a telephone- and text-message based telemedical care concept for patients with mental health disorders - study protocol for a randomized, controlled study design电话和短信telemedical保健概念为基础的精神卫生疾病患者,随机的研究方案,研究设计控制.pdfVIP

van den Berg et al. BMC Psychiatry 2011, 11:30 /1471-244X/11/30 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 1* 2 2 1 Neeltje van den Berg , Hans-Jörgen Grabe , Harald J Freyberger , Wolfgang Hoffmann 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