Chu Dijon Bourogne
Dijon, 21000, France
Completed
NCT Number: NCT03689296
Patient-caregiver Collaboration for Better Cardiovascular Care for Patients With Long-term Mental Disorders: Multicentre Qualitative and Feasibility Studies
People with severe and persistent mental disorders (or SMI, Severe Mental Illness) have a life expectancy which is 20 years less than the general population, mainly due to excess mortality related to cardiovascular disease. Moreover, despite an overall increase in life expectancy, the gap is widening between people with long-term psychological disorders and the general population.
This early excess mortality is explained by disparities between people with SMI and the general population not only in access to and use of health services but also in the quality and type of care provided. There is also an over-representation of risk factors and cardiovascular pathologies regardless of the mental disorder, despite the current recommendations for best practices.
The World Health Organization has defined the fight against somatic comorbidities as one of the axes of the European Mental Health Plan and one of the reference themes of the World Health Organization Mental Health Evidence and Research Programme (EPSM-Lille-Métropole). The Groupement de Coopération Sanitaire pour la recherche et la formation en santé mentale, which brings together 17 hospitals in France and relays the actions of the World Health Organization's Collaborating Centre, has decided to make it into a national research project.
Moreover, it is recognized that "medical" management of a disease is all the more effective when the patient is involved. However, the empowerment of people with long-term psychological disorders has never been put at the centre of a strategy to reduce cardiovascular risk.
In this context, we hypothesize that one of the keys to reducing cardiovascular risk would be to take into account the experience and representations of this risk by all stakeholders (people with long-term psychological disorders, their carers, primary health professionals and psychiatric professionals).
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Notify MeKey information
Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Observational
Primary location
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- For all groups:
- Adult person,
- Person who has given his or her consent to participate in the study, with the consent of the tutor in the context of guardianship,
- Fluent use of the French language,
- For the "Users" group:
- Person with a long-term psychological disorder: Long-term illness (ALD 23), followed by outpatient or full hospitalization
- For the "Caregivers" group:
- Adult helping a person with a long-term psychological disorder with a Long-Term Disability (ALD 23) and who has given his or her consent to be contacted for the study,
- For the "Primary Care Professionals" group:
- Primary care professional in practice following at least one person with a long-term psychological disorder with a Long-Term Disability (ALD 23),
- For the "Psychiatric Professionals" group - Professional currently in practice who is part of a psychiatry team or in private practice
Exclusion criteria
- For all groups:
- Person who is physically or psychologically unable to participate in the focus group and/or program at the time of the study
- Person not affiliated to the National Health Insurance
- Objection to participation by the patient or his legal representative, carers and health professionals.
- Patient under guardianship
- Patient who participated in Phase 1 or 2 of the study
- Patient not able to attend the 6-month visit
Treatment and study plan
Questionnaires (Phase 3)
Other- CardioVascular Risk (CVR) questionnaire representation
- SF12
- Getting Better My Way
- My recovery plan
- Psycom
- Partner In Health scale
Focus groups (Phase 2)
OtherFocus group interviews conducted by two health sociologists in 4 distinct categories: caregivers, patients, primary health care professionals and psychiatric professionals.
semi-structured interviews (Phase 1)
OtherConduct of exploratory semi-directive interviews with users, caregivers, primary health care professionals and psychiatric professionals by a health sociologist
Primary outcomes
-
Focus group interview completion
Time frame: Through study completion, an average of 14 months
Sponsors and collaborators
Lead sponsor
Centre Hospitalier Universitaire Dijon
Other
Registry information
Acronym: COPsyCAT
Important dates
- Study start
- 2019
- Primary completion
- 2024
- Study completion
- 2024
- First posted
- Sep 28, 2018
- Registry last updated
- Feb 5, 2026
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.