Effectiveness of the psychiatric rehabilitation approach in the Netherlands
| ISRCTN | ISRCTN73683215 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN73683215 |
| Protocol serial number | N/A |
| Sponsor | Altrecht Institute for Mental Health Care (The Netherlands) |
| Funders | The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands), Groningen Mental Health Care (The Netherlands), Bavo RNO Group (The Netherlands), Eindhoven Mental Health Care (The Netherlands), Altrecht Mental Health Care (The Netherlands) |
- 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
Contact information
Dr W. Swildens
Scientific
Scientific
Altrecht Institute for Mental Health Care
Lange Nieuwstraat 119
Utrecht
3512 PG
Netherlands
| Phone | +31 (0)30 2308820 |
|---|---|
| w.swildens@altrecht.nl |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| Study type | Participant information sheet |
| Scientific title | Effectiveness of the psychiatric rehabilitation approach in the Netherlands |
| Study objectives | 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(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | 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 |
| Primary outcome measure(s) |
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. |
| Key secondary outcome measure(s) |
Other outcome criteria are (changes in): |
| Completion date | 01/01/2007 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | All |
| Target sample size at registration | 157 |
| Key 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 |
| Key exclusion criteria | There are no other exclusion criteria patients with severe mental illness with different ages, and different psychiatric diagnosis can participate |
| Date of first enrolment | 01/05/2003 |
| Date of final enrolment | 01/01/2007 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Altrecht Institute for Mental Health Care
Utrecht
3512 PG
Netherlands
3512 PG
Netherlands
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not 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 | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
| Study website | Study website | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
18/03/2016: Publication reference added.
