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dc.contributor.authorMoljord, Inger Elise Opheim
dc.contributor.authorLara Cabrera, Mariela Loreto
dc.contributor.authorSalvesen, Øyvind
dc.contributor.authorRise, Marit By
dc.contributor.authorBjørgen, Dagfinn
dc.contributor.authorAntonsen, Dag Øivind
dc.contributor.authorOlsø, Turid Møller
dc.contributor.authorEvensen, Gretha Helen
dc.contributor.authorGudde, Camilla Buch
dc.contributor.authorLinaker, Olav Morten
dc.contributor.authorSteinsbekk, Aslak
dc.contributor.authorEriksen, Lasse
dc.identifier.citationPatient Education and Counseling. 2017, 100 (6), 1144-1152.en_US
dc.description.abstractObjective To investigate the effect of having a contract for self-referral to inpatient treatment (SRIT) in patients with severe mental disorders. Methods A randomized controlled trial with 53 adult patients; 26 participants received a SRIT contract, which they could use to refer themselves into a Community Mental Health Centre up to five days for each referral without contacting a doctor in advance. Outcomes were assessed after 12 months with the self-report questionnaires Patient Activation Measure (PAM-13), Recovery Assessment Scale (RAS), and the Behavior and Symptom Identification Scale (BASIS-32) and analyzed using linear mixed and regression models. Results There was no significant effect on PAM-13 (estimated mean difference (emd) −0.41, 95% CI (CI):-7.49–6.67), nor on the RAS (emd 0.02, CI:-0.27–0.31) or BASIS-32 (0.09, CI:-0.28–0.45). An exploratory post hoc analysis showed effect of SRIT in those with low PAM below ≤47 (p = 0.049). Conclusion There were no group differences after 12 months, but both groups maintained their baseline levels. Practice implications SRIT contracts can be recommended as it supports the rights to self-determination, promote user participation in decision-making in own treatment without any indication of adverse effects.en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.titleTwelve months effect of self-referral to inpatient treatment on patient activation, recovery, symptoms and functioning: A randomized controlled studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalPatient Education and Counselingen_US
dc.description.localcode© 2017 The Author(s). Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license ( nd/4.0/).en_US

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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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