prikaz prve stranice dokumenta Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)
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Scientific paper - Original scientific paper
Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)
Global Psychiatry, 3 (2020), 1; 83-96. https://doi.org/10.2478/gp-2019-0020
Jovanović, Nikolina; Francis, Jill; Marić, Nadja P.; Arenliu, Aliriza; Barjaktarov, Stojan; Kulenović, Alma Džubur; Injac, Lidija; Feng, Yan; Novotni, Antoni

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Jovanović, N., Francis, J., Marić, N. P., Arenliu, A., Barjaktarov, S., Kulenović, A. Dž. ... Novotni, A. (2020). Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE). Global Psychiatry, 3. (1), 83-96. doi: 10.2478/gp-2019-0020

Jovanović, Nikolina, et al. "Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)." Global Psychiatry, vol. 3, no. 1, 2020, pp. 83-96. https://doi.org/10.2478/gp-2019-0020

Jovanović, Nikolina, Jill Francis, Nadja P. Marić, Aliriza Arenliu, Stojan Barjaktarov, Alma Džubur Kulenović, Lidija Injac, Yan Feng and Antoni Novotni. "Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)." Global Psychiatry 3, no. 1 (2020): 83-96. https://doi.org/10.2478/gp-2019-0020

Jovanović, N., et al. (2020) 'Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)', Global Psychiatry, 3(1), pp. 83-96. doi: 10.2478/gp-2019-0020

Jovanović N, Francis J, Marić NP, Arenliu A, Barjaktarov S, Kulenović ADž, and sur.. Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE). Global Psychiatry [Internet]. 2020 May 01 [cited 2024 May 04];3(1):83-96. doi: 10.2478/gp-2019-0020

N. Jovanović, et al., "Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)", Global Psychiatry, vol. 3, no. 1, pp. 83-96, May 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:359116. [Accessed: 04 May 2024]

Metadata
Title (english)Implementing a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE)
AuthorNikolina Jovanović
AuthorJill Francis
AuthorNadja P. Marić
AuthorAliriza Arenliu
AuthorStojan Barjaktarov
AuthorAlma Džubur Kulenović
AuthorLidija Injac
AuthorYan Feng
AuthorAntoni Novotni
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Psychiatry and Psychological Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Psychiatry
Abstract (english)
Objectives: Psychotic disorders have large treatment gap in low- and middle-income countries (LMICs) in South-Eastern Europe, where up to 45% of affected people do not receive care for their condition. This study will assess the implementation of a generic psychosocial intervention called DIALOG+ in mental health care services and its effectiveness at improving patients’ clinical and social outcomes. Methods: This is a protocol for a multi-country, pragmatic, hybrid effectiveness–implementation, cluster-randomised, clinical trial. The trial aims to recruit 80 clinicians and 400 patients across 5 South-Eastern European LMICs: Bosnia and Herzegovina, Kosovo*, Montenegro, Republic of North Macedonia and Serbia. Clusters are clinicians working with patients with psychosis, and each clinician will deliver the intervention to five patients. After patient baseline assessments, clinicians will be randomly assigned to either the DIALOG+ intervention or treatment as usual, with an allocation ratio of 1:1. The intervention will be delivered six times over 12 months during routine clinical meetings. TThe primary outcome measure is the quality of life at 12 months [Manchester Short Assess¬ment of Quality of Life (MANSA)] ; the secondary outcomes include mental health symptoms [Brief Psychiatric Rating Scale (BPRS), Clinical Assessment Interview for Negative Symptoms (CAINS), Brief Symptom Inventory (BSI)], satisfaction with services [Client Satisfaction Questionnaire (CSQ- 8)] and economic costs at 12 months [based on Client Service Receipt Inventory (CSRI), EQ-5D-5L and Recovering Quality of Life (ReQOL-10)]. The study will assess the intervention fidelity and the experience of clinicians and patients’ about implementing DIALOG+ in real-life mental health care settings. In the health economic assessment, the incremental cost-effectiveness ratio is calculated with effectiveness measured by quality-adjusted life year. Data will also be collected on sustainability and reach to inform guidelines for potentially scaling up and implementing the intervention widely. Conclusion: The study is expected to generate new scientific knowledge on the treatment of people with psychosis in health care systems with limited resources. The learning from LMICs could potentially help other countries to expand the access to care and alleviate the suffering of patients with psychosis and their families
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleGlobal Psychiatry
Numberingvol. 3, no. 1, pp. 83-96
e-ISSN2451-4950
DOIhttps://doi.org/10.2478/gp-2019-0020
URN:NBNurn:nbn:hr:184:359116
Publication2020-05-01
Document URLhttps://www.sciendo.com/article/10.2478/gp-2019-0020
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) icon
Created on2022-03-15 17:32:54