Patient satisfaction with random assignment to extended early intervention for psychosis vs regular care: Relationship with service engagement

Early Interv Psychiatry. 2021 Jun;15(3):746-750. doi: 10.1111/eip.13004. Epub 2020 Jun 22.


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.

Keywords: early intervention services; engagement; first-episode psychosis; randomization; satisfaction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Early Intervention, Educational
  • Early Medical Intervention
  • Humans
  • Patient Satisfaction*
  • Psychotic Disorders* / therapy
  • Random Allocation*