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Effects of the Two-Way Communication Checklist (2-COM): A one-year cluster randomized study in a group of severely mentally ill persons

Author

Listed:
  • Hans Arvidsson
  • Elisabeth Olin
  • Jennifer Strand
  • Inga Tidefors

Abstract

Background: In a health-care service with the emphasis on improvement related to functioning and well-being, the communication process between patient and professionals is essential. There is a lack of research on this matter. Aim: The aim was to investigate, in a group of severely mentally ill persons, whether the use of a simple communication tool could influence the sense of empowerment, satisfaction with care, therapeutic alliance and unmet needs. Method: The study had a cluster randomized design. The intervention was a communication tool (2-COM) applied in two teams during one year. In a comparison group of two other teams, the treatment was as usual. At baseline, after six months, and after one year, assessments were made. Results: After one year the 2-COM groups seemed to have a larger reduction in unmet needs compared to the treatment-as-usual group. However, there were large problems with attrition in the study, and it was not possible to draw relevant conclusions. Conclusions: The methodological problems were substantial, and the study may be considered as a pilot study. In a main study the researchers ought to take control over the selection of patients on the basis of the experiences from this study.

Suggested Citation

  • Hans Arvidsson & Elisabeth Olin & Jennifer Strand & Inga Tidefors, 2014. "Effects of the Two-Way Communication Checklist (2-COM): A one-year cluster randomized study in a group of severely mentally ill persons," International Journal of Social Psychiatry, , vol. 60(1), pages 95-102, February.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:1:p:95-102
    DOI: 10.1177/0020764012467145
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    References listed on IDEAS

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    3. Kilian, Reinhold & Lindenbach, Iro & Löbig, Uta & Uhle, Matthias & Petscheleit, Andreas & Angermeyer, Matthias C., 2003. "Indicators of empowerment and disempowerment in the subjective evaluation of the psychiatric treatment process by persons with severe and persistent mental illness: a qualitative and quantitative anal," Social Science & Medicine, Elsevier, vol. 57(6), pages 1127-1142, September.
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