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What works for whom in a computer-mediated communication intervention in community psychiatry? Moderators of outcome in a cluster randomized trial.

Hansson, Lars LU ; Svensson, Bengt LU ; Björkman, Tommy LU ; Bullenkamp, J; Lauber, C; Martinez-Leal, R; McCabe, R; Rössler, W; Salize, H and Torres-Gonzales, F, et al. (2008) In Acta Psychiatrica Scandinavica Aug 27. p.404-409
Abstract
Objective: An intervention to structure patient-key worker communication has been tested in a randomized controlled trial. The aim of this paper was to investigate effectiveness of the intervention in terms of moderators of effectiveness. Method: A total of 507 patients with schizophrenia were included. Moderators of effectiveness were investigated using two-way anovas. Results: Patients with a better relationship with their key worker and a shorter duration of illness at baseline benefited more from the intervention in terms of quality of life. Patients who received the intervention who were in competitive employment or had a shorter duration of illness showed greater reduction of unmet needs. Older patients receiving the intervention had... (More)
Objective: An intervention to structure patient-key worker communication has been tested in a randomized controlled trial. The aim of this paper was to investigate effectiveness of the intervention in terms of moderators of effectiveness. Method: A total of 507 patients with schizophrenia were included. Moderators of effectiveness were investigated using two-way anovas. Results: Patients with a better relationship with their key worker and a shorter duration of illness at baseline benefited more from the intervention in terms of quality of life. Patients who received the intervention who were in competitive employment or had a shorter duration of illness showed greater reduction of unmet needs. Older patients receiving the intervention had better treatment satisfaction. Conclusion: Outcome of the intervention was moderated by patient characteristics. Moreover, the moderating characteristics varied depending on the specific outcome. Evidence on moderators is very limited, even though, they are significant for understanding, targeting and implementing complex interventions. (Less)
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Contribution to journal
publication status
published
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Acta Psychiatrica Scandinavica
volume
Aug 27
pages
404 - 409
publisher
Wiley-Blackwell
external identifiers
  • WOS:000259936500010
  • PMID:18759805
  • Scopus:53749105343
ISSN
1600-0447
DOI
10.1111/j.1600-0447.2008.01258.x
language
English
LU publication?
yes
id
c9df009d-076e-4212-9841-600ffc04d8a0 (old id 1243607)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18759805?dopt=Abstract
date added to LUP
2008-10-03 15:10:55
date last changed
2016-10-13 04:24:34
@misc{c9df009d-076e-4212-9841-600ffc04d8a0,
  abstract     = {Objective: An intervention to structure patient-key worker communication has been tested in a randomized controlled trial. The aim of this paper was to investigate effectiveness of the intervention in terms of moderators of effectiveness. Method: A total of 507 patients with schizophrenia were included. Moderators of effectiveness were investigated using two-way anovas. Results: Patients with a better relationship with their key worker and a shorter duration of illness at baseline benefited more from the intervention in terms of quality of life. Patients who received the intervention who were in competitive employment or had a shorter duration of illness showed greater reduction of unmet needs. Older patients receiving the intervention had better treatment satisfaction. Conclusion: Outcome of the intervention was moderated by patient characteristics. Moreover, the moderating characteristics varied depending on the specific outcome. Evidence on moderators is very limited, even though, they are significant for understanding, targeting and implementing complex interventions.},
  author       = {Hansson, Lars and Svensson, Bengt and Björkman, Tommy and Bullenkamp, J and Lauber, C and Martinez-Leal, R and McCabe, R and Rössler, W and Salize, H and Torres-Gonzales, F and van den Brink, R and Wiersma, D and Priebe, S},
  issn         = {1600-0447},
  language     = {eng},
  pages        = {404--409},
  publisher    = {ARRAY(0x86a59b8)},
  series       = {Acta Psychiatrica Scandinavica},
  title        = {What works for whom in a computer-mediated communication intervention in community psychiatry? Moderators of outcome in a cluster randomized trial.},
  url          = {http://dx.doi.org/10.1111/j.1600-0447.2008.01258.x},
  volume       = {Aug 27},
  year         = {2008},
}