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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

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
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
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)
care planning, severe mental illness, service user involvement
1745-6215
Bower, Peter
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Roberts, Chris
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O’Leary, Neil
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Callaghan, Patrick
cb5bb94e-19bf-47ca-bfc3-d676ac81dea8
Bee, Penny
76e373ee-12be-4966-8bb6-8157e1dc037d
Fraser, Claire
aebecd2c-85c7-4e2f-92a6-00b11b8f1326
Gibbons, Chris
000f0dcc-beb6-401b-a48b-133011e517ef
Olleveant, Nicola
34736033-420f-4cd6-8769-aa860e7ee967
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Davies, Linda
5cb5a68e-ff0a-4519-a773-dafb313e2e70
Drake, Richard
a031e7ce-cc6d-489d-939f-2f8faad32d43
Sanders, Caroline
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Meade, Oonagh
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Grundy, Andrew
e21f80b5-0667-43f3-bfb8-c4b29f7f15fb
Walker, Lauren
b68adbc8-08f1-447b-a26b-6be2f601cf0f
Cree, Lindsey
bbc04c53-5ba6-4939-b377-7344fda017fa
Berzins, Kathryn
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Brooks, Helen
0056a0c8-f97a-4215-99e1-652291fcd6eb
Beatty, Susan
2c6c00b4-5755-482f-8a0b-52200b77f366
Cahoon, Patrick
da2d458d-91ed-46c2-af1e-c129bd12d230
Rolfe, Anita
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Lovell, Karina
5d35b37c-4545-4ba4-a66c-9d94e1e9e780
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Roberts, Chris
6b8da39a-79b9-478e-8170-32f40ad4ef3f
O’Leary, Neil
944fd332-1d46-4a77-917e-b0c57f930f4e
Callaghan, Patrick
cb5bb94e-19bf-47ca-bfc3-d676ac81dea8
Bee, Penny
76e373ee-12be-4966-8bb6-8157e1dc037d
Fraser, Claire
aebecd2c-85c7-4e2f-92a6-00b11b8f1326
Gibbons, Chris
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Olleveant, Nicola
34736033-420f-4cd6-8769-aa860e7ee967
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Davies, Linda
5cb5a68e-ff0a-4519-a773-dafb313e2e70
Drake, Richard
a031e7ce-cc6d-489d-939f-2f8faad32d43
Sanders, Caroline
1121a9ec-e719-489a-9ffd-ae8cb6e49a78
Meade, Oonagh
4469234d-0df1-4d66-b0fd-c141a87e1f2e
Grundy, Andrew
e21f80b5-0667-43f3-bfb8-c4b29f7f15fb
Walker, Lauren
b68adbc8-08f1-447b-a26b-6be2f601cf0f
Cree, Lindsey
bbc04c53-5ba6-4939-b377-7344fda017fa
Berzins, Kathryn
304182ce-720d-458d-8925-ffcfa5ba2c0a
Brooks, Helen
0056a0c8-f97a-4215-99e1-652291fcd6eb
Beatty, Susan
2c6c00b4-5755-482f-8a0b-52200b77f366
Cahoon, Patrick
da2d458d-91ed-46c2-af1e-c129bd12d230
Rolfe, Anita
2114ee26-c683-4b9c-8f78-2414a11d1151
Lovell, Karina
5d35b37c-4545-4ba4-a66c-9d94e1e9e780

Bower, Peter, Roberts, Chris, O’Leary, Neil, Callaghan, Patrick, Bee, Penny, Fraser, Claire, Gibbons, Chris, Olleveant, Nicola, Rogers, Anne, Davies, Linda, Drake, Richard, Sanders, Caroline, Meade, Oonagh, Grundy, Andrew, Walker, Lauren, Cree, Lindsey, Berzins, Kathryn, Brooks, Helen, Beatty, Susan, Cahoon, Patrick, Rolfe, Anita and Lovell, Karina (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). (doi:10.1186/s13063-015-0896-6).

Record type: Article

Abstract

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)

Text
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More information

Accepted/In Press date: 3 August 2015
Published date: 13 August 2015
Keywords: care planning, severe mental illness, service user involvement
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 380764
URI: https://eprints.soton.ac.uk/id/eprint/380764
ISSN: 1745-6215
PURE UUID: 7c5ff6b0-c5bd-4c2c-bfce-7c7a19239cd7

Catalogue record

Date deposited: 17 Sep 2015 11:30
Last modified: 30 Jul 2019 18:35

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Contributors

Author: Peter Bower
Author: Chris Roberts
Author: Neil O’Leary
Author: Patrick Callaghan
Author: Penny Bee
Author: Claire Fraser
Author: Chris Gibbons
Author: Nicola Olleveant
Author: Anne Rogers
Author: Linda Davies
Author: Richard Drake
Author: Caroline Sanders
Author: Oonagh Meade
Author: Andrew Grundy
Author: Lauren Walker
Author: Lindsey Cree
Author: Kathryn Berzins
Author: Helen Brooks
Author: Susan Beatty
Author: Patrick Cahoon
Author: Anita Rolfe
Author: Karina Lovell

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