eprintid: 10165818
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/16/58/18
datestamp: 2023-03-02 12:14:25
lastmod: 2023-03-02 12:14:25
status_changed: 2023-03-02 12:14:25
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Islam, Samihah
creators_name: Appleton, Rebecca
creators_name: Hutchings-Hay, Chloe
creators_name: Lloyd-Evans, Brynmor
creators_name: Johnson, Sonia
title: A systematic review of influences on implementation of supported self-management interventions for people with severe mental health problems in secondary mental health care settings
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
divisions: FH7
keywords: Mental health and psychiatry, Bipolar disorder, Schizophrenia, Database searching, Psychoses, Depression, Mental health therapies, Systematic reviews
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abstract: PURPOSE: There is robust evidence for offering supported self-management interventions for people with severe mental illness (SMI) throughout secondary mental health services, but their availability remains patchy. The aim of this systematic review is to synthesise the evidence on barriers and facilitators to implementing self-management interventions for people with SMI in secondary mental health care settings. METHODS: The review protocol was registered with PROSPERO (CRD42021257078). Five databases were searched to identify relevant studies. We included full-text journal articles with primary qualitative or quantitative data on factors which affect the implementation of self-management interventions for people with SMI in secondary mental health services. The included studies were analysed using narrative synthesis, using the Consolidated Framework for Implementation Research and an established taxonomy of implementation outcomes. RESULTS: Twenty-three studies from five countries met eligibility criteria. The barriers and facilitators identified in the review were mainly on the organisational level, but included some individual-level influences. Facilitators included high feasibility, high fidelity, a strong team structure, sufficient number of staff, support from colleagues, staff training, supervision, the presence of an implementation champion and adaptability of the intervention. Barriers to implementation include high staff turnover, staff shortage, lack of supervision, lack of support for staff delivering the programme, staff struggling with their increased workload, a lack of senior clinical leadership, and programme content perceived as irrelevant. CONCLUSION: The findings from this research suggest promising strategies to improve implementation of self-management interventions. For services providing support for people with SMI, organisational culture should be considered, as well as the adaptability of interventions.
date: 2023-02-27
date_type: published
publisher: Public Library of Science (PLoS)
official_url: https://doi.org/10.1371/journal.pone.0282157
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2007463
doi: 10.1371/journal.pone.0282157
medium: Electronic-eCollection
pii: PONE-D-22-15504
lyricists_name: Johnson, Isabella
lyricists_name: Lloyd-Evans, Brynmor
lyricists_name: Appleton, Rebecca
lyricists_id: ISJOH12
lyricists_id: BLLOY83
lyricists_id: RAPPL21
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: PLOS ONE
volume: 18
number: 2
article_number: e0282157
event_location: United States
citation:        Islam, Samihah;    Appleton, Rebecca;    Hutchings-Hay, Chloe;    Lloyd-Evans, Brynmor;    Johnson, Sonia;      (2023)    A systematic review of influences on implementation of supported self-management interventions for people with severe mental health problems in secondary mental health care settings.                   PLOS ONE , 18  (2)    , Article e0282157.  10.1371/journal.pone.0282157 <https://doi.org/10.1371/journal.pone.0282157>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10165818/1/journal.pone.0282157.pdf