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

Journal article

Bower, P, Roberts, C, O'Leary, N, Callaghan, P, Bee, P, Fraser, C, Gibbons, C, Olleveant, N, Rogers, A, Davies, L, Drake, R, Sanders, C, Meade, O, Grundy, A, Walker, L, Cree, L, Berzins, K, Brooks, H, Beatty, S, Cahoon, P, Rolfe, A and Lovell, K (2015). 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. Trials. 16 (1), pp. 348-. https://doi.org/10.1186/s13063-015-0896-6
AuthorsBower, P, Roberts, C, O'Leary, N, Callaghan, P, Bee, P, Fraser, C, Gibbons, C, Olleveant, N, Rogers, A, Davies, L, Drake, R, Sanders, C, Meade, O, Grundy, A, Walker, L, Cree, L, Berzins, K, Brooks, H, Beatty, S, Cahoon, P, Rolfe, A and Lovell, K
Abstract

© 2015 Bower et al. 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)

KeywordsHumans; Severity of Illness Index; Program Evaluation; Patient Compliance; Mental Health; Mental Disorders; Mental Health Services; Research Design; Quality of Life; Inservice Training; Health Personnel; Community Health Services; Patient Participation; Cost-Benefit Analysis; Health Care Costs; Health Resources; State Medicine; Patient Satisfaction; Patient Care Planning; Self Report; United Kingdom
Year2015
JournalTrials
Journal citation16 (1), pp. 348-
PublisherSpringer
ISSN1745-6215
Digital Object Identifier (DOI)https://doi.org/10.1186/s13063-015-0896-6
Publication dates
Print13 Aug 2015
Online13 Aug 2015
Publication process dates
Accepted03 Aug 2015
Deposited22 Apr 2020
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