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Effectiveness of the psychiatric rehabilitation approach in the Netherlands
ISRCTN ISRCTN73683215
DOI 10.1186/ISRCTN73683215
ClinicalTrials.gov identifier
EudraCT number
Public title Effectiveness of the psychiatric rehabilitation approach in the Netherlands
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis The central research question is: what is the effectiveness of psychiatric rehabilitation (PR) in attaining patients personal rehabilitation goals, in improving patients functioning, empowerment and quality of life compared to 'rehabilitation as usual'?

PR is a systematic rehabilitation process consisting of three phases:
1. Diagnosis: helping patients gain insight into their future goals in the rehabilitation areas (housing, work/daily activities, learning and social contacts), and insight into which skills and resources are needed to attain these goals
2. Planning: describing the interventions necessary to attain the clients' rehabilitation goals
3. Intervention: conducting resource development and/or skill development
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Netherlands
Disease/condition/study domain Psychiatric mental disorders/illness
Participants - inclusion criteria 1. Adults with severe mental illness who receive Mental Health Care (MHC) in clinical settings or in out-patients settings
2. Must have a wish for change in at least one of the main rehabilitation areas (housing, work/daily activities, learning and social contacts)
3. Patients must have new goals: he/she is not already trying to obtain the goals mentioned with a rehabilitation worker
4. Patients must accept the rehabilitation offer and participate in the research
5. Patients should be willing to give informed consent
Participants - exclusion criteria There are no other exclusion criteria patients with severe mental illness with different ages, and different psychiatric diagnosis can participate
Anticipated start date 01/05/2003
Anticipated end date 01/01/2007
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 157
Interventions The study is designed as a randomised controlled trial (RCT) in four mental health organisations, comparing:
1. PR by fully trained rehabilitation workers (EXP)
3. ‘Rehabilitation as usual’ by case managers/psychiatric–MHC nurses with no PR training (CC)

A total of 160 patients were planned to be included in the RCT: 80 EXP and 80 CC. Fidelity criteria for the performance of PR in the experimental condition were developed at the start of the study. The patients can receive either the PR intervention or ‘rehabilitation as usual’ during the whole research period of two years following randomisation.

In both conditions there is a minimum of at least once per three weeks an individual contact between the patient and the rehabilitation worker.
Primary outcome measure(s) The primary outcome criterion is goal attainment. Patients are interviewed three times, at the start (T0) after one year (T1) and after two years (T2). At the same time rehabilitation workers and psychiatrists are asked to fill out questionnaires.
Secondary outcome measure(s) Other outcome criteria are (changes in):
1. Functioning
2. Empowerment
3. Quality of life
4. Met and unmet needs for care
Sources of funding 1. The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
2. Groningen Mental Health Care (The Netherlands)
3. Bavo RNO Group (The Netherlands)
4. Eindhoven Mental Health Care (The Netherlands)
5. Altrecht Mental Health Care (The Netherlands)
Trial website http://www.kenniscentrumrehabilitatie.nl
Publications 1. 2011 24-month outcome results in http://www.ncbi.nlm.nih.gov/pubmed/22152644
Contact name Dr  W.  Swildens
  Address Altrecht Institute for Mental Health Care,
Lange Nieuwstraat 119
  City/town Utrecht
  Zip/Postcode 3512 PG
  Country Netherlands
  Tel +31 (0)30 2308820
  Email w.swildens@altrecht.nl
Sponsor Altrecht Institute for Mental Health Care (The Netherlands)
  Address Nieuwstraat 119
  City/town Utrecht
  Zip/Postcode 3512 PG
  Country Netherlands
Date applied 20/12/2005
Last edited 01/05/2012
Date ISRCTN assigned 20/12/2005
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