The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial

Abstract Background Mental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited. Objective The aim of this...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Victoria J. Palmer, Patty Chondros, John Furler, Helen Herrman, David Pierce, Kali Godbee, Konstancja Densley, Jane M. Gunn
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	codesign community mental health services experience‐based codesign psychosocial recovery quality improvement severe mental illness Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/80387b23b4e74f4eafcc9fdf40be11f3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:80387b23b4e74f4eafcc9fdf40be11f3
record_format	dspace
spelling	oai:doaj.org-article:80387b23b4e74f4eafcc9fdf40be11f32021-11-29T13:50:52ZThe CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial1369-76251369-651310.1111/hex.13334https://doaj.org/article/80387b23b4e74f4eafcc9fdf40be11f32021-12-01T00:00:00Zhttps://doi.org/10.1111/hex.13334https://doaj.org/toc/1369-6513https://doaj.org/toc/1369-7625Abstract Background Mental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited. Objective The aim of this study was to test whether an adapted mental health experience codesign intervention to improve recovery‐orientation of services led to greater psychosocial recovery outcomes for service users. Design A stepped wedge cluster randomized‐controlled trial was conducted. Setting and Participants Four Mental Health Community Support Services providers, 287 people living with severe mental illnesses, 61 carers and 120 staff were recruited across Victoria, Australia. Main Outcome Measures The 24‐item Revised Recovery Assessment Scale (RAS‐R) measured individual psychosocial recovery. Results A total of 841 observations were completed with 287 service users. The intention‐to‐treat analysis found RAS‐R scores to be similar between the intervention (mean = 84.7, SD= 15.6) and control (mean = 86.5, SD= 15.3) phases; the adjusted estimated difference in the mean RAS‐R score was −1.70 (95% confidence interval: −3.81 to 0.40; p = .11). Discussion This first trial of an adapted mental health experience codesign intervention for psychosocial recovery outcomes found no difference between the intervention and control arms. Conclusions More attention to the conditions that are required for eight essential mechanisms of change to support codesign processes and implementation is needed. Patient and Public Involvement The State consumer (Victorian Mental Illness Awareness Council) and carer peak bodies (Tandem representing mental health carers) codeveloped the intervention. The adapted intervention was facilitated by coinvestigators with lived‐experiences who were coauthors for the trial and process evaluation protocols, the engagement model and explanatory model of change for the trial.Victoria J. PalmerPatty ChondrosJohn FurlerHelen HerrmanDavid PierceKali GodbeeKonstancja DensleyJane M. GunnWileyarticlecodesigncommunity mental health servicesexperience‐based codesignpsychosocial recoveryquality improvementsevere mental illnessMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Expectations, Vol 24, Iss 6, Pp 1948-1961 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	codesign community mental health services experience‐based codesign psychosocial recovery quality improvement severe mental illness Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	codesign community mental health services experience‐based codesign psychosocial recovery quality improvement severe mental illness Medicine (General) R5-920 Public aspects of medicine RA1-1270 Victoria J. Palmer Patty Chondros John Furler Helen Herrman David Pierce Kali Godbee Konstancja Densley Jane M. Gunn The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
description	Abstract Background Mental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited. Objective The aim of this study was to test whether an adapted mental health experience codesign intervention to improve recovery‐orientation of services led to greater psychosocial recovery outcomes for service users. Design A stepped wedge cluster randomized‐controlled trial was conducted. Setting and Participants Four Mental Health Community Support Services providers, 287 people living with severe mental illnesses, 61 carers and 120 staff were recruited across Victoria, Australia. Main Outcome Measures The 24‐item Revised Recovery Assessment Scale (RAS‐R) measured individual psychosocial recovery. Results A total of 841 observations were completed with 287 service users. The intention‐to‐treat analysis found RAS‐R scores to be similar between the intervention (mean = 84.7, SD= 15.6) and control (mean = 86.5, SD= 15.3) phases; the adjusted estimated difference in the mean RAS‐R score was −1.70 (95% confidence interval: −3.81 to 0.40; p = .11). Discussion This first trial of an adapted mental health experience codesign intervention for psychosocial recovery outcomes found no difference between the intervention and control arms. Conclusions More attention to the conditions that are required for eight essential mechanisms of change to support codesign processes and implementation is needed. Patient and Public Involvement The State consumer (Victorian Mental Illness Awareness Council) and carer peak bodies (Tandem representing mental health carers) codeveloped the intervention. The adapted intervention was facilitated by coinvestigators with lived‐experiences who were coauthors for the trial and process evaluation protocols, the engagement model and explanatory model of change for the trial.
format	article
author	Victoria J. Palmer Patty Chondros John Furler Helen Herrman David Pierce Kali Godbee Konstancja Densley Jane M. Gunn
author_facet	Victoria J. Palmer Patty Chondros John Furler Helen Herrman David Pierce Kali Godbee Konstancja Densley Jane M. Gunn
author_sort	Victoria J. Palmer
title	The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
title_short	The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
title_full	The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
title_fullStr	The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
title_full_unstemmed	The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial
title_sort	core study—an adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: a stepped wedge cluster randomized‐controlled trial
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/80387b23b4e74f4eafcc9fdf40be11f3
work_keys_str_mv	AT victoriajpalmer thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT pattychondros thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT johnfurler thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT helenherrman thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT davidpierce thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT kaligodbee thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT konstancjadensley thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT janemgunn thecorestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT victoriajpalmer corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT pattychondros corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT johnfurler corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT helenherrman corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT davidpierce corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT kaligodbee corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT konstancjadensley corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial AT janemgunn corestudyanadaptedmentalhealthexperiencecodesigninterventiontoimprovepsychosocialrecoveryforpeoplewithseverementalillnessasteppedwedgeclusterrandomizedcontrolledtrial
_version_	1718407354285817856

The CORE study—An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized‐controlled trial

Ejemplares similares