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An intervention to improve psychiatrist-patient communication

Developing and piloting a new intervention to improve psychiatrist-patient communication about psychosis: an exploratory cluster-randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN94846422
Enrollment
84
Registered
2010-01-15
Start date
2011-09-01
Completion date
Unknown
Last updated
2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia/schizoaffective disorder Mental and Behavioural Disorders Schizophrenia

Interventions

Psychiatrists will be randomised to the intervention group (training programme) or control group (no training programme). Training programme: The proposed training programme is as follows. Training w

Sponsors

Queen Mary University of London (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Psychiatrists: Higher/advanced psychiatric trainees (ST4-6) working in outpatients or community mental health teams. Doctors in higher psychiatric training (ST4-6) already have basic knowledge and experience in psychiatry gained through core psychiatric training. During higher training they practice without direct supervision and aim to further develop specific competencies including communication skills. Hence, they are at the formative stage of their training, preparing to take up a consultant role in a few years time. We will focus on trainees in this pilot trial, because the effectiveness of an intervention on changing their communicative practice may be higher at this stage of their professional development. Patients: 1. ICD-10 criteria for a diagnosis of schizophrenia or schizoaffective disorder 2. Currently attending outpatients or being cared for by community mental health teams 3. Capable of giving informed consent 4. Aged 18 - 65 years, both females and males

Exclusion criteria

Exclusion criteria: Patients: 1. Organic impairment 2. Require an interpreter

Design outcomes

Primary

MeasureTime frame
Psychiatrists use of repair will be assessed using the Repair Protocol, which is a standardised and validated measure.

Secondary

MeasureTime frame
Intermediate outcomes: 1. Psychiatrist confidence in communicating with psychotic patients 2. Patient experience of the communication 3. Patient centredness Measured in the first consultation with each relevant patient after the 12 week training period Final outcomes: 4. Patient satisfaction with treatment 5. Therapeutic relationship 6. Treatment adherence and relapse Measured at 6 months follow-up

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 12, 2026