Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities

Datos Bibliográficos

ID7695375
AutoresFranco Mascayano (0000-0002-3118-504X, Columbia University, USA; New York State Psychiatric Institute, U.S.A.), R Alvarado (0000-0002-8091-0324, University of O'Higgins), Howard F Andrews (0000-0002-7726-0551, Columbia University), Maria Jose Jorquera (0000-0003-0115-7774, University of Chile), Giovanni Marcos Lovisi (0000-0003-0521-0202, Universidade Federal do Rio de Janeiro), Fabiana Mendes De Souza (0000-0002-5965-6026, Universidade Federal do Rio de Janeiro), C Pratt (0000-0002-0924-9721, Columbia University), Graciela Rojas (0000-0002-9577-7415, University of Chile), Maria E Restrepo-Toro (0000-0003-1733-6240, Yale University), Kim Fader (0000-0001-8323-9479, Columbia University), Prakash Gorroochurn (0000-0003-1613-7223, Columbia University), Sandro Galea (0000-0002-7534-0945, Boston University), Carla M Dahl (0000-0001-7058-9875, Universidade Federal do Rio de Janeiro), Juliana Cintra (0000-0003-2951-979X, Universidade Federal do Rio de Janeiro), Sarah Conover (0000-0002-9647-7780, Hunter College), María S Burrone (0000-0002-9641-8350, University of O'Higgins), Joy Noel Baumgartner (0000-0002-1783-8972, Duke University), Robert Rosenheck (0000-0003-4314-4592, Yale University), Stefan Schilling (0000-0001-7082-7650, Universidad de O’Higgins, Chile; Universidad de Chile, Chile), Keli Rodrigues Sarução (0000-0001-9175-0824, Universidade Federal do Rio de Janeiro), Peter Stastny (0000-0002-5028-8642, Community Access, Inc., U.S.A.), Eric Tapia (0000-0001-8138-1797, University of O'Higgins), Maria Tavares Cavalcanti (0000-0003-1872-4210, Universidade Federal do Rio de Janeiro), Enrique Valencia (0000-0001-7878-5141, University of O'Higgins), Lawrence Hsin Yang (0000-0001-7779-7423, Columbia University, USA; New York University, USA), Ezra Susser (0000-0001-7665-4826, Columbia University, USA; New York State Psychiatric Institute, U.S.A.)
Año2019
Volumen35
Número4
Páginase00108018-e00108018
Fecha de publicación2019-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00108018
PMID31066775
OpenAlexW2942678089
SCIELO_PIDS0102-311X2019000404001
IdiomaEN
Citas recibidas7
Referencias citadas32

Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critical Time Intervention-Task Shifting (CTI-TS) aimed at addressing such limitations. The pilot RCT was conducted in Santiago (Chile) and Rio de Janeiro (Brazil). We included 110 people with psychosis in the study, who were recruited at the time of entry into community mental health clinics. Trial participants were randomly divided into CTI-TS intervention and usual care. Those allocated to the intervention group received usual care and, in addition, CTI-TS services over a 9-month period. Primary outcomes include quality of life (WHO Quality of Life Scale - Brief Version) and unmet needs (Camberwell Assessment of Needs) at the 18-month follow-up. Primary outcomes at 18 months will be analyzed by Generalized Estimating Equations (GEE), with observations clustered within sites. We will use three-level multilevel models to examine time trends on the primary outcomes. Similar procedures will be used for analyzing secondary outcomes. Our hope is that this trial provides a foundation for planning a large-scale multi-site RCT to establish the efficacy of recovery-oriented interventions such as CTI-TS in Latin America

Alternative medicine · Family medicine · Gee · Generalized estimating equation · Geography · Intervention (counseling) · Latin Americans · Mental health · Outreach · Political science · Protocol (science) · Psychiatry · Psychological intervention · Quality of life (healthcare) · Randomized controlled trial · Scale (ratio) · Medicine · Mental Health and Patient Involvement · Mental Health Treatment and Access · Nursing · Psychology · Schizophrenia research and treatment · Gerontology