title: The effectiveness of technology-based patient education on self-reported deprivation of liberty among people with severe mental illness: a randomized controlled trial.
abstract: Deprivation of liberty (DL) in psychiatric inpatient care is common worldwide. As liberty is a central element of patients' rights, there is a need to develop most effective methods supporting patients' personal liberty. The article presents initial results from a study to determine the effectiveness of an information technology (IT)-based patient education programme on patients' experiences of being deprived of their liberty during their in-hospital stay. An overall sample of 311 patients with schizophrenia spectrum psychosis was randomized into three groups: an intervention group with needs-based computerized patient education, a patient education group with conventional education and a control group with standard care. Data on the general experience of DL were collected at baseline and during the patient discharge process. In general, all patients experienced less DL at the time of their discharge. The change in patients' experiences of their DL did not differ statistically between the three groups. Male patients in the standard care group were significantly more likely to drop out of the study than female patients. Although technology-based patient education was not found to be superior to other approaches, we did not find any reason to inhibit its utilization in patient care among persons with severe mental health problems. From the healthcare organizations' perspective, a cost-effectiveness analysis is needed, as the IT education was slightly more time-consuming.
authors.affiliation: University of Turku, Department of Nursing Science, Turku, Finland. lauri.kuosmanen@utu.fi
authors.forename: Lauri
authors.initials: L
authors.lastname: Kuosmanen
authors.forename: Maritta
authors.initials: M
authors.lastname: Välimäki
authors.forename: Grigori
authors.initials: G
authors.lastname: Joffe
authors.forename: Anneli
authors.initials: A
authors.lastname: Pitkänen
authors.forename: Heli
authors.initials: H
authors.lastname: Hätönen
authors.forename: Anita
authors.initials: A
authors.lastname: Patel
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
mesh_terms: D000208:Acute Disease; D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D005610:Freedom; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts; D010353:Patient Education as Topic / Q000379:methods*; D012559:Schizophrenia / Q000628:therapy*; D057566:Self Report; D014584:User-Computer Interface