A cluster randomised controlled trial and process evaluation of a training programme for mental health professionals to enhance user involvement in care planning in service users with severe mental health issues (EQUIP): study protocol for a randomised controlled trial

被引：18

作者：

Bower, Peter ^{[1
]}

Roberts, Chris ^{[3
]}

O'Leary, Neil ^{[3
]}

Callaghan, Patrick ^{[4
]}

Bee, Penny ^{[2
]}

Fraser, Claire ^{[2
]}

Gibbons, Chris ^{[2
]}

Olleveant, Nicola ^{[2
]}

Rogers, Anne ^{[5
]}

Davies, Linda ^{[6
]}

Drake, Richard ^{[2
,7
]}

Sanders, Caroline ^{[1
]}

Meade, Oonagh ^{[4
]}

Grundy, Andrew ^{[4
]}

Walker, Lauren ^{[2
]}

Cree, Lindsey ^{[2
]}

Berzins, Kathryn ^{[2
]}

Brooks, Helen ^{[2
]}

Beatty, Susan ^{[2
]}

Cahoon, Patrick ^{[7
]}

Rolfe, Anita ^{[7
]}

Lovell, Karina ^{[2
]}

机构：

[1] Univ Manchester, Manchester Acad Hlth Sci Ctr, NIHR Sch Primary Care Res, Manchester M13 9PL, Lancs, England

[2] Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester M13 9PL, Lancs, England

[3] Univ Manchester, Inst Populat Hlth, Ctr Biostat, Manchester M13 9PL, Lancs, England

[4] Univ Nottingham, Queens Med Ctr, Sch Hlth Sci, Nottingham NG7 2HA, England

[5] Univ Southampton, Fac Hlth Sci, Southampton SO17 1BJ, Hants, England

[6] Univ Manchester, Inst Populat Hlth, Ctr Hlth Econ, Manchester M13 9PL, Lancs, England

[7] Manchester Mental Hlth & Social Care Trust, Manchester M21 9UN, Lancs, England

来源：

TRIALS | 2015年 / 16卷

基金：

美国国家卫生研究院;

关键词：

Care planning; Severe mental illness; Service user involvement; COMPLEX INTERVENTIONS; SATISFACTION SCALE; SELF-MANAGEMENT; IMPLEMENTATION; EXPECTATIONS; SUPPORT; DESIGN;

D O I：

10.1186/s13063-015-0896-6

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background: Involving service users in planning their care is at the centre of policy initiatives to improve mental health care quality in England. Whilst users value care planning and want to be more involved in their own care, there is substantial empirical evidence that the majority of users are not fully involved in the care planning process. Our aim is to evaluate the effectiveness and cost-effectiveness of training for mental health professionals in improving user involvement with the care planning processes. Methods/Design: This is a cluster randomised controlled trial of community mental health teams in NHS Trusts in England allocated either to a training intervention to improve user and carer involvement in care planning or control (no training and care planning as usual). We will evaluate the effectiveness of the training intervention using a mixed design, including a 'cluster cohort' sample, a 'cluster cross-sectional' sample and process evaluation. Service users will be recruited from the caseloads of care co-ordinators. The primary outcome will be change in self-reported involvement in care planning as measured by the validated Health Care Climate Questionnaire. Secondary outcomes include involvement in care planning, satisfaction with services, medication side-effects, recovery and hope, mental health symptoms, alliance/engagement, well-being and quality of life. Cost-effectiveness will also be measured. A process evaluation informed by implementation theory will be undertaken to assess the extent to which the training was implemented and to gauge sustainability beyond the time-frame of the trial. Discussion: It is hoped that the trial will generate data to inform mental health care policy and practice on care planning.

引用

页数：13

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