IEHT or inpatient treatment? - First results of the multicenter AKtiV study on inpatient-equivalent home treatment regarding the study population and index treatment

被引:7
作者
Nikolaidis, Konstantinos [1 ,2 ]
Weinmann, Stefan [1 ,3 ,4 ]
von Peter, Sebastian [5 ]
Laengle, Gerhard [6 ,7 ]
Brieger, Peter [8 ]
Timm, Juergen [9 ]
Waldmann, Tamara [10 ]
Fischer, Lasse [9 ]
Raschmann, Svenja [6 ]
Schwarz, Julian [11 ,12 ]
Holzke, Martin [13 ]
Rout, Sandeep [14 ]
Hirschmeier, Constance [2 ]
Hamann, Johannes [15 ,16 ,17 ]
Herwig, Uwe [18 ,19 ,20 ]
Richter, Janina [21 ]
Baumgardt, Johanna [1 ,22 ]
Bechdolf, Andreas [1 ,2 ]
机构
[1] Vivantes Klinikum Am Urban, Klin Psychiat Psychotherapie & Psychosomat, Dieffenbachstr 1, D-10967 Berlin, Germany
[2] Univ Med Berlin, Klin Psychiat & Psychotherapie, Berlin, Germany
[3] MediClin Klin Lindenhohe, Klin Psychiat Psychotherapie & Psychosomat, Offenburg, Germany
[4] Univ Basel, Med Fak, Univ Psychiat Kliniken UPK, Basel, Switzerland
[5] Med Hsch Brandenburg CAMPUS GmbH, Hochschulklin Psychiat Psychotherapie & Psychosom, Immanuel Klin Rudersdorf, Berlin, Germany
[6] ZfP Sudwurttemberg, Klin Psychiat & Psychotherapie Zwiefalten, Zwiefalten, Germany
[7] Gemeinnutzige GmbH Psychiat Reutlingen PP rt, Klin Psychiat & Psychosomat Reutlingen, Reutlingen, Germany
[8] Akad Lehrkrankenhaus Ludwig Maximilians Univ, Kbo Isar Amper Klin Haar, Munich, Germany
[9] Univ Bremen, Kompetenzzentrum Klin Studien Bremen, Bremen, Germany
[10] Univ Ulm, Klin Psychiat & Psychotherapie Gunzburg 2, Med Fak, Ulm, Germany
[11] Med Hsch Brandenburg CAMPUS GmbH, Hochschulklin Psychiat Psychotherapie & Psychos, Berlin, Germany
[12] Ruppiner Kliniken GmbH, Med Hsch Brandenburg Theodor Fontane, Fak Gesundheitswissensch Brandenburg, Neuruppin, Germany
[13] Univ Ulm, Klin Psychiat & Psychotherapie 1, ZfP Sudwurttemberg, Weissenau, Germany
[14] Vivantes Klinikum Neukolln, Klin Psychiat Psychotherapie & Psychosomat, Berlin, Germany
[15] Tech Univ Munich, Klin Psychiat & Psychotherapie, Klinikum Rechts Isar, Munich, Germany
[16] Kbo Isar Amper Klinikum Haar, Klin Psychiat & Psychotherapie, Munich, Germany
[17] Bezirkslinikum Mainkofen, Klin Psychiat & Psychotherapie, Deggendorf, Germany
[18] Zentrum Psychiat, Arztliche Direkt, Reichenau, Germany
[19] Univ Ulm, Med Fak, Klin Psychiat & Psychotherapie 3, Ulm, Germany
[20] Psychiat Univ Klin Zurich, Zurich, Switzerland
[21] Eberhard Karls Univ Tubingen, Allgemeine Psychiat & Psychotherapie Poliklin, Med Fak, Tubingen, Germany
[22] Wissenschaftliches Inst AOK WIdO, Betriebl Gesundheitsforderung & Heilmittel, Berlin, Germany
关键词
home treatment; inpatient treatment; propensity-score matching; CRISIS RESOLUTION; GERMAN VERSION; CARE; HEALTH;
D O I
10.1055/a-2138-8920
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Aim The quasi-experimental AKtiV study investigates the effects inpatient-equivalent home treatment (IEHT). This paper describes the study population based on demographic and clinical parameters at baseline and compares the index treatment. Methods Over a period of 12 months 200 IEHT users were included in the intervention group (IG) and 200 inpatients were included in the control group (CG). The comparability of the two groups was ensured by propensity score matching ( PSM). Results In addition to the PSM variables, IG and CG did not differ significantly from each other variables at study inclusion. The duration of the index treatment was significantly longer in the IG (M = 37.2 days) compared to the CG (M = 27.9 days; p < 0.001). Conclusion The similarity of the two groups enables comparisons over 12 months, investigating IEHT effects on long-term outcomes.
引用
收藏
页码:407 / 414
页数:8
相关论文
共 27 条
[1]   A psychometric evaluation of the German version of the 'Health of the Nation Outcome Scales, HoNOS-D': On the feasibility and reliability of clinician-performed measurements of severity in patients with mental disorders [J].
Andreas, Sylke ;
Harfst, Timo ;
Dirmaier, Joerg ;
Kawski, Stephan ;
Koch, Uwe ;
Schulz, Holger .
PSYCHOPATHOLOGY, 2007, 40 (02) :116-125
[2]  
[Anonymous], 2016, BUNDESGESETZBLATT 1, VI, P2986
[3]  
[Anonymous], 2014, Psychosis and schizophrenia in adults: prevention and management
[4]  
Baumgardt J., 2020, NERVENHEILKUNDE, V39, P739, DOI [10.1055/a-1213-8999, DOI 10.1055/A-1213-8999]
[5]  
Baumgardt J, 2021, BMC PSYCHIATRY, V21, DOI 10.1186/s12888-021-03163-9
[6]   Evidence on the effects of crisis resolution teams, home treatment and assertive outreach for people with mental disorders in Germany, Austria and Switzerland - a systematic review [J].
Bechdolf, Andreas ;
Buehling-Schindowski, Felix ;
Nikolaidis, Konstantinos ;
Kleinschmidt, Martin ;
Weinmann, Stefan ;
Baumgardt, Johanna .
NERVENARZT, 2022, 93 (05) :488-498
[7]  
Berhe T, 2005, NERVENARZT, V76, P822, DOI 10.1007/s00115-004-1865-6
[8]  
Boyens J., 2021, PSYCHIAT PRAX, V48, P272
[9]   Recovery assessment scale: Examining the factor structure of the German version (RAS-G) in people with schizophrenia spectrum disorders [J].
Cavelti, M. ;
Wirtz, M. ;
Corrigan, P. ;
Vauth, R. .
EUROPEAN PSYCHIATRY, 2017, 41 :60-67
[10]   The effectiveness of intensive home treatment as a substitute for hospital admission in acute psychiatric crisis resolution in the Netherlands: a two-centre Zelen doubleconsent randomised controlled trial [J].
Cornelis, Jurgen ;
Barakat, Ansam ;
Blankers, Matthijs ;
Peen, Jaap ;
Lommerse, Nick ;
Eikelenboom, Merijn ;
Zoeteman, Jeroen ;
Van, Henricus ;
Beekman, Aartjan T. F. ;
Dekker, Jack .
LANCET PSYCHIATRY, 2022, 9 (08) :625-635