Twelve months effect of self-referral to inpatient treatment on patient activation, recovery, symptoms and functioning: A randomized controlled study
| Autor: | Mariela Loreto Lara-Cabrera, Turid Møller Olsø, Øyvind Salvesen, Gretha Helen Evensen, Aslak Steinsbekk, Camilla Buch Gudde, Olav M. Linaker, Inger Elise Opheim Moljord, Dag Øivind Antonsen, Marit By Rise, Lasse Eriksen, Dagfinn Bjørgen |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Referral law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Post-hoc analysis Humans Medicine 030212 general & internal medicine Patient participation Adverse effect Referral and Consultation Aged Patient Activation Measure Medicine(all) Inpatients Self Referral Norway business.industry Mental Disorders General Medicine Middle Aged Patient Acceptance of Health Care Mental health 030227 psychiatry Hospitalization Outcome and Process Assessment Health Care Physical therapy Female Patient Participation business |
| Zdroj: | Patient Education and Counseling |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2017.01.008 |
| Popis: | Objective To investigate the effect of having a contract for self-referral to inpatient treatment (SRIT) in patients with severe mental disorders. Methods A randomized controlled trial with 53 adult patients; 26 participants received a SRIT contract, which they could use to refer themselves into a Community Mental Health Centre up to five days for each referral without contacting a doctor in advance. Outcomes were assessed after 12 months with the self-report questionnaires Patient Activation Measure (PAM-13), Recovery Assessment Scale (RAS), and the Behavior and Symptom Identification Scale (BASIS-32) and analyzed using linear mixed and regression models. Results There was no significant effect on PAM-13 (estimated mean difference (emd) −0.41, 95% CI (CI):-7.49–6.67), nor on the RAS (emd 0.02, CI:-0.27–0.31) or BASIS-32 (0.09, CI:-0.28–0.45). An exploratory post hoc analysis showed effect of SRIT in those with low PAM below ≤47 (p = 0.049). Conclusion There were no group differences after 12 months, but both groups maintained their baseline levels. Practice implications SRIT contracts can be recommended as it supports the rights to self-determination, promote user participation in decision-making in own treatment without any indication of adverse effects. © 2017 The Author(s). Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc- nd/4.0/). |
| Databáze: | OpenAIRE |
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