NCT03624829

Shared Care and Usual Health Care for Mental and Comorbid Health Problems

Completed Last updated 27 November 2024

What this trial tests

trial testing Shared care in Mental Disorders in 19,000 participants. Completed in 30 June 2018.

Timeline

18 May 2015

Primary endpoint
30 June 2018

30 June 2018

Quick facts

Lead sponsor	University Hospital, Akershus
Status	Completed
Study type	OBSERVATIONAL
Enrollment	19,000
Start date	18 May 2015
Primary completion	30 June 2018
Estimated completion	30 June 2018

Drugs / interventions tested

• Shared care

Conditions studied

• Mental Disorders — all drugs for Mental Disorders →

Sponsor

University Hospital, Akershus

Who can join

Adults 16 to 65, any sex, with Mental Disorders. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The aim is to study the impact on patients and health care by an adaption of the Hamilton Family Health Team model of shared care between general practitioners (GPs), mental health services and other primary or specialized services. The study is done at six GP centers with 30 GPs in three boroughs in Oslo, Norway.

At each GP center with shared care one clinical psychologist from a CMHC works two and a half day a week and a psychiatrist 1-2 hours a week. They are available for the GPs for discussions, and they give assessment and brief treatment as requested by the GPs. Other primary health and social care and other specialized mental health or substance addiction services are consulted according to needs of the patients.

The study is a cluster randomized controlled study of GP patients and their health care in GP centers with shared care (experimental group) compared with usual health care in other GP centers (control group). In each of three boroughs one GP center is randomized to shared care for 18 months while another center continues with usual health care.

Register data on patients and services are extracted for 12 months (T0) before implementation of shared care and for 12 months (T1) with shared care after 6 months implementation. The register data on patients and health care are extracted from the GP patient records, mental health and substance abuse services, and NAV (social/welfare services). The cohorts at T0 and T2 include all patients 16-65 years old seen by the GPs.

Patient-reported mental health, functional impairment due to health problems, overall quality of life and satisfaction with health services are studied for a sub-sample of the register cohort at both T0 and T1.

A qualitative sub-study of experiences with collaboration, the shared care model, implementation of the model, facilitators and barriers is done at the end of the 18 months period of shared care. The informants include patients, GPs and coworkers, and managers and professionals involved with shared care.

The study protocol was approved by the regional and national committees on medical and health research, as well as by the data protection officer at health trust.

Progress and status are described in Detailed description. Data analysis starts in September 2018.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

1. Collaborative care for mental health: a qualitative study of the experiences of patients and health professionals.
   Rugkåsa J, Tveit OG, Berteig J, Hussain A, et al · · 2020 · cited 38× · PMID 32907559 · DOI 10.1186/s12913-020-05691-8
2. Shared decision-making interventions for people with mental health conditions.
   Aoki Y, Yaju Y, Utsumi T, Sanyaolu L, et al · · 2022 · cited 34× · PMID 36367232 · DOI 10.1002/14651858.cd007297.pub3
3. Detecting young people with mental disorders: a cluster-randomised trial of multidisciplinary health teams at the GP office.
   Haavet OR, Šaltytė Benth J, Gjelstad S, Hanssen-Bauer K, et al · · 2021 · cited 8× · PMID 34952870 · DOI 10.1136/bmjopen-2021-050036
4. GPs' identification of patients with mental distress: a coupled questionnaire and cohort study from norwegian urban general practice.
   Dahli MP, Haavet OR, Ruud T, Brekke M. · · 2022 · cited 3× · PMID 36210430 · DOI 10.1186/s12875-022-01865-x
5. Effects of collaborative care on recognition and management of common mental disorders by general practitioners: a cluster-randomised trial in Norway.
   Ruud T, Benth JŠ, Hussain A, Rugkåsa J, et al · · 2026 · PMID 41749132 · DOI 10.1186/s12875-026-03227-3