Ignite Creation Date:
2024-05-05 @ 11:48 AM
Last Modification Date:
2024-10-26 @ 9:13 AM
Study NCT ID:
NCT00137280
Status:
COMPLETED
Last Update Posted:
2018-02-22
First Post:
2005-08-25
Brief Title:
Implementing Effective Collaborative Care for Schizophrenia EQUIP-2
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Implementing Effective Collaborative Care for Schizophrenia
Status:
COMPLETED
Status Verified Date:
2018-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
EQUIP-2
Brief Summary:
This project evaluates the implementation and effectiveness of a care model to improve treatment for schizophrenia within the context of diverse VA practices and priorities The project provides information to VA clinicians and managers about Veterans with schizophrenia or schizoaffective disorder who are overweight andor who would like to return to competitive work The project facilitates reorganization of care practices in order to get veterans needed and desired services around wellness and work The project creates a platform that other clinical and research interventions can build upon to improve care and is designed to inform a national strategy for implementing evidence-based care in schizophrenia
Detailed Description:
Objectives
EQUIP-2 is a clinic-level controlled trial From the four participating Veterans Integrated Services Networks VISNs eight specialty mental health programs were enrolled and assigned to care as usual or to receive an intervention supporting evidence-based quality improvement and use of a chronic illness care model Participants are VISN 3 James J Peters VA Northport VA VISN 16 Houston VA Shreveport VA VISN 17 Waco VA Temple VA and VISN 22 Long Beach VA Greater Los Angeles VA The objectives of this VA Quality Enhancement Research Initiative QUERI Service Directed Project are 1 assist in identifying and making available recovery-oriented services to veterans with schizophrenia 2 implement information systems that efficiently and accurately identify patient status and who would be appropriate for these services 3 implement a care model to support recovery-oriented care delivery 4 evaluate in a controlled trial the effect of implementation on treatment delivery and patient outcomes and 5 identify facilitators and barriers to wellness program participation in an effort to strengthen the weight management services available to patients with schizophrenia The project studies intervention feasibility acceptability and impact on outcomes performs qualitative analyses examining processes and variation in care model implementation and impact Research includes a controlled trial of the impact of implementation relative to usual care on treatment quality Participants include clinic staff and patients with schizophrenia Data sources include interviews with participants focus groups with a sub-set of patients implementation documentation the project informatics system and VistA
Methods
The care model targets two clinical domains selected by the VISNs from the following Supported Employment SE caregiver support wellness programs or clozapine All 4 VISNs chose the same two targets SE and wellness The care model includes 1 at each visit routine collection of patient outcomes data and provision of decision support using a self-assessment kiosk 2 provision of psychiatric vital signs to patients and clinicians at the time of the clinical encounter via report that prints from the kiosk 3 education and activation of both clinicians and patients around the clinical targets 4 regular reports identifying patients appropriate for services associated with these targets and 5 facilitation of problem-solving and evidence-based quality improvement addressing any barriers to utilization of these services
To inform future wellness implementation in-depth semi-structured interviews are conducted with patients who participated in wellness groups participants and with patients who were referred because they were overweight or obese but did not participate non-participants Participants consist of all enrolled patients who attended the wellness program with special attention to those patients who completed at least half of the wellness program Non-participants consist of patients who were referred to the wellness program but did not attend Clinicians were interviewed specifically regarding wellness implementation
EQUIP-2 is a clinic-level controlled trial From the four participating Veterans Integrated Services Networks VISNs eight specialty mental health programs were enrolled and assigned to care as usual or to receive an intervention supporting evidence-based quality improvement and use of a chronic illness care model Participants are VISN 3 James J Peters VA Northport VA VISN 16 Houston VA Shreveport VA VISN 17 Waco VA Temple VA and VISN 22 Long Beach VA Greater Los Angeles VA The objectives of this VA Quality Enhancement Research Initiative QUERI Service Directed Project are 1 assist in identifying and making available recovery-oriented services to veterans with schizophrenia 2 implement information systems that efficiently and accurately identify patient status and who would be appropriate for these services 3 implement a care model to support recovery-oriented care delivery 4 evaluate in a controlled trial the effect of implementation on treatment delivery and patient outcomes and 5 identify facilitators and barriers to wellness program participation in an effort to strengthen the weight management services available to patients with schizophrenia The project studies intervention feasibility acceptability and impact on outcomes performs qualitative analyses examining processes and variation in care model implementation and impact Research includes a controlled trial of the impact of implementation relative to usual care on treatment quality Participants include clinic staff and patients with schizophrenia Data sources include interviews with participants focus groups with a sub-set of patients implementation documentation the project informatics system and VistA
Methods
The care model targets two clinical domains selected by the VISNs from the following Supported Employment SE caregiver support wellness programs or clozapine All 4 VISNs chose the same two targets SE and wellness The care model includes 1 at each visit routine collection of patient outcomes data and provision of decision support using a self-assessment kiosk 2 provision of psychiatric vital signs to patients and clinicians at the time of the clinical encounter via report that prints from the kiosk 3 education and activation of both clinicians and patients around the clinical targets 4 regular reports identifying patients appropriate for services associated with these targets and 5 facilitation of problem-solving and evidence-based quality improvement addressing any barriers to utilization of these services
To inform future wellness implementation in-depth semi-structured interviews are conducted with patients who participated in wellness groups participants and with patients who were referred because they were overweight or obese but did not participate non-participants Participants consist of all enrolled patients who attended the wellness program with special attention to those patients who completed at least half of the wellness program Non-participants consist of patients who were referred to the wellness program but did not attend Clinicians were interviewed specifically regarding wellness implementation
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| P30MH082760 | NIH | None | httpsreporternihgovquickSearchP30MH082760 |