tailieunhanh - Báo cáo y học: " Collaborative Care for patients with severe borderline and NOS personality disorders: A comparative multiple case study on processes and outcomes"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Collaborative Care for patients with severe borderline and NOS personality disorders: A comparative multiple case study on processes and outcomes | Stringer et al. BMC Psychiatry 2011 11 102 http 1471-244X 11 102 BMC Psychiatry STUDY PROTOCOL Open Access Collaborative Care for patients with severe borderline and NOS personality disorders A comparative multiple case study on processes and outcomes Barbara Stringer1 2 Berno van Meijel2 Bauke Koekkoek3 4 Ad Kerkhof5 and Aartjan Beekman1 Abstract Background Structured psychotherapy is recommended as the preferred treatment of personality disorders. A substantial group of patients however has no access to these therapies or does not benefit. For those patients who have no longer access to psychotherapy a Collaborative Care Program CCP is developed. Collaborative Care originated in somatic health care to increase shared decision making and to enhance self management skills of chronic patients. Nurses have a prominent position in CCP s as they are responsible for optimal continuity and coordination of care. The aim of the CCP is to improve quality of life and self management skills and reduce destructive behaviour and other manifestations of the personality disorder. Methods design Quantitative and qualitative data are combined in a comparative multiple case study. This makes it possible to test the feasibility of the CCP and also provides insight into the preliminary outcomes of CCP. Two treatment conditions will be compared one in which the CCP is provided the other in which Care as Usual is offered. In both conditions 16 patients will be included. The perspectives of patients their informal carers and nurses are integrated in this study. Data questionnaires documents and interviews will be collected among these three groups of participants. The process of treatment and care within both research conditions is described with qualitative research methods. Additional quantitative data provide insight in the preliminary results of the CCP compared to CAU. With a stepped analysis plan the black box of the application of the program will be revealed