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dc.contributor.authorKirkpatrick, T
dc.contributor.authorLennox, C
dc.contributor.authorTaylor, R
dc.contributor.authorAnderson, R
dc.contributor.authorMaguire, M
dc.contributor.authorHaddad, M
dc.contributor.authorMichie, S
dc.contributor.authorOwens, C
dc.contributor.authorDurcan, G
dc.contributor.authorStirzaker, A
dc.contributor.authorHenley, W
dc.contributor.authorStevenson, C
dc.contributor.authorCarroll, L
dc.contributor.authorQuinn, C
dc.contributor.authorBrand, SL
dc.contributor.authorHarris, T
dc.contributor.authorStewart, A
dc.contributor.authorTodd, R
dc.contributor.authorRybczynska-Bunt, S
dc.contributor.authorGreer, R
dc.contributor.authorPearson, M
dc.contributor.authorShaw, J
dc.contributor.authorByng, R
dc.date.accessioned2018-02-26T09:18:13Z
dc.date.issued2018-02-20
dc.description.abstractINTRODUCTION: The 'Engager' programme is a 'through-the-gate' intervention designed to support prisoners with common mental health problems as they transition from prison back into the community. The trial will evaluate the clinical and cost-effectiveness of the Engager intervention. METHODS AND ANALYSIS: The study is a parallel two-group randomised controlled trial with 1:1 individual allocation to either: (a) the Engager intervention plus standard care (intervention group) or (b) standard care alone (control group) across two investigation centres (South West and North West of England). Two hundred and eighty prisoners meeting eligibility criteria will take part. Engager is a person-centred complex intervention delivered by practitioners and aimed at addressing offenders' mental health and social care needs. It comprises one-to-one support for participants prior to release from prison and for up to 20 weeks postrelease. The primary outcome is change in psychological distress measured by the Clinical Outcomes in Routine Evaluation-Outcome Measure at 6 months postrelease. Secondary outcomes include: assessment of subjective met/unmet need, drug and alcohol use, health-related quality of life and well-being-related quality of life measured at 3, 6 and 12 months postrelease; change in objective social domains, drug and alcohol dependence, service utilisation and perceived helpfulness of services and change in psychological constructs related to desistence at 6 and 12 months postrelease; and recidivism at 12 months postrelease. A process evaluation will assess fidelity of intervention delivery, test hypothesised mechanisms of action and look for unintended consequences. An economic evaluation will estimate the cost-effectiveness. ETHICS AND DISSEMINATION: This study has been approved by the Wales Research Ethics Committee 3 (ref: 15/WA/0314) and the National Offender Management Service (ref: 2015-283). Findings will be disseminated to commissioners, clinicians and service users via papers and presentations. TRIAL REGISTRATION NUMBER: ISRCTN11707331; Pre-results.en_GB
dc.description.sponsorshipEngager is funded by the National Institute for Health Research (NIHR) under its Programme Grant for Applied Research Programme (grant number: RP-PG-1210-12011). This research was also supported by the NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula at the Royal Devon and Exeter NHS Foundation Trust. The views expressed are those of the author(s) and not necessarily those of the National Health Service (NHS), NIHR or the Department of Health. The funder had no role in the design of this study and will not have any role during execution, analysis, interpretation of findings or decision to submit results. The views expressed are those of the authors and not necessarily those of NHS, NIHR or the Department of Health.en_GB
dc.identifier.citationVol. 8, pp. e017931 -en_GB
dc.identifier.doi10.1136/bmjopen-2017-017931
dc.identifier.otherbmjopen-2017-017931
dc.identifier.urihttp://hdl.handle.net/10871/31663
dc.language.isoenen_GB
dc.publisherBMJ Publishing Groupen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/29463586en_GB
dc.rights© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/en_GB
dc.subjectmental healthen_GB
dc.subjectprisonen_GB
dc.subjectprotocolen_GB
dc.subjectrandomised controlled trialen_GB
dc.subjectresettlementen_GB
dc.titleEvaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: study protocol for a randomised controlled trial.en_GB
dc.typeArticleen_GB
dc.date.available2018-02-26T09:18:13Z
exeter.place-of-publicationEnglanden_GB
dc.descriptionThis is the final version of the article. Available from BMJ Publishing Group via the DOI in this record.en_GB
dc.identifier.eissn2044-6055
dc.identifier.journalBMJ Openen_GB


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