Person-Centered Versus Measurement-Based Care in Mental Health
Completed · Not applicable
Conditions studied: Schizophrenia, Bipolar Disorder, Major Depression
In brief
Fifteen minutes is the typical length of an outpatient medication management appointment for people with serious mental health conditions. These brief interactions with prescribers are frequently provider-driven with insufficient time focused on the patient's needs and personal recovery. Shared decision making is a strategy that could improve this interaction. This study examines how technology can be used in the care process to amplify the voice of the patient, support shared decisions, and improve treatment outcomes. Investigators will compare the effectiveness of Measurement-Based vs. Person-Centered Care on two primary patient-centered outcomes: the patient experience of care with medication treatment and the level of shared decision making. Investigators hypothesize that: 1. Person-Centered Care will result in greater improvement in patient experience of care with medication treatment than Measurement-Based Care. 2. Person-Centered Care will result in a greater level of shared decision making during the medication visit than Measurement-Based Care. The study team will collect information from patients, caregivers, and clinic staff at different points in time during the study. Patients will be asked to complete questionnaires, and additional data on their service use will be gathered. Some patients and providers will also be interviewed about their experiences with care. Investigators are especially interested to learn if and how these two approaches are perceived to change medication treatment, if patients are more satisfied and empowered in their care, and why and how providers perceive and adopt changes to their clinical care.
Key facts
- Study ID
- NCT02507349
- Run by
- University of Pittsburgh
- People needed
- 2443
- Starts
- 2014-08-01
- Expected to finish
- 2017-03-31
- Last updated by the study team
- 2019-02-26
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adults age 18 and older
- Non-SMI (anxiety, post-traumatic stress disorder, depression, dysthymia, depression NOS) or SMI (schizophrenia, bipolar disorder, major depression)
- Receiving services at one of the 15 participating community mental health centers
- At least three claims for medication management services in past 12 months
- Insured by Community Care Behavioral Health Organization
You may not qualify if…
- Assessed by clinicians as being too ill to be treated on an outpatient basis
- Unable to speak, read, or understand English at the minimum required level
Where it is running
- Dartmouth Psychiatric Research Center — Lebanon, New Hampshire, United States
- UPMC Center for High-Value Health Care — Pittsburgh, Pennsylvania, United States
Full record on ClinicalTrials.gov
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