Clinical and functional outcome of assertive outreach for patients with schizophrenic disorder:Results of a quasi-experimental controlled trial
| Autor: | Johanna Baumgardt, Dorothea Büchtemann, Steffi Giersberg, Jeanett Radisch, Wulf Rössler, Wolfram Kawohl, Jörn Moock, Denise Kästner, Kirsten Kopke, Ingeborg Warnke |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Global Assessment of Functioning Psychological intervention law.invention Medication Adherence Disability Evaluation Complex interventions Randomized controlled trial law Intervention (counseling) Brief Psychiatric Rating Scale Outcome Assessment Health Care medicine Humans Assertiveness Schizophreniform disorder Psychiatry media_common Psychotropic Drugs Health sciences Integrated care Middle Aged medicine.disease Europe Psychiatry and Mental health Psychotic Disorders Schizophrenia Models Organizational Intensive case management Female Rural Health Services Psychology Assertive outreach Clinical psychology |
| Zdroj: | Kästner, D, Büchtemann, D, Warnke, I, Radisch, J, Baumgardt, J, Giersberg, S, Kopke, K, Moock, J, Kawohl, W & Rössler, W 2015, ' Clinical and functional outcome of assertive outreach for patients with schizophrenic disorder : Results of a quasi-experimental controlled trial ' European Psychiatry, vol 30, no. 6 . DOI: 10.1016/j.eurpsy.2015.04.003 Kästner, D, Büchtemann, D, Warnke, I, Radisch, J, Baumgardt, J, Giersberg, S, Kopke, K, Moock, J, Kawohl, W & Rössler, W 2015, ' Clinical and functional outcome of assertive outreach for patients with schizophrenic disorder : Results of a quasi-experimental controlled trial ', European Psychiatry, vol. 30, no. 6, pp. 736-742 . https://doi.org/10.1016/j.eurpsy.2015.04.003 |
| ISSN: | 0924-9338 |
| DOI: | 10.1016/j.eurpsy.2015.04.003 |
| Popis: | BackgroundThe majority of studies support modern assertive health service models. However, the evidence is limited for parts of continental Europe, as well as for the pharmacological adherence outcome parameter.MethodWe conducted a quasi-experimental controlled trial including adult patients with a schizophreniform disorder and a maximum of 60 points on the Global Assessment of Functioning Scale (GAF). Interventions (n = 176) and controls (TAU, n = 142) were assessed every six-month within one year in 17 study practices in rural areas. Mental and functional state were rated using the Brief Psychiatric Rating Scale (BPRS) and the GAF. Functional limitations and pharmacological adherence were patient-rated using the WHO-Disability Assessment Schedule II (WHODAS–II) and the Medication Adherence Report Scale (MARS). We computed multilevel mixed models.ResultsThe GAF and BPRS of both groups improved significantly, yet the increase in the intervention group was significantly higher. In contrast, patient-rated variables – WHODAS–II and MARS – neither showed a stable temporal improvement nor a difference between groups.ConclusionOur findings only partly support the investigated AO intervention, because of conflicting results between clinician- and patient-ratings. Accordingly, the benefits of AO need to be further evaluated. |
| Databáze: | OpenAIRE |
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