Obesity Clinical Trial
— SPAOfficial title:
Implementing Patient-Centered Decision Support for Mental Health
Verified date | November 2017 |
Source | University of California, Los Angeles |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
It is important that individuals with serious mental illness make informed choices among alternative healthcare treatments based on their preferences. However, at present, individuals' preferences are often not being elicited, nor used to guide which treatments are made available. In this pilot project, the investigators implement and evaluate a computerized method for assessing treatment preferences of individuals with schizophrenia. The investigators use weight management treatments for this initial test of the system. If this assessment method is found to predict treatment use and satisfaction, it can be used to guide implementation of treatments that improve outcomes while meeting individuals' preferences.
Status | Completed |
Enrollment | 61 |
Est. completion date | October 31, 2017 |
Est. primary completion date | October 31, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. diagnosis of schizophrenia 2. age 18 or older 3. Body Mass Index (BMI) of either 28.0-29.9 and gained 10 pounds in the last 3 months; OR, BMI of 30 or above 4. able to provide informed consent Exclusion Criteria: 1. a medical condition for which a weight program is contraindicated 2. pregnant and nursing mothers 3. attendance at a psychosocial intervention for weight management in the past month 4. individuals with legal conservators who manage informed consent 5. can not speak English |
Country | Name | City | State |
---|---|---|---|
United States | UCLA Center for Health Services and Society | Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
University of California, Los Angeles | Los Angeles County Department of Mental Health, Los Angeles County Department of Public Health |
United States,
Brown AH, Cohen AN, Chinman MJ, Kessler C, Young AS. EQUIP: implementing chronic care principles and applying formative evaluation methods to improve care for schizophrenia: QUERI Series. Implement Sci. 2008 Feb 15;3:9. doi: 10.1186/1748-5908-3-9. — View Citation
Chinman M, Young AS, Schell T, Hassell J, Mintz J. Computer-assisted self-assessment in persons with severe mental illness. J Clin Psychiatry. 2004 Oct;65(10):1343-51. — View Citation
Cohen AN, Chinman MJ, Hamilton AB, Whelan F, Young AS. Using patient-facing kiosks to support quality improvement at mental health clinics. Med Care. 2013 Mar;51(3 Suppl 1):S13-20. doi: 10.1097/MLR.0b013e31827da859. — View Citation
Young AS, Niv N, Chinman M, Dixon L, Eisen SV, Fischer EP, Smith J, Valenstein M, Marder SR, Owen RR. Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERI. Community Ment Health J. 2011 Apr;47(2):123-35. doi: 10.1007/s10597-010-9328-y. Epub 2010 Jul 25. — View Citation
Young AS. The client, the clinician, and the computer. Psychiatr Serv. 2010 Jul;61(7):643. doi: 10.1176/ps.2010.61.7.643. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Aspects of the Theory of Planned Behavior | Attitudes, subjective norms, perceived control, and behavioral intentions regarding weight loss. These are assessed by interview, using scales from the Theory of Planned Behavior. | Baseline and 3 months | |
Primary | Days until using weight services | Utilization of the weight services offered. This includes the number of days until starting to use weight services. This is assessed using information regarding attendance at weight services, and by survey administered by interview. | 3 months | |
Primary | Participant preferences regarding weight services | Individuals' preferences are assessed regarding different attributes of weight treatments. These are assessed using computerized conjoint analysis methods. | Baseline | |
Primary | Satisfaction with the weight services provided | Satisfaction with the weight services provided. This is assessed using the Client Satisfaction Questionnaire administered by interview. | 3 months | |
Primary | Number of weight services used | Utilization of the weight services offered. This includes the number of weight service sessions attended. This is assessed using information regarding attendance at weight services, and by survey administered by interview. | 3 months | |
Secondary | Feasibility and acceptability of implementing preference assessment | Feasibility and acceptability of implementing kiosk-based preference assessment at a mental health clinic. This is assessed using project records, surveys, and semi-structured interview questions assessing whether participants and staff find the program and its components to be advantageous, relevant, simple, easy to use, and beneficial. | Baseline |
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