Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial.
Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial.
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DOI：
10.1016/j.cct.2021.106664
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发表时间：
2022-03
影响因子：
2.2
通讯作者：
Craig T
中科院分区：
文献类型：
--
作者：
Pilling S;Clarke K;Parker G;James K;Landau S;Weaver T;Razzaque R;Craig T
背景"开放式对话"是一种危机和持续精神卫生保健的社会网络模式，它涉及服务提供的要素，如立即反应和称为网络会议的治疗会议的风格。尽管非随机研究表明，它可能有助于人们从严重的心理健康危机中恢复并改善长期结果，但这尚未在随机对照试验中得到验证。方法本文概述了一项多中心群集随机对照试验的协议，该试验评估了公开对话与常规治疗（TAU）相比，在英格兰的6个精神卫生服务机构中出现危机的个人的临床和成本效益。主要结果是复发的时间，次要结果包括恢复和服务使用的措施。参与者将被随访两年，数据收集自电子病历和研究人员主导的访谈。该分析将比较治疗组之间的结果，并调查潜在的影响因素：共同决策和社会网络的质量和规模。参与者的子样本的照顾者将被问及他们的经验，共同决策，照顾者的负担和满意度。讨论本试验将提供证据，是否在英国精神卫生系统中实施的公开对话服务是一种有效的替代目前的护理，并可能有重要的意义，为组织社区精神卫生服务。试验登记：2019年12月20日回顾性登记（570例目标受试者中招募了108例受试者），ISRCTN 52653325。
Background ‘Open Dialogue’ is a social network model of crisis and continuing mental healthcare which involves elements of service delivery such as immediate response and a style of therapeutic meeting called network meetings. Although there are indications from non-randomised studies that it may help people in their recovery from severe mental health crises and improve long-term outcomes, this has yet to be tested in a randomised controlled trial. Methods This paper outlines the protocol for a multi-site cluster-randomised control trial assessing the clinical and cost-effectiveness of Open Dialogue compared to treatment as usual (TAU) for individuals presenting in crisis to six mental health services in England. The primary outcome is time to relapse, with secondary outcomes including measures of recovery and service use. Participants will be followed-up for two years, with data collected from electronic medical records and researcher-led interviews. The analysis will compare outcomes between treatment groups as well as investigating potential mediators of effect: shared decision-making and social network quality and size. Carers of a subsample of participants will be asked about their experiences of shared decision-making, carer burden, and satisfaction. Discussion This trial will provide evidence of whether Open Dialogue services implemented in the English mental health system is an effective alternative to current care and may have important implications for the organization of community mental health services. Trial registration: retrospectively registered (108 participants recruited of 570 target) on 20/12/2019, ISRCTN52653325.
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