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NCT Number: NCT02435784

The Two-Way Communication Checklist (2-COM) in First Episode Psychosis Patients in Hong Kong

The Two-Way Communication Checklist (2-COM) is a communication tool developed by van Os et al. (2002). It aims to provide an opportunity for patients to voice their needs and problem to minimize the discrepancy and miscommunication between patient and professional carer. In this randomized controlled trial, the investigators aim to examine whether using 2-COM checklist would lead to improvement in first episode psychosis patient's overall satisfaction, change in treatment option in clinicians and consultation time.

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Key information

Conditions

Schizophrenia Behavior Communication Mental Disorders Schizophrenia Spectrum and Other Psychotic Disorders

Age range

15 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

EASY Clinic, Queen Mary Hospital

Hong Kong

About this study

Communication is at the heart of psychiatric practice. Good communication has positive impact on treatment, treatment satisfaction and treatment adherence. However, different characteristics of psychosis barricade the communication between clinicians and patients. Consequently, the divergent views of needs of care between patients and clinicians may be established due to miscommunication. Such divergence may barricade the planning and the outcome of treatment.

In Hong Kong, the core psychiatric services as well as early intervention for first episode psychosis patients are provided by psychiatric outpatient clinics. Mental health services in Hong Kong are overwhelmed by large demands of the services and inadequate mental health care workforce such as low psychiatrists-to-population ratio and psychiatric nurse-to-population ratio. The large demands of services and inadequate mental health care workforce restrained the services' quality. In some busy psychiatric outpatient clinic, a clinician needs to consult 30 patients in a 3-hour session. Hui et al. (2008) study showed that the mean consultation time in one of the general psychiatric outpatient clinic in Hong Kong is 5.8 minutes.

To sum up, a cost-effectiveness instrument is in need for the early intervention psychiatric outpatient clinic in Hong Kong. The instrument has to reduce the needs' divergence, communication between clinicians and patients, and enhance the patients' involvement of clinical decision-making in the rushed psychiatric consultation. The Two-Way Communication Checklist (2-COM) may satisfy the demand.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients will be included if they meet the following criteria:

  • attended the EASY service;
  • were diagnosed with schizophrenia ,schizoaffective disorder or schizophreniform disorder according to ICD-10;
  • were age between 15-64;
  • were able to complete the informed consent.

Exclusion criteria

Patients will be excluded if they meet the following criteria:

  • had history of substance misuse;
  • had history of intellectual disability;
  • were non- Chinese speaking patients
  • had violent risk
  • had suicidal risk

Treatment and study plan

The Two-Way Communication Checklist

Other

The Two-Way Communication Checklist (2-COM) is a communication tool developed by Van Os et al. (2002). It aims to provide an opportunity for patients to voice their needs and problem to minimize the discrepancy and miscommunication between patient and professional carer. 2-COM questionnaire was designed to give patients while they are waiting for consultation. Patients can either tick yes or no in the questionnaire to decide which the perceived problems are and which needs they want to discuss with the clinician. During the consultation, the ticked items would be discussed.

Other names: 2-COM

Treatment as Usual

Other

Patients will attend a psychiatric consultation as usual.

Other names: TAU

Primary outcomes

  1. Satisfaction level (patient satisfaction questionnaire)

    Time frame: within 30 minutes after a psychiatric consultation

    A patient satisfaction questionnaire as used in Hui et al. (2008) was adopted in this study. This was a self-administered questionnaire rated on a 5-point Likert scale (1 = very satisfactory to 5 = very unsatisfactory). The questionnaire consisted of 2 parts. Part A has 6 items concerning the perceived attitude of the clinician (subscale score range, 6-30). Part B has 11 items concerning communication with the clinician (subscale score range, 11-55). The higher score indicates the higher satisfaction.

Secondary outcomes

  1. Change of treatment (checklist)

    Time frame: within 30 minutes after a psychiatric consultation

    A checklist that measured change in treatment was adopted. This checklist included 4 items which will be rated on a dichotomous selection (yes/no) by clinician. The 4 items are related to the change of medication, providing information about treatment, involvement of other members of the care team and professional support services.

  2. Consultation time

    Time frame: From the time of patients' entering the consultation room till leaving the consultation room in a psychiatric consultation, up to 5 hours

    The consultation time will be counted between patients' entering and leaving the consultation room by a stopwatch.

Sponsors and collaborators

Lead sponsor

The University of Hong Kong

Other

Registry information

Official study title

The Two-Way Communication Checklist (2-COM) in First Episode Psychosis Patients in Hong Kong: an Open Label Randomized Controlled Trial

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
May 6, 2015
Registry last updated
Sep 22, 2015

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.

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