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Patient satisfaction with random assignment to extended early intervention for psychosis vs regular care:
Srividya N Iyer1,2, Sally S Mustafa2, Sherezad Abadi3
1Department of Psychiatry, McGill University, Quebec, Canada.
Aim:
We investigated whether individuals varied in their satisfaction with being randomized to an extension of early intervention (EI) for psychosis or regular care after 2 years of EI, and whether satisfaction was associated with service engagement 3 years later.
Methods:
Following randomization, patients (N = 220) indicated if they were happy with, unhappy or indifferent to their group assignment. Follow-up with service providers was recorded monthly.
Results:
Patients randomized to extended EI were more likely to express satisfaction with their group assignment than those in the regular care group (88.2% vs 31.5%, χ2 = 49.96, P < .001). In the extended EI group, those happy with their assigned group were likelier to continue seeing their case manager for the entire five-year period than those who were unhappy/indifferent (χ2 = 5.61, P = .030).
Conclusions:
Perceptions about EI, indicated by satisfaction with being assigned to extended EI, may have lasting effects on service engagement.
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