This trial is active, not recruiting.

Condition mental disorders
Treatment quality improvement intervention
Sponsor Helse Fonna
Collaborator University of Bergen
Start date August 2010
End date December 2015
Trial size 100 participants
Trial identifier NCT01374035, NSD-24340


The main object to this trial is to study the function of referral letters as a mean to coordinate the care process for adult people when referred from Primary Care to Specialised Mental Health Care. The study will explore if and to what degree the quality of these referral letters can be improved, and the potential improvement's impact on defined patient-, professional and organisational related outcomes. According to Medical Research Council guidelines for evaluating complex interventions, a stepwise design with the use of both qualitative and quantitative methods will be used to conduct a controlled intervention study.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose health services research
GPs working at randomly selected GP centers/offices within the region that are invited to participate and signs a written informed consent to participate. (N=30-40)
quality improvement intervention
A complex intervention will be implemented within the group of GPs in the intervention group. It includes participation in defining criteria for good referral letters, information about the correlation between information in the referral letters and outcome, introduction to the guideline, and consecutive feedback on own preformance regarding content of referral letter and outcome for the patient.
(No Intervention)
GPs working at randomly selected GP centers/office within the region that are not invited to participate, will form the control group. (N=30-40)

Primary Outcomes

Length of stay
time frame: Day of discharge assessed up to six months

Secondary Outcomes

Response time for referral letters in Specialised Mental Health Care
time frame: Referral letters will be followed for the duration of the assessment and prioritation process until response letter is sent, an expected avarage of 10 days.

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Referral letters send from a GP to Public Specialised Mental Health Care - Referrals for elective assessment or treatment Exclusion Criteria: - Referral letters send from other health personnel - Referrals for acute care (within 24 hours)

Additional Information

Official title Interface Between Primary Care and Specialist Mental Health Care - the Referral Letters
Principal investigator Kjell Haug, MD, PhD
Description The study is based on a stepwise progression including four steps. Within step one group interview with four mixed groups of health professionals (both Primary and Specialised Care), patient representatives and managers will be conducted. The groups will give input on firstly, what information they think is important to include in the referral letters, and secondly, what impact they think improved referral letters can have for the organisation and care within Specialised Mental Health Care. Within step two a validated check-list to assess the quality of referral letters will be developed. Within step three outcome measures will be developed and tested. Both step two and three will make use of the results from step one in addition to existing literature and testing. Step four is the intervention study where measures from the former steps will be used.
Trial information was received from ClinicalTrials.gov and was last updated in March 2015.
Information provided to ClinicalTrials.gov by Helse Fonna.