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Research article
Ulrike Stentzel
Institute for Community Medicine, University Medicine Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9723-8677
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Background Schizophrenia and bipolar disorder are serious psychiatric disorders with a high disease burden, a high number of years of life lived with disability and a high risk for relapses and re-hospitalizations. Besides, both diseases are often accompanied with a reduced quality of life. A low level of quality of life is one predictor for relapses. This study examines whether a telemedical care program can improve quality of life.
Methods Post stationary t elem e di c a l c a re of patients with severe psychiatric disorders” (Tecla) is a prospective controlled randomized intervention trial to implement and evaluate a telemedical care concept for patients with schizophrenia and bipolar disorder. Participants were randomized to an intervention or a control group. The intervention group received telemedical care including regular, individualized telephone calls and SMS-messages. The quality of life was measured with the German version of the WHOQOL-BREF. Effects of telemedicine on quality of life after 6 months were analyzed using t-tests to compare the intervention with the control group. Participants also evaluated the telemedical care program based on a short standardized interview.
Results 118 participants were recruited, thereof 57.6% men (n = 68). Participants were on average 43 years old (SD) 13). The IG showed higher QoL scores as the control group (CG) 6 months after baseline for the WHOQOL total sum score (t-test (CI) 93.1 (92.4-93.8) vs 89.7 (88.8-90.6), p < 0.0001) and for 4 of 5 domains: Global 62.0 (60.9-63.0) vs. 56.8 (55.6-58.1), p < 0.0001; Physical health 63.8 (63.0-64.7) vs. 59.6 (58.5-60.6), p < 0.0001; Psychological 60.9 (60.0-61.9) vs. 56.4 (55.1-57.6), p < 0.0001; Environment 70.8 (70.1-71.6) vs. 67.5 (66.7-68.3), p < 0.0001.
Conclusion The Tecla telemedical care concept has improved the quality of life in patients with severe psychiatric disorders. It provides for a low-threshold and well suitable component in psychiatric treatment.
Keywords
Telemedical care, telemedicine, Schizophrenia, Bipolar disorder, Quality of life, WHOQOL-BREF, Randomized controlled trial
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View the published article at BMC Psychiatry.
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Editorial decision: Major revision
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Received 10 May, 2020
Reviewer #2 agreed
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On 21 Apr, 2020
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Subject Areas
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See the published version of this preprint at BMC Psychiatry.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Ulrike Stentzel
Institute for Community Medicine, University Medicine Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9723-8677
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Psychiatry.
No community comments so far
Editorial decision: Major revision
On 16 Nov, 2020
Review #2 received
Received 11 Nov, 2020
Review #1 received
Received 09 Nov, 2020
Reviewer #2 agreed
On 08 Nov, 2020
Reviewer #1 agreed
On 04 Nov, 2020
Reviewers invited
Invitations sent on 03 Nov, 2020
Editor assigned
On 31 Oct, 2020
Submission checks complete
On 31 Oct, 2020
Editor invited
On 31 Oct, 2020
No comments provided
Editorial decision: Major revision
On 04 Jun, 2020
Review #2 received
Received 28 May, 2020
Review #1 received
Received 10 May, 2020
Reviewer #2 agreed
On 07 May, 2020
Reviewer #1 agreed
On 04 May, 2020
Reviewers invited
Invitations sent on 29 Apr, 2020
Editor assigned
On 22 Apr, 2020
Submission checks complete
On 21 Apr, 2020
Editor invited
On 21 Apr, 2020
Version 1
Posted 26 Feb, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 05 Mar, 2020
Editor assigned
On 19 Feb, 2020
Submission checks complete
On 18 Feb, 2020
Editor invited
On 18 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Psychiatry
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Psychiatry.
Background Schizophrenia and bipolar disorder are serious psychiatric disorders with a high disease burden, a high number of years of life lived with disability and a high risk for relapses and re-hospitalizations. Besides, both diseases are often accompanied with a reduced quality of life. A low level of quality of life is one predictor for relapses. This study examines whether a telemedical care program can improve quality of life.
Methods Post stationary t elem e di c a l c a re of patients with severe psychiatric disorders” (Tecla) is a prospective controlled randomized intervention trial to implement and evaluate a telemedical care concept for patients with schizophrenia and bipolar disorder. Participants were randomized to an intervention or a control group. The intervention group received telemedical care including regular, individualized telephone calls and SMS-messages. The quality of life was measured with the German version of the WHOQOL-BREF. Effects of telemedicine on quality of life after 6 months were analyzed using t-tests to compare the intervention with the control group. Participants also evaluated the telemedical care program based on a short standardized interview.
Results 118 participants were recruited, thereof 57.6% men (n = 68). Participants were on average 43 years old (SD) 13). The IG showed higher QoL scores as the control group (CG) 6 months after baseline for the WHOQOL total sum score (t-test (CI) 93.1 (92.4-93.8) vs 89.7 (88.8-90.6), p < 0.0001) and for 4 of 5 domains: Global 62.0 (60.9-63.0) vs. 56.8 (55.6-58.1), p < 0.0001; Physical health 63.8 (63.0-64.7) vs. 59.6 (58.5-60.6), p < 0.0001; Psychological 60.9 (60.0-61.9) vs. 56.4 (55.1-57.6), p < 0.0001; Environment 70.8 (70.1-71.6) vs. 67.5 (66.7-68.3), p < 0.0001.
Conclusion The Tecla telemedical care concept has improved the quality of life in patients with severe psychiatric disorders. It provides for a low-threshold and well suitable component in psychiatric treatment.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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