F20 / F25 according to ICD10 F20 F25
Conditions
Interventions
Group 1: Experimental group: Weekly monitoring of 10 early warning signs of relapse using the Early Warning Sign Questionnaire (EWSQ-10P) via a CE-certified smartphone app for an intervention period o
Sponsors
Klinikum rechts der Isar, Klinik für Psychiatrie und Psychotherapie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Patients of any gender above the age of 18, at the time of inclusion in outpatient treatment in one of the participating outpatient clinics (Inclusion possible from the end of inpatient treatment), primary diagnosis of schizophrenia or schizoaffective disorder (ICD-10 F20/F25) - Maximal markedly ill (CGI and PANNS-6 positive symptoms =5) - At least 1 relapse within the last 2 years before the start of the study (Definition of relapse: Hospitalization or a clinically significant increase in psychotic symptoms; An exception are patients after a first episode whose illness first occurred less than 3 years ago) - Ability to give informed consent, written and spoken German language skills sufficient for participation in the study, - Smartphone ownership that fulfils the minimum technical requirements - Sufficient skills to use a smartphone app regularly
Exclusion criteria
Exclusion criteria: - Acute exacerbation at the time of study enrolment (as determined by a minimum of four weeks of clinical stability, based on the judgment of the treating clinician, with no adjustments to antipsychotic medication dosage during this period) - Cognitive or physical impairment preventing participation in the study (eg, app usage, study visits, completion of questionnaires) - Dementia or mental retardation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Re-hospitalization (yes/no) Hospitalization is defined as an increased level of care, including an inpatient stay of at least one day, a day patient stay, or home treatment due to exacerbation of psychiatric symptoms (not social reasons). | — |
Secondary
| Measure | Time frame |
|---|---|
| Parameters of rehospitalization; Attitudes on eHealth; Changes in Shared-Decision-Making, Patient Activation, Patient Satisfaction and Medication Adherence; Symptom Severity; Fear of Recurrence; Social Functioning; Quality of Life, Medical Side Effects; Ressource Consumption; Qualitative interview data (interviews, doctor-patient dyads) | — |
Countries
Germany
Contacts
Public ContactSelina Anna-Maria Hiller
Klinik für Psychiatrie und Psychotherapie, Klinikum rechts der Isar
Outcome results
None listed