|- candidate number||5771|
|- NTR Number||NTR1822|
|- ISRCTN||ISRCTN wordt niet meer aangevraagd|
|- Date ISRCTN created|
|- date ISRCTN requested|
|- Date Registered NTR||18-mei-2009|
|- Secondary IDs||60-60100-98-019 ZonMw|
|- Public Title||Shared decision making: The effects of a decision aid for Turkish and Moroccan mental health care clients with depression on the client caregiver relationship.|
|- Scientific Title||Shared decision making: The effects of a decision aid for Turkish and Moroccan mental health care clients with depression on the client caregiver relationship.|
|- ACRONYM||The effects of a decision aid on client caretaker relationship|
|- hypothesis||The use of a decision aid in mental health care of Turkish and Moroccan clients with depression has positive effects on:|
1. The evaluation of the client caregiver relationship;
2. The satisfaction with the treatment in both clients and caregivers;
3. Treatment adherence;
4. Depressive symptoms.
|- Healt Condition(s) or Problem(s) studied||Depression|
|- Inclusion criteria||Mental health care clients with Turkish or Moroccan identity (CBS definition) with:|
1. Depressive complaints or disorder as diagnosed by professional caregiver (DSM);
2. Aged 18-45 years;
3. Fair mastery of Dutch language and computer skills;
4. First time mental health care registration.
|- Exclusion criteria||N/A|
|- mec approval received||no|
|- multicenter trial||yes|
|- Type||2 or more arms, randomized|
|- planned startdate ||1-apr-2009|
|- planned closingdate||1-apr-2013|
|- Target number of participants||200|
|- Interventions||Use of webbased Decision Aid Depression (kiesBeter.nl) for Turkish and Moroccan clients in a health care setting.|
|- Primary outcome||1. Waardering van de relatie tussen cliŽnt en hulpverlener: Scale To Assess the therapeutic Relationship in community mental health care (STAR, McGuire-Snieckus ea 2007);|
2. Tevredenheid met de behandeling: GGZ Thermometer (Kok en Mulder 2005);
3. Therapietrouw (no show per bijeenkomst en drop-out): standaard registraties door de GGZ-hulpverleners (Kwaliteitsindicatoren);
4. Depressieve klachten: Patient health Questionnaire (PHQ-9), Global Impression Rating Scale in (Guy 1976).
|- Secondary outcome||N/A|
|- Timepoints||1. Start of the care assessment;|
2. Treatment finish.
|- Trial web site||N/A|
|- status||open: patient inclusion|
|- CONTACT FOR PUBLIC QUERIES||PhD C. Smits|
|- CONTACT for SCIENTIFIC QUERIES||PhD C. Smits|
|- Sponsor/Initiator ||Trimbos-institute - Netherlands Institute of Mental Health and Addiction|
(Source(s) of Monetary or Material Support)
|ZON-MW, The Netherlands Organization for Health Research and Development|
|- Brief summary||The Dutch mental health care services manage to reach a growing number of clients of Turkish or Moroccan origins. The relationship between Turkish/Moroccan clients and their caregiver is, however, often marked by miscommunication, leading to dissatisfaction, drop-out, limited treatment adherence and poor treatment results. |
Shared decision making shows great promise in mental health care and can be facilitated by the use of web based decision aids that inform the client of evidence based treatment options and helps clarify personal considerations.
The present study focuses of the effects of the use of a decision aid for Turkish and Moroccan clients with depression. In this study the decision aid is used in a clinical setting where client and caregiver together work through the decision aid.
In a pragmatic randomised controlled trial the effects are studied of the use of the decision aid on satisfaction with caregiver relationship, satisfaction with treatment, treatment adherence, and depressive complaints
Two mental health care organisations participate with 20 trained caregivers and 200 clients. Data are collected through standard registrations and questionnaires.
|- Main changes (audit trail)|
|- RECORD||18-mei-2009 - 30-sep-2009|