Study Protocol Design and Evaluation of a Hospital-based Multi-professional Educational Intervention: Person-Centred Psychosis Care (PCPC)

Overview

Journal BMC Psychiatry

Publisher Biomed Central

Specialty Psychiatry

Date 2018 Sep 1

PMID 30165822

Citations 2

Authors

Anneli Goulding

Katarina Allerby

Lilas Ali

Andreas Gremyr

Margda Waern

Affiliations

Soon will be listed here.

Abstract

Background: While patient involvement in mental health care is repeatedly stressed in policy documents, there are actually few studies that evaluate person-centred care interventions within psychiatric services. We present here the design and planned evaluation of an educational intervention for inpatient staff involved in the care of persons with schizophrenia and similar psychoses.

Methods/design: The care intervention will be assessed using a non-randomised trial with a before and after approach. The intervention involves an educational and experimental learning phase for hospital staff, followed by an implementation phase. The intervention is multi-professional; psychiatrists, psychiatric nurses, psychiatric carers, social workers, occupational therapists, and a medical secretary will be engaged in a participatory approach where they practice how to create a partnership and explore recovery-related goals together with patients. Patient-related outcomes include empowerment and satisfaction with care. Ward-level outcomes include daily ward burden, length of inpatient stay, and number of days with involuntary care. In addition, qualitative methods will be applied to capture patient, next-of-kin, and staff perspectives.

Discussion: The care intervention is expected to contribute to the improvement of inpatient care for persons with severe and complex mental health issues.

Trial Registration: The trial was retrospectively registered at ClinicalTrials.gov June 9, 2017, identifier: NCT03182283 .

Citing Articles

Increasing person-centeredness in psychosis inpatient care: staff experiences from the Person-Centered Psychosis Care (PCPC) project.

Allerby K, Goulding A, Ali L, Waern M BMC Health Serv Res. 2022; 22(1):596.

PMID: 35505358 PMC: 9066767. DOI: 10.1186/s12913-022-08008-z.

Striving for a more person-centered psychosis care: results of a hospital-based multi-professional educational intervention.

Allerby K, Goulding A, Ali L, Waern M BMC Psychiatry. 2020; 20(1):523.

PMID: 33148190 PMC: 7640678. DOI: 10.1186/s12888-020-02871-y.

References

Wale J, Belkin G, Moon R . Reducing the use of seclusion and restraint in psychiatric emergency and adult inpatient services- improving patient-centered care. Perm J. 2011; 15(2):57-62. PMC: 3140751. DOI: 10.7812/TPP/10-159. View

ROGERS E, CHAMBERLIN J, ELLISON M, Crean T . A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv. 1997; 48(8):1042-7. DOI: 10.1176/ps.48.8.1042. View

Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M . Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008; 337:a1655. PMC: 2769032. DOI: 10.1136/bmj.a1655. View

Malm U, Ivarsson B, Allebeck P, Falloon I . Integrated care in schizophrenia: a 2-year randomized controlled study of two community-based treatment programs. Acta Psychiatr Scand. 2003; 107(6):415-23. DOI: 10.1034/j.1600-0447.2003.00085.x. View

Smith G, Williams T . From providing a service to being of service: advances in person-centred care in mental health. Curr Opin Psychiatry. 2016; 29(5):292-7. DOI: 10.1097/YCO.0000000000000264. View

Endicott J, Spitzer R, Fleiss J, Cohen J . The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976; 33(6):766-71. DOI: 10.1001/archpsyc.1976.01770060086012. View

Kinter E, Schmeding A, Rudolph I, dosReis S, Bridges J . Identifying patient-relevant endpoints among individuals with schizophrenia: an application of patient-centered health technology assessment. Int J Technol Assess Health Care. 2009; 25(1):35-41. DOI: 10.1017/S0266462309090059. View

Stovell D, Morrison A, Panayiotou M, Hutton P . Shared treatment decision-making and empowerment-related outcomes in psychosis: systematic review and meta-analysis. Br J Psychiatry. 2016; 209(1):23-8. DOI: 10.1192/bjp.bp.114.158931. View

Ekman I, Wolf A, Olsson L, Taft C, Dudas K, Schaufelberger M . Effects of person-centred care in patients with chronic heart failure: the PCC-HF study. Eur Heart J. 2011; 33(9):1112-9. PMC: 3751966. DOI: 10.1093/eurheartj/ehr306. View

10.

Olsson L, Karlsson J, Ekman I . Effects of nursing interventions within an integrated care pathway for patients with hip fracture. J Adv Nurs. 2007; 58(2):116-25. DOI: 10.1111/j.1365-2648.2007.04209.x. View

11.

Ivarsson B, Malm U . Self-reported consumer satisfaction in mental health services: validation of a self-rating version of the UKU-Consumer Satisfaction Rating Scale. Nord J Psychiatry. 2007; 61(3):194-200. DOI: 10.1080/08039480701352488. View

12.

Sharma T, Bamford M, Dodman D . Person-centred care: an overview of reviews. Contemp Nurse. 2016; 51(2-3):107-20. DOI: 10.1080/10376178.2016.1150192. View

13.

Rogers E, Ralph R, Salzer M . Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. 2010; 61(9):933-6. DOI: 10.1176/ps.2010.61.9.933. View

14.

Berger J . Incorporation of the Tidal Model into the interdisciplinary plan of care--a program quality improvement project. J Psychiatr Ment Health Nurs. 2006; 13(4):464-7. DOI: 10.1111/j.1365-2850.2006.01007.x. View

15.

Bertakis K, Azari R . Patient-centered care is associated with decreased health care utilization. J Am Board Fam Med. 2011; 24(3):229-39. DOI: 10.3122/jabfm.2011.03.100170. View

16.

Malm U, Ivarsson B, Allebeck P . Durability of the efficacy of integrated care in schizophrenia: a five-year randomized controlled study. Psychiatr Serv. 2014; 65(8):1054-7. DOI: 10.1176/appi.ps.201300164. View

17.

Barton S, Johnson M, Price L . Achieving restraint-free on an inpatient behavioral health unit. J Psychosoc Nurs Ment Health Serv. 2009; 47(1):34-40. DOI: 10.3928/02793695-20090101-01. View

18.

Gabrielsson S, Savenstedt S, Zingmark K . Person-centred care: clarifying the concept in the context of inpatient psychiatry. Scand J Caring Sci. 2014; 29(3):555-62. DOI: 10.1111/scs.12189. View

19.

Olsson L, Hansson E, Ekman I, Karlsson J . A cost-effectiveness study of a patient-centred integrated care pathway. J Adv Nurs. 2009; 65(8):1626-35. DOI: 10.1111/j.1365-2648.2009.05017.x. View

20.

Allerby K, Sameby B, Brain C, Joas E, Quinlan P, Sjostrom N . Stigma and Burden Among Relatives of Persons With Schizophrenia: Results From the Swedish COAST Study. Psychiatr Serv. 2015; 66(10):1020-6. DOI: 10.1176/appi.ps.201400405. View