Patient satisfaction with random assignment to extended early intervention for psychosis vs regular care: Relationship with service engagement

被引:2
作者
Iyer, Srividya N. [1 ,2 ]
Mustafa, Sally S. [2 ]
Abadi, Sherezad [3 ]
Joober, Ridha [1 ,2 ]
Abdel-Baki, Amai [4 ]
Jarvis, Eric [1 ,5 ]
Latimer, Eric [1 ,3 ]
Margolese, Howard C. [1 ,6 ]
Casacalenda, Nicola [1 ,7 ]
Schmitz, Norbert [1 ,3 ]
Brown, Thomas [1 ,3 ]
Malla, Ashok [1 ,2 ]
机构
[1] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[2] Douglas Mental Hlth Univ Inst, Prevent & Early Intervent Program Psychosis PEPP, Montreal, PQ, Canada
[3] Douglas Mental Hlth Univ Inst, 6875 Blvd LaSalle, Montreal, PQ H4H 1R3, Canada
[4] Univ Montreal, Dept Psychiat, Ctr Hosp, Montreal, PQ, Canada
[5] Jewish Gen Hosp, Episode Psychosis Program FEPP 1, Montreal, PQ, Canada
[6] McGill Univ, Hlth Ctr, Prevent & Early Intervent Program Psychosis PEPP, Montreal, PQ, Canada
[7] Jewish Gen Hosp, Montreal, PQ, Canada
基金
加拿大健康研究院;
关键词
early intervention services; engagement; first-episode psychosis; randomization; satisfaction; 1ST-EPISODE PSYCHOSIS; PROGRAM;
D O I
10.1111/eip.13004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Aim We investigated whether individuals varied in their satisfaction with being randomized to an extension of early intervention (EI) for psychosis or regular care after 2 years of EI, and whether satisfaction was associated with service engagement 3 years later. Methods Following randomization, patients (N = 220) indicated if they were happy with, unhappy or indifferent to their group assignment. Follow-up with service providers was recorded monthly. Results Patients randomized to extended EI were more likely to express satisfaction with their group assignment than those in the regular care group (88.2% vs 31.5%,chi(2)= 49.96,P < .001). In the extended EI group, those happy with their assigned group were likelier to continue seeing their case manager for the entire five-year period than those who were unhappy/indifferent (chi(2)= 5.61,P= .030). Conclusions Perceptions about EI, indicated by satisfaction with being assigned to extended EI, may have lasting effects on service engagement.
引用
收藏
页码:746 / 750
页数:5
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