Evidence map›Paper›PMID 30459961›Full record

ArticlePilot and feasibility studies2018

The help for people with money, employment or housing problems (HOPE) intervention: pilot randomised trial with mixed methods feasibility research.

M C Barnes, A M Haase, L J Scott, M-J Linton, A M Bard, J L Donovan, R Davies, S Dursley, S Williams, D Elliott and 7 more

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2018. 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

M C Barnes1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.ORCID 0000-0003-0504-497X
A M Haase3School of Policy Studies, University of Bristol, Bristol, UK.
L J Scott2National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West, UH Bristol NHS Trust, UK/Population Health Sciences,, University of Bristol, Bristol, UK.
M-J Linton2National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West, UH Bristol NHS Trust, UK/Population Health Sciences,, University of Bristol, Bristol, UK.
A M Bard4School of Veterinary Sciences, University of Bristol, Bristol, UK.
J L Donovan2National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West, UH Bristol NHS Trust, UK/Population Health Sciences,, University of Bristol, Bristol, UK.
R Davies1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.
S DursleyPsychiatric Liaison Team, UHBristol NHS Trust, Bristol, UK.
S WilliamsPsychiatric Liaison Team, UHBristol NHS Trust, Bristol, UK.
D Elliott1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.
J Potokar1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.
N Kapur7Centre for Suicide Prevention, University of Manchester, Manchester, UK.
K Hawton8Centre for Suicide Research, University of Oxford, Oxford, UK.
R C O'Connor9Suicidal Behaviour Research Laboratory, University of Glasgow, Glasgow, UK.
W Hollingworth1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.
C Metcalfe1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.
D Gunnell1Population Health Sciences, University of Bristol, Canynge Hall, Bristol, BS8 2PS UK.

Funding

Department of Health RP-PG-0610-10026
6 · The paper itself

Abstract

backgroundJob loss, austerity measures, financial difficulties and house repossession contribute to the risk of self-harm and suicide during recessions. Navigating the benefits system and accessing sources of welfare and debt advice is a difficult experience for vulnerable people, further contributing to their distress. Whilst there is some evidence that advice-type interventions can lead to financial gain, there is mixed evidence for their effectiveness in improving mental health in those experiencing financial difficulties. There have been no interventions targeting those who have self-harmed due to economic hardship.

methodsOur aim was to determine the feasibility and acceptability of a brief psychosocial intervention (the 'HOPE' service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment or welfare (benefit) difficulties. Nineteen people consented to random allocation to the intervention or control arm on a 2:1 basis. Participants randomised to the intervention arm (

resultsInterviews indicated the main benefits of the service as the resolution of specific financial problems and receiving support when participants were feeling most vulnerable. Randomisation was acceptable to most participants although not always fully understood and control participants could be disappointed. Recruitment was slow (1-2 per month). The outcome measures were acceptable and appeared sensitive to change. DISCUSSION: The HOPE intervention is feasible and acceptable. There was evidence of need and it is a relatively inexpensive intervention. Refining aspects of the intervention would be straightforward. A full-scale RCT would be feasible, if broadened eligibility criteria led to increased recruitment and improvements were made to staff training and support.

trial registrationISRCTN58531248.

Indexed as

FeasibilityFinancial hardshipMotivational interviewingSelf-harmSupport intervention

Identifiers

PMID30459961
PMCPMC6233378

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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.