eprintid: 1405331
rev_number: 49
eprint_status: archive
userid: 608
dir: disk0/01/40/53/31
datestamp: 2013-09-12 02:55:03
lastmod: 2021-12-13 01:39:00
status_changed: 2014-01-29 12:27:45
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Killaspy, H
creators_name: Cook, S
creators_name: Mundy, T
creators_name: Craig, T
creators_name: Holloway, F
creators_name: Leavey, G
creators_name: Marston, L
creators_name: McCrone, P
creators_name: Koeser, L
creators_name: Arbuthnott, M
creators_name: Omar, RZ
creators_name: King, M
title: Study protocol: cluster randomised controlled trial to assess the clinical and cost effectiveness of a staff training intervention in inpatient mental health rehabilitation units in increasing service users' engagement in activities
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
divisions: D12
divisions: G20
divisions: B04
divisions: C06
divisions: F61
note: © 2013 Killaspy et al.; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
abstract: This study focuses on people with complex and severe mental health problems who require inpatient rehabilitation. The majority have a diagnosis of schizophrenia whose recovery has been delayed due to non-response to first-line treatments, cognitive impairment, negative symptoms and co-existing problems such as substance misuse. These problems contribute to major impairments in social and everyday functioning necessitating lengthy admissions and high support needs on discharge to the community. Engagement in structured activities reduces negative symptoms of psychosis and may lead to improvement in function, but no trials have been conducted to test the efficacy of interventions that aim to achieve this.Methods/design: This study aims to investigate the clinical and cost-effectiveness of a staff training intervention to increase service users' engagement in activities. This is a single-blind, two-arm cluster randomised controlled trial involving 40 inpatient mental health rehabilitation units across England. Units are randomised on an equal basis to receive either standard care or a "hands-on", manualised staff training programme comprising three distinct phases (predisposing, enabling and reinforcing) delivered by a small team of psychiatrists, occupational therapists, service users and activity workers. The primary outcome is service user engagement in activities 12 months after randomisation, assessed using a standardised measure. Secondary outcomes include social functioning and costs and cost-effectiveness of care.
date: 2013-08-28
official_url: http://dx.doi.org/10.1186/1471-244X-13-216
vfaculties: VFBRS
vfaculties: VFPHS
vfaculties: VMPS
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
article_type_text: JOURNAL ARTICLE
verified: verified_manual
elements_source: PubMed
elements_id: 899702
doi: 10.1186/1471-244X-13-216
pii: 1471-244X-13-216
language_elements: ENG
lyricists_name: Killaspy, Helen
lyricists_name: King, Michael
lyricists_name: Marston, Louise
lyricists_name: Omar, Rumana
lyricists_id: HTKIL41
lyricists_id: MBKIN92
lyricists_id: LMARS51
lyricists_id: ROMAR78
full_text_status: public
publication: BMC Psychiatry
volume: 13
number: 1
article_number: 216
pagerange: -
issn: 1471-244X
citation:        Killaspy, H;    Cook, S;    Mundy, T;    Craig, T;    Holloway, F;    Leavey, G;    Marston, L;                     ... King, M; + view all <#>        Killaspy, H;  Cook, S;  Mundy, T;  Craig, T;  Holloway, F;  Leavey, G;  Marston, L;  McCrone, P;  Koeser, L;  Arbuthnott, M;  Omar, RZ;  King, M;   - view fewer <#>    (2013)    Study protocol: cluster randomised controlled trial to assess the clinical and cost effectiveness of a staff training intervention in inpatient mental health rehabilitation units in increasing service users' engagement in activities.                   BMC Psychiatry , 13  (1)    , Article 216.  10.1186/1471-244X-13-216 <https://doi.org/10.1186/1471-244X-13-216>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1405331/1/1471-244X-13-216.pdf