Improving the quality of life for individuals with long-term psychosis (duration of >2 years) Mental and Behavioural Disorders Unspecified nonorganic psychosis
Conditions
Interventions
This is a cluster randomised control trial where clinicians and their respective enrolled patients will form clusters that will be randomised into a treatment and active control arm. The total duratio
Sponsors
National Institute for Health Research
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with a diagnosis of psychosis, currently not receiving inpatient treatment, with a duration of illness greater than 2 years Patients: 1. Diagnosis of psychosis 2. Aged over 18 years 3. Capacity for informed consent 4. Can speak and understand the local language 5. Has a low quality of life (<5 on the MANSA) Clinicians: 1. Any professional background or lay community worker 2. Regular contact with patients with psychosis
Exclusion criteria
Exclusion criteria: Patients: 1. Dementia and/or significant cognitive impairment and/or severe learning disability 2. Organic psychosis or drug-induced psychosis if given as the primary diagnosis 3. Unable to provide informed consent Clinicians: 1. Does not have regular contact with individual(s) with chronic psychosis 2. Unable to speak either Urdu or Tamil
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Hospitalisation measured using the Client Service Resource Inventory (CSRI) at baseline, 6 and 12 months 2. Symptoms measured using the Brief Psychiatric Rating Scale (BPRS) at baseline, 6 and 12 months 3. Negative symptoms measured using the Scale for the Assessment of Negative Symptoms (SANS) at baseline, 6 and 12 months 4. Objective social situation measured using the Objective Social Outcomes Index (SIX) at baseline, 6 and 12 months 5. Therapeutic alliance measured using the Helping Alliance Questionnaire (HAQ-II) at baseline, 6 and 12 months 6. Health-related quality of life measured using EQ5D-3L at baseline, 6 and 12 months 7. Service use measured using the Client Service Receipt Inventory (CSRI) at baseline, 6 and 12 months | — |
Primary
| Measure | Time frame |
|---|---|
| Subjective quality of life measured using the Manchester Short Assessment of Quality of Life (MANSA) at baseline, 6 and 12 months | — |
Countries
India, Pakistan
Outcome results
None listed