Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
BMJ Open. 2024 Aug 31;14(8):e085532. doi: 10.1136/bmjopen-2024-085532.
Individuals with mental illness and their families often undergo their recovery process in their communities. This study explored the long-term outcome trajectories of individuals and families who received case management services provided by multidisciplinary outreach teams in a community setting. The primary objective of this study was to determine whether trajectories of subjective quality of life (QoL) related to personal recovery were linked to those clinical and societal outcomes and changes in outreach service frequency.
The protocol of this 10-year multisite cohort study was collaboratively developed with individuals with lived experience of psychiatric disorders who had received services from participating outreach teams, and with family members in Japanese family associations. The participants in the study include patients and their key family members who receive services from 23 participating multidisciplinary outreach teams. The participant recruitment period is set from 1 October 2023 to 30 September 2025. If necessary, the recruitment period may be extended and the number of participating teams may be increased. The study will annually evaluate the following outcomes after participants' initial utilisation of services from each team: QoL related to personal recovery, personal agency, feelings of loneliness, well-being and symptom and functional assessments. The family outcomes encompass QoL, well-being, care burden and family relationships. Several meetings will be held to monitor progress and manage issues during the study. Multivariate analyses with repeated measures will be performed to investigate factors influencing changes in the patients' QoL scores as the dependent variable.
The study protocol was approved by the ethical committee of the National Center of Neurology and Psychiatry (no. A2023-065). The study findings will be reported in peer-reviewed publications and presented at relevant scientific conferences.
UMIN-CTR, No. UMIN000052275.
患有精神疾病的个体及其家属通常在社区中进行康复过程。本研究探讨了在社区环境中接受多学科外展团队提供的个案管理服务的个体和家庭的长期结局轨迹。本研究的主要目的是确定与个人康复相关的主观生活质量（QoL）轨迹是否与那些临床和社会结局以及外展服务频率的变化相关。
本 10 年多站点队列研究方案是与曾接受过参与外展团队服务的精神障碍患者和日本家庭协会的家属共同制定的。研究的参与者包括从 23 个参与多学科外展团队接受服务的患者及其主要家属。参与者招募期为 2023 年 10 月 1 日至 2025 年 9 月 30 日。如有必要，招募期可延长，参与团队的数量可增加。研究将在参与者最初接受每个团队服务后的每年评估以下结果：与个人康复相关的 QoL、个人能动性、孤独感、幸福感以及症状和功能评估。家庭结果包括 QoL、幸福感、照顾负担和家庭关系。研究期间将举行几次会议，以监测进展并处理问题。将进行具有重复测量的多变量分析，以研究影响患者 QoL 评分变化的因素，作为因变量。
该研究方案已获得国家神经与精神疾病中心伦理委员会的批准（编号：A2023-065）。研究结果将在同行评议的出版物中报告，并在相关科学会议上展示。
UMIN-CTR，编号 UMIN000052275。
