Trial reportPloS one2014
Implementing a complex intervention to support personal recovery: a qualitative study nested within a cluster randomised controlled trial.
Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Factors influencing the implementation of mental health recovery into services: a systematic mixed studies review.Systematic reviews · 2021Pooled it
- A Systematic Review of the Characteristics and Efficacy of Recovery Training for Mental Health Staff: Implications for Supported Accommodation Services.Frontiers in psychiatry · 2021Pooled it
- Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation.BMC psychiatry · 2019Trial
- Recovery-oriented mental health training interventions: An integrative review.International journal of nursing studies advances · 2026Review
- "Something is clashing" - intentions to offer Medication-Free services within a traditional mental health ward.Frontiers in psychiatry · 2026Article
- Evaluation of a pro-recovery training intervention (REFOCUS-RETAFORM) in specialist mental health services across France: stepped-wedge cluster randomised controlled trial protocol.BMC psychiatry · 2025Article
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- Beyond recovery: toward rights-based mental health care - A cluster randomized wait-list controlled trial of a recovery and rights training for mental health professionals with or without first person accounts.Frontiers in psychology · 2023Article
- The challenges and necessity of situating 'illness narratives' in recovery and mental health treatment.BJPsych bulletin · 2022Article
- It is not enough to sing its praises: the very foundations of precision psychiatry may be scientifically unsound and require examination.Psychological medicine · 2021Article
- A qualitative study of stakeholder views on the use of a digital app for supported self-management in early intervention services for psychosis.BMC psychiatry · 2021Article
- The evidence-based group-level symptom-reduction model as the organizing principle for mental health care: time for change?World psychiatry : official journal of the World Psychiatric Association (WPA) · 2019Article
- Protocol for a mixed studies systematic review on the implementation of the recovery approach in adult mental health services.BMJ open · 2017Article
- Article
- Service user experiences of REFOCUS: a process evaluation of a pro-recovery complex intervention.Social psychiatry and psychiatric epidemiology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo investigate staff and trainer perspectives on the barriers and facilitators to implementing a complex intervention to help staff support the recovery of service users with a primary diagnosis of psychosis in community mental health teams.
designProcess evaluation nested within a cluster randomised controlled trial (RCT).
participants28 interviews with mental health care staff, 3 interviews with trainers, 4 focus groups with intervention teams and 28 written trainer reports.
setting14 community-based mental health teams in two UK sites (one urban, one semi-rural) who received the intervention.
resultsThe factors influencing the implementation of the intervention can be organised under two over-arching themes: Organisational readiness for change and Training effectiveness. Organisational readiness for change comprised three sub-themes: NHS Trust readiness; Team readiness; and Practitioner readiness. Training effectiveness comprised three sub-themes: Engagement strategies; Delivery style and Modelling recovery principles.
conclusionsThree findings can inform future implementation and evaluation of complex interventions. First, the underlying intervention model predicted that three areas would be important for changing practice: staff skill development; intention to implement; and actual implementation behaviour. This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting. Second, practitioners make inferences about organisational commitment by observing the allocation of resources, Knowledge Performance Indicators and service evaluation outcome measures. These need to be aligned with recovery values, principles and practice. Finally, we recommend the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs. We believe this would maximise the likelihood of adequate implementation and hence reduce waste in research expenditure.
trial registrationControlled-Trials.com ISRCTN02507940.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.