Trial reportBMJ open2015
The CORE study protocol: a stepped wedge cluster randomised controlled trial to test a co-design technique to optimise psychosocial recovery outcomes for people affected by mental illness in the community mental health setting.
Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers, 3 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
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017Pooled it
- The CORE study-An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized-controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2021Trial
- Experience-based co-design-Adapting the method for a researcher-initiated study in a multi-site setting.Health expectations : an international journal of public participation in health care and health policy · 2020Trial
- Trial
- The use of co-design with young people for digital mental health support development: A systematic review.Internet interventions · 2025Review
- Article
- Navigating process evaluation in co-creation: a Health CASCADE scoping review of used frameworks and assessed components.BMJ global health · 2024Article
- Article
- A New Podcast for Reducing Stigma Against People Living With Complex Mental Health Issues: Co-design Study.JMIR formative research · 2023Article
- Co-designing an intervention to improve the process of deprescribing for older people living with frailty in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Intervention Codesign in the Pediatric Cardiac Intensive Care Unit to Improve Family Meetings.Journal of pain and symptom management · 2022Article
- School-based screening for childhood anxiety problems and intervention delivery: a codesign approach.BMJ open · 2022Article
- Web-Based Technologies to Support Carers of People Living With Dementia: Protocol for a Mixed Methods Stepped-Wedge Cluster Randomized Controlled Trial.JMIR research protocols · 2022Article
- Using experience-based codesign to coproduce aphasia rehabilitation services: study protocol.BMJ open · 2021Article
- Finding harmony within dissonance: Engaging patients, family/caregivers and service providers in research to fundamentally restructure relationships through integrative dynamics.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Article
- Rapid Design and Delivery of an Experience-Based Co-designed Mobile App to Support the Mental Health Needs of Health Care Workers Affected by the COVID-19 Pandemic: Impact Evaluation Protocol.JMIR research protocols · 2021Article
- Using an adaptive, codesign approach to strengthen clinic-level immunisation services in Khayelitsha, Western Cape Province, South Africa.BMJ global health · 2021Article
Corrections and comments
- Erratum issuedCorrection.2015
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUser engagement in mental health service design is heralded as integral to health systems quality and performance, but does engagement improve health outcomes? This article describes the CORE study protocol, a novel stepped wedge cluster randomised controlled trial (SWCRCT) to improve psychosocial recovery outcomes for people with severe mental illness.
methodsAn SWCRCT with a nested process evaluation will be conducted over nearly 4 years in Victoria, Australia. 11 teams from four mental health service providers will be randomly allocated to one of three dates 9 months apart to start the intervention. The intervention, a modified version of Mental Health Experience Co-Design (MH ECO), will be delivered to 30 service users, 30 carers and 10 staff in each cluster. Outcome data will be collected at baseline (6 months) and at completion of each intervention wave. The primary outcome is improvement in recovery score using the 24-item Revised Recovery Assessment Scale for service users. Secondary outcomes are improvements to user and carer mental health and well-being using the shortened 8-item version of the WHOQOL Quality of Life scale (EUROHIS), changes to staff attitudes using the 19-item Staff Attitudes to Recovery Scale and recovery orientation of services using the 36-item Recovery Self Assessment Scale (provider version). Intervention and usual care periods will be compared using a linear mixed effects model for continuous outcomes and a generalised linear mixed effects model for binary outcomes. Participants will be analysed in the group that the cluster was assigned to at each time point. ETHICS AND DISSEMINATION: The University of Melbourne, Human Research Ethics Committee (1340299.3) and the Federal and State Departments of Health Committees (Project 20/2014) granted ethics approval. Baseline data results will be reported in 2015 and outcomes data in 2017. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry ACTRN12614000457640.
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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.