Evidence map›Paper›PMID 25263536›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

Community Engagement in a complex intervention to improve access to primary mental health care for hard-to-reach groups.

Jonathan Lamb, Christopher Dowrick, Heather Burroughs, Susan Beatty, Suzanne Edwards, Kate Bristow, Pam Clarke, Jonathan Hammond, Waquas Waheed, Mark Gabbay and 1 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jonathan LambCentre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Christopher DowrickInstitute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Heather BurroughsInstitute of Primary Care and Health Sciences, Keele University, Keele, UK.
Susan BeattyCentre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Suzanne EdwardsInstitute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Kate BristowInstitute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Pam ClarkeInstitute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Jonathan HammondCentre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Waquas WaheedCentre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.
Mark GabbayInstitute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Linda GaskCentre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK.

Funding

Department of Health RP-PG-0606-1071
6 · The paper itself

Abstract

backgroundDespite the availability of effective evidence-based treatments for depression and anxiety, many 'harder-to-reach' social and patient groups experience difficulties accessing treatment. We developed a complex intervention, the AMP (Improving Access to Mental Health in Primary Care) programme, which combined community engagement (CE), tailored (individual and group) psychosocial interventions and primary care involvement.

objectivesTo develop and evaluate a model for community engagement component of the complex intervention. This paper focuses on the development of relationships between stakeholders, their engagement with the issue of access to mental health and with the programme through the CE model.

designOur evaluation draws on process data, qualitative interviews and focus groups, brought together through framework analysis to evaluate the issues and challenges encountered. SETTING &

participantsA case study of the South Asian community project carried out in Longsight in Greater Manchester, United Kingdom. KEY

findingsComplex problems require multiple local stakeholders to work in concert. Assets based approaches implicitly make demands on scarce time and resources. Community development approaches have many benefits, but perceptions of open-ended investment are a barrier. The time-limited nature of a CE intervention provides an impetus to 'do it now', allowing stakeholders to negotiate their investment over time and accommodating their wider commitments. Both tangible outcomes and recognition of process benefits were vital in maintaining involvement.

conclusionsCE interventions can play a key role in improving accessibility and acceptability by engaging patients, the public and practitioners in research and in the local service ecology.

Indexed as

Community ParticipationHealth Services AccessibilityMental Health ServicesFocus GroupsHumansModels, OrganizationalPrimary Health CareProgram DevelopmentPsychologyaction researchBMEcommunity engagementevaluationinterventionsmental health

Identifiers

PMID25263536
PMCPMC5810727

What OpenQuestion holds

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Registered trials

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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.