| Title |
The effects of motivation feedback in patients with severe mental illness: a cluster randomized controlled trial
|
|---|---|
| Published in |
Neuropsychiatric Disease and Treatment, December 2015
|
| DOI | 10.2147/ndt.s95190 |
| Pubmed ID | |
| Authors |
Eline C Jochems, Christina M van der Feltz-Cornelis, Arno van Dam, Hugo J Duivenvoorden, Cornelis L Mulder |
| Abstract |
To evaluate the effectiveness of providing clinicians with regular feedback on the patient's motivation for treatment in increasing treatment engagement in patients with severe mental illness. cluster randomized controlled trial (Dutch Trials Registry NTR2968). adult outpatients with a primary diagnosis of a psychotic disorder or a personality disorder and their clinicians, treated in 12 community mental health teams (the clusters) of two mental health institutions in the Netherlands. monthly motivation feedback (MF) generated by clinicians additional to treatment as usual (TAU) and TAU by the community mental health teams. treatment engagement at patient level, assessed at 12 months by clinicians. teams were allocated to MF or TAU by a computerized randomization program that randomized each team to a single treatment by blocks of varying size. All participants within these teams received similar treatment. Clinicians and patients were not blind to treatment allocation at the 12-month assessment. The 294 randomized patients (148 MF, 146 TAU) and 57 clinicians (29 MF, 28 TAU) of 12 teams (6 MF, 6 TAU) were analyzed according to the intention-to-treat principle. No statistically significant differences between treatment groups on treatment engagement were found (adjusted mean difference =0.1, 95% confidence interval =-2.2 to 2.3, P=0.96, d=0). Preplanned ancillary analyses showed statistically significant interaction effects between treatment group and primary diagnosis on treatment motivation and quality of life (secondary outcomes), which were beneficial for patients with a primary diagnosis of a personality disorder but not for those with a psychotic disorder. There were no reports of adverse events. The current findings imply that monitoring and discussing the patient's motivation is insufficient to improve motivation and treatment engagement, and suggests that more elaborate interventions for severe mental illness patients are needed. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 3 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 2 | 67% |
| Members of the public | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 3% |
| Unknown | 66 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 11 | 16% |
| Student > Doctoral Student | 8 | 12% |
| Researcher | 7 | 10% |
| Student > Ph. D. Student | 7 | 10% |
| Student > Bachelor | 4 | 6% |
| Other | 15 | 22% |
| Unknown | 16 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 27 | 40% |
| Medicine and Dentistry | 6 | 9% |
| Social Sciences | 5 | 7% |
| Nursing and Health Professions | 3 | 4% |
| Arts and Humanities | 2 | 3% |
| Other | 4 | 6% |
| Unknown | 21 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 December 2015.
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#15,740,505
of 25,374,917 outputs
Outputs from Neuropsychiatric Disease and Treatment
#1,506
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Outputs of similar age
#209,664
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Outputs of similar age from Neuropsychiatric Disease and Treatment
#44
of 61 outputs
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