TY - JOUR
T1 - 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)
T2 - study protocol for a randomised controlled trial
AU - Bower, Peter
AU - Roberts, Chris
AU - O'Leary, Neil
AU - Callaghan, Patrick
AU - Bee, Penny
AU - Fraser, Claire
AU - Gibbons, Chris
AU - Olleveant, Nicola
AU - Rogers, Anne
AU - Davies, Linda
AU - Drake, Richard
AU - Sanders, Caroline
AU - Meade, Oonagh
AU - Grundy, Andrew
AU - Walker, Lauren
AU - Cree, Lindsey
AU - Berzins, Kathryn
AU - Brooks, Helen
AU - Beatty, Susan
AU - Cahoon, Patrick
AU - Rolfe, Anita
AU - Lovell, Karina
PY - 2015/8/13
Y1 - 2015/8/13
N2 - 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.TRIAL REGISTRATION NUMBER: ISRCTN16488358 (14 May 2014).
AB - 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.TRIAL REGISTRATION NUMBER: ISRCTN16488358 (14 May 2014).
KW - Community Health Services/economics
KW - Cost-Benefit Analysis
KW - Health Care Costs
KW - Health Personnel/economics
KW - Health Resources/economics
KW - Humans
KW - Inservice Training/economics
KW - Mental Disorders/diagnosis
KW - Mental Health
KW - Mental Health Services/economics
KW - Patient Care Planning/economics
KW - Patient Compliance
KW - Patient Participation/economics
KW - Patient Satisfaction
KW - Program Evaluation
KW - Quality of Life
KW - Research Design
KW - Self Report
KW - Severity of Illness Index
KW - State Medicine/statistics & numerical data
KW - United Kingdom
U2 - 10.1186/s13063-015-0896-6
DO - 10.1186/s13063-015-0896-6
M3 - Article
C2 - 26268221
SN - 1745-6215
VL - 16
SP - 348
JO - Trials
JF - Trials
ER -