Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation
dc.contributor.author | Baker, E | |
dc.contributor.author | Gwernan-Jones, R | |
dc.contributor.author | Britten, N | |
dc.contributor.author | Cox, M | |
dc.contributor.author | McCabe, C | |
dc.contributor.author | Retzer, A | |
dc.contributor.author | Gill, L | |
dc.contributor.author | Plappert, H | |
dc.contributor.author | Reilly, S | |
dc.contributor.author | Pinfold, V | |
dc.contributor.author | Gask, L | |
dc.contributor.author | Byng, R | |
dc.contributor.author | Birchwood, M | |
dc.date.accessioned | 2019-01-09T13:21:43Z | |
dc.date.issued | 2019-01-07 | |
dc.description.abstract | Background Many people diagnosed with schizophrenia, bipolar or other psychoses in England receive the majority of their healthcare from primary care. Primary care practitioners may not be well equipped to meet their needs and there is often poor communication with secondary care. Collaborative care is a promising alternative model but has not been trialled specifically with this service user group in England. Collaborative care for other mental health conditions has not been widely implemented despite evidence of its effectiveness. We carried out a formative evaluation of the PARTNERS model of collaborative care, with the aim of establishing barriers and facilitators to delivery, identifying implementation support requirements and testing the initial programme theory. Methods The PARTNERS intervention was delivered on a small scale in three sites. Qualitative data was collected from primary and secondary care practitioners, service users and family carers, using semi-structured interviews, session recordings and tape-assisted recall. Deductive and inductive thematic analysis was carried out; themes were compared to the programme theory and used to inform an implementation support strategy. Results Key components of the intervention that were not consistently delivered as intended were: interaction with primary care teams, the use of coaching, and supervision. Barriers and facilitators identified were related to service commitment, care partner skills, supervisor understanding and service user motivation. An implementation support strategy was developed, with researcher facilitation of communication and supervision and additional training for practitioners. Some components of the intervention were not experienced as intended; this appeared to reflect difficulties with operationalising the intervention. Analysis of data relating to the intended outcomes of the intervention indicated that the mechanisms proposed in the programme theory had operated as expected. Conclusions Additional implementation support is likely to be required for the PARTNERS model to be delivered; the effectiveness of such support may be affected by practitioner and service user readiness to change. There is also a need to test the programme theory more fully. These issues will be addressed in the process evaluation of our full trial. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.identifier.citation | Vol. 19, article 7 | en_GB |
dc.identifier.doi | 10.1186/s12888-018-1997-z | |
dc.identifier.grantnumber | RP-PG-0611-20004 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/35404 | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.rights | © The Author(s). 2019. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_GB |
dc.subject | Collaborative care | en_GB |
dc.subject | Recovery | en_GB |
dc.subject | Schizophrenia | en_GB |
dc.subject | Bipolar | en_GB |
dc.subject | Psychosis | en_GB |
dc.subject | Feasibility studies | en_GB |
dc.subject | Formative evaluation | en_GB |
dc.title | Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-01-09T13:21:43Z | |
dc.identifier.issn | 1471-244X | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Availability of data and materials: Transcripts will not be shared in their entirety to protect the anonymity of service users and care partners delivering the intervention. However, requests for excerpts of the data will be considered on an individual basis. Please contact the corresponding author. | en_GB |
dc.identifier.journal | BMC Psychiatry | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2018-12-20 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2018-12-20 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-01-08T16:17:50Z | |
refterms.versionFCD | EVoR | |
refterms.dateFOA | 2019-01-09T13:21:50Z | |
refterms.panel | A | en_GB |
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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.