Efficacy of shared decision making on treatment satisfaction for patients with first-admission schizophrenia: study protocol for a randomised controlled trial

BACKGROUND: Shared decision making is a promising model for patient-centred medicine, resulting in better clinical outcomes overall. In the mental health field, interventions that consider the patient-centred perspective—such as patient quality of life, involvement in the treatment, treatment satisfaction, and working alliance—have increased and better clinical outcomes discovered for patients with schizophrenia. However, few studies have examined the efficacy of shared decision making for schizophrenia treatment. The objective of this study is to evaluate the effect of a shared decision making intervention compared to treatment as usual on patient satisfaction at discharge for first-admission patients with schizophrenia. METHODS/DESIGN: This is a randomised, parallel-group, two-arm, open-label, single-centre study currently being conducted in an acute psychiatric ward of Numazu Chuo Hospital, Japan. We are recruiting patients between 16 and 65 years old who are admitted to the ward with a diagnosis of schizophrenia without prior experience of psychiatric admission. Fifty-eight participants are being randomised into a shared decision making intervention group or a treatment as usual control group in a 1:1 ratio. The intervention program was developed based on a shared decision making model and is presented as a weekly course lasting the duration of the patients’ acute psychiatric ward stay. The primary outcome measure is patient satisfaction at discharge as assessed by the Client Satisfaction Questionnaire. Due to the study’s nature, neither the patient nor staff can be blinded. DISCUSSION: This is the first randomised controlled trial to evaluate the efficacy of shared decision making for patients with early-treatment-stage schizophrenia. The intervention program in this study is innovative in that it includes both of the patient and staff who are involved in the treatment. TRIAL REGISTRATION: The study has been registered with ClinicalTrials.gov as NCT01869660

A study of organizational efforts to reduce teacher burnout in elementary and junior high schools (7)

departmental bulletin pape

Teknologi pengelasan logam

xii, 418 hal.; 26 c

Teknologi pengelasan logam

Saat ini teknik pengelasan telah dipergunakan secara luas untuk bermacam-macam konstruksi. Luasnya penggunaan teknologi pengelasan disebabkan teknik penyambungan logam ini dapat mempermudah proses pembuatan menjadi lebih sederhana, konstruksi menjadi lebih ringan sehingga biaya menjadi lebih murah. Prof. Dr. N. Hanano Wiryumarto Prof. Dr. foshie Okumu TEKNOLOGI PENGELASAN LOGAM Membaca buku ini, pembaca akan mendapatkan pengetahuan pengelasan secara lengkap. Meskipun prosedur pengelasan terlihat sangat sederhana, tetapi sebenarnya banyak pengetahuan yang harus dikuasai, khususnya proses metalurgi. Karena untuk lapat menguasai dengan baik teknologi pengelasan, dasar-dasar metalurgi alikuasai lebih dahulu, terutama yang berhubungan dengan pencairan, kuan, dan perlakuan lanjut. membahas hampir semua teknik pengelasan logam dengan standar nasional. Titik berat pembahasannya ditekankan pada pengelasan dengan listrik dengan bahan induk baja. Hal ini didasarkan pada kenyataan Biltwa pengelasan dengan listrik pada bahan induk baja adalah proses pengelasan yang paling banyak dilakukan.xii, 418 hlm.: ilus.; 26 cm

Teknologi pengelasan logam

Bai