Patient satisfaction with random assignment to extended early intervention for psychosis vs regular care: Relationship with service engagement.

TitlePatient satisfaction with random assignment to extended early intervention for psychosis vs regular care: Relationship with service engagement.
Publication TypeJournal Article
Year of Publication2020
AuthorsIyer SN, Mustafa SS, Abadi S, Joober R, Abdel-Baki A, Jarvis E, Latimer E, Margolese HC, Casacalenda N, Schmitz N, Brown TG, Malla A
JournalEarly Interv Psychiatry
Date Published2020 Jun 22
ISSN1751-7893
Abstract

AIM: We investigated whether individuals varied in their satisfaction with being randomized to an extension of early intervention (EI) for psychosis or regular care after 2 years of EI, and whether satisfaction was associated with service engagement 3 years later.METHODS: Following randomization, patients (N = 220) indicated if they were happy with, unhappy or indifferent to their group assignment. Follow-up with service providers was recorded monthly.RESULTS: Patients randomized to extended EI were more likely to express satisfaction with their group assignment than those in the regular care group (88.2% vs 31.5%, χ = 49.96, P < .001). In the extended EI group, those happy with their assigned group were likelier to continue seeing their case manager for the entire five-year period than those who were unhappy/indifferent (χ = 5.61, P = .030).CONCLUSIONS: Perceptions about EI, indicated by satisfaction with being assigned to extended EI, may have lasting effects on service engagement.

DOI10.1111/eip.13004
Alternate JournalEarly Interv Psychiatry
PubMed ID32567789
Grant ListMCT 94189 / / The project was funded by the Canadian Institutes of Health Research /
CCT-NAPN-18590; Ashok Malla is funded by the Canada Research Chairs Program; Srividya N. Iyer has received salary awards from Fonds de recherche du Québec - Santé (FRQS) and the Canadian Institutes of Health Research (CIHR) / / The project was funded by the Canadian Institutes of Health Research /