherlands
Funders
Funder type
Research organisation
Funder name
The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Alternative name(s)
Netherlands Organisation for Health Research and Development
Funding Body Type
private sector organisation
Funding Body Subtype
other non-profit
Location
Netherlands
Funder name
Groningen Mental Health Care (The Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Bavo RNO Group (The Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Eindhoven Mental Health Care (The Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Altrecht Mental Health Care (The Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary
2011 24-month outcome results in http://www.ncbi.nlm.nih.gov/pubmed/22152644
2016 results in: http://www.ncbi.nlm.nih.gov/pubmed/26979849
Publication citations
-
Swildens W, van Busschbach JT, Michon H, Kroon H, Koeter MW, Wiersma D, van Os J, Effectively working on rehabilitation goals: 24-month outcome of a randomized controlled trial of the Boston psychiatric rehabilitation approach., Can J Psychiatry, 2011, 56, 12, 751-760.
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Results
van Busschbach JT, Swildens W, Michon H, Kroon H, Koeter M, Wiersma D, van Os J, Working effectively towards rehabilitation goals: long-term outcome of a randomised controlled trial of the Boston psychiatric rehabilitation approach, Tijdschr Psychiatr, 2016, 58, 3, 179-89.