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Báo cáo y học: " A telephone- and text-message based telemedical care concept for patients with mental health disorders - study protocol for a randomized, controlled study design"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A telephone- and text-message based telemedical care concept for patients with mental health disorders - study protocol for a randomized, controlled study design | van den Berg et al. BMC Psychiatry 2011 11 30 http www.biomedcentral.com 1471-244X 11 30 BMC Psychiatry STUDY PROTOCOL Open Access A telephone- and text-message based telemedical care concept for patients with mental health disorders - study protocol for a randomized controlled study design Neeltje van den Berg1 Hans-Jorgen Grabe2 Harald J Freyberger2 Wolfgang Hoffmann1 Abstract Background As in other countries worldwide the prevalence of mental disorders in Germany is high. Although numerically a dense network of in- and outpatient psychiatric health services exists the availability in rural and remote regions is insufficient. In rural regions telemedical concepts can be a chance to unburden and complement the existing healthcare system. Telemedical concepts consisting of video or telephone consulting show first positive results but there are only a few studies with a randomized controlled design. To improve the treatment of patients with mental disorders in rural regions we developed a telemedical care concept based on telephone contacts and text-messages. The primary objective of this study is to evaluate the effects of the telemedical interventions on psychopathological outcomes e. g. anxiety depressive symptoms and somatisation. Secondary objective of the study is the analysis of intervention effects on the frequency of medical contacts with healthcare services. Furthermore the frequency of patients crises and the frequency and kind of interventions initiated by the project nurses will be evaluated. We will also evaluate the acceptance of the telemedical care concept by the patients. Methods Design In this paper we describe a three-armed randomized controlled study. All participants are recruited from psychiatric day hospitals. The inclusion criteria are a specialist-diagnosed depression anxiety disorder adjustment disorder or a somatoform disorder and eligibility to participate in the study. Exclusion criteria are ongoing outpatient psychotherapy planned .