Condition category
Mental and Behavioural Disorders
Date applied
30/09/2004
Date assigned
30/09/2004
Last edited
30/06/2009
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Helen Lester

ORCID ID

Contact details

Dept of Primary Care and General Practice
Primary Care Clinical Sciences Building
The University of Birmingham
Edgbaston
Birmingham
B15 2TT
United Kingdom

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N0138126546

Study information

Scientific title

Acronym

REDIRECT

Study hypothesis

The Redirect Trial is a stratified-cluster randomised controlled trial to evaluate the effect of a multifaceted, evidence-based educational intervention to assist general practitioners (GPs) to recognise first episode psychosis (FEP) in young people. We hypothesised that training GPs to recognise FEP would increase referrals to specialist secondary care services and improve clinical outcomes in young people with FEP.

Can duration of untreated psychosis (DUP) be reduced by a primary care training programme in early recognition of psychosis and adherence to guidelines?

Ethics approval

Not provided at time of registration

Study design

Stratified-cluster randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Hospitals

Trial type

Treatment

Patient information sheet

Condition

Mental and Behavioural Disorders: Psychosis

Intervention

The study is a cluster randomisation trial with consenting GP practices randomly allocated to early detection training or 'detection as usual'.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

1. Rate of patient referral
2. Assessment of the difference in the number of referrals of young people with FEP to secondary care services between study groups

Secondary outcome measures

1. Use of the Mental Health Act
2. GP consultation rate
3. Duration of untreated psychosis
4. Time to recovery

Overall trial start date

01/01/2003

Overall trial end date

31/12/2006

Reason abandoned

Eligibility

Participant inclusion criteria

160 new patients in 78 GP practices (39 intervention, 39 control) over a 2 year period.

Participant type

Patient

Age group

Other

Gender

Both

Target number of participants

160

Participant exclusion criteria

Not provided at time of registration

Recruitment start date

01/01/2003

Recruitment end date

31/12/2006

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Dept of Primary Care and General Practice
Birmingham
B15 2TT
United Kingdom

Sponsor information

Organisation

Department of Health

Sponsor details

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

Funder name

Midland Research Practices Consortium (MidReC) (UK)

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

1. 2005 protocol in http://www.ncbi.nlm.nih.gov/pubmed/15755321
2. 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19520016

Publication citations

  1. Protocol

    Tait L, Lester H, Birchwood M, Freemantle N, Wilson S, Design of the BiRmingham Early Detection In untREated psyChosis Trial (REDIRECT): cluster randomised controlled trial of general practitioner education in detection of first episode psychosis [ISRCTN87898421]., BMC Health Serv Res, 2005, 5, 1, 19, doi: 10.1186/1472-6963-5-19.

  2. Results

    Lester H, Birchwood M, Freemantle N, Michail M, Tait L, REDIRECT: cluster randomised controlled trial of GP training in first-episode psychosis., Br J Gen Pract, 2009, 59, 563, e183-90, doi: 10.3399/bjgp09X420851.

Additional files

Editorial Notes