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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02241863
Other study ID # 353
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 2014

Study information

Verified date January 2023
Source Qazvin University Of Medical Sciences
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Despite an increasing pharmacopoeia of effective medications for the treatment of bipolar disorder, patient outcomes continue to be impacted by treatment adherence. Non-adherence to treatments is also a major obstacle in translating efficacy in research settings into effectiveness in clinical practice. Non-adherence with bipolar disorder (BD) medication treatment dramatically worsens outcomes. Reasons for non-adherence among individuals with BD are multi-dimensional, and it has been suggested that a multifaceted intervention will be more effective. The study is aimed to assess the effectiveness of a multifaceted intervention on enhancing medications adherence in patients with bipolar disorders.


Recruitment information / eligibility

Status Completed
Enrollment 270
Est. completion date
Est. primary completion date September 2015
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. age =18 years 2. meeting DSM-IV criteria for bipolar I or II disorder 3. concurrently treated with a mood stabilizer 4. not currently in weekly or biweekly psychotherapy 5. Persian speaking. Exclusion Criteria: - DSM-IV drug or alcohol misuse disorders (excluding nicotine), - pregnancy or planning pregnancy in the next year - requiring changing the drug or the dose of a mood stabilizer - evidence of severe DSM-IV borderline personality - Unable or unwilling to give written informed consent. - An organic cerebral cause for bipolar disorder-for example, multiple sclerosis or stroke. - intellectual disability

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Multifaceted intervention
Supportive intervention: care giver, health care providers, and patient's family members (including disease knowledge, treatment t of the disease, medication problems or adverse effects, the importance of medication adherence, supervision taking medications by the patients as prescribed). patient education: about the disease and treatment, consuming regularly the pills motivational intervening, self-monitoring planning. Patients will attend in five motivational interviewing sessions regularly to facilitating and engaging intrinsic motivation within the patients in order to change medication adherence behavior.
Routine counseling


Locations

Country Name City State
Iran, Islamic Republic of Boostan Ahvaz
Iran, Islamic Republic of Ebn'e Sina Mashhad
Iran, Islamic Republic of 22 Bahman Hospital Qazvin
Iran, Islamic Republic of Psychiatry Center Semnan
Iran, Islamic Republic of Shahid Mahallati Tabriz
Iran, Islamic Republic of Iran Psychiatry Tehran
Iran, Islamic Republic of Maymanat Tehran
Iran, Islamic Republic of Roozbeh Tehran
Iran, Islamic Republic of Baharan Zahedan
Iran, Islamic Republic of Dr. Beheshti Zanjan

Sponsors (1)

Lead Sponsor Collaborator
Qazvin University Of Medical Sciences

Country where clinical trial is conducted

Iran, Islamic Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary changes in Patient-reported medication Adherence to mood stabilizers The Medication Adherence Report Scale (MARS-5) will be used for assessing medication adherence to the mood stabilizers changes from baseline, 1 Months and 6 months follow-up
Secondary Plasma level of mood stabilizer Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in action planning A self-reported questionnaire on five 5-point scale that ranged from 1 (strongly disagree) to 5 (strongly agree) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in coping planning A self-reported questionnaire on five 5-point scale that ranged from 1 (strongly disagree) to 5 (strongly agree) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in quality of life Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in psychological predictors of medication adherence (intention, perceived behavioral control ,Self-monitoring and Behaviour Automaticity) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in Global Impression for Bipolar Disorder Severity scale (CGI-BP-S) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in Beliefs about Medicines Questionnaire (BMQ) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in Young Mania Rating Scale (YMRS) Changes from baseline, 1 Months and 6 months after the intervention
Secondary Changes in Montgomery Asberg Depression Rating Scale Changes from baseline, 1 Months and 6 months after the intervention