Evidence map›Paper›PMID 30616552›Full record

Trial reportBMC psychiatry2019

Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation.

Elina Baker, Ruth Gwernan-Jones, Nicky Britten, Maria Cox, Catherine McCabe, Ameeta Retzer, Laura Gill, Humera Plappert, Siobhan Reilly, Vanessa Pinfold and 3 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2019. 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.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
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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

13 authors at 7 institutions in 1 country.

Elina BakerInstitute of Health Research, University of Exeter Medical School, St Luke's Campus, Exeter, UK. e.r.baker@exeter.ac.uk.ORCID 0000-0001-9064-5897
Ruth Gwernan-JonesInstitute of Health Research, University of Exeter Medical School, St Luke's Campus, Exeter, UK.
Nicky BrittenInstitute of Health Research, University of Exeter Medical School, St Luke's Campus, Exeter, UK.
Maria CoxHealth Research, Lancaster University, Furness Building, Lancaster, UK.
Catherine McCabeCommunity and Primary Care Research Group, University of Plymouth, Faculty of Medicine and Dentistry, Plymouth Science Park, Plymouth, UK.
Ameeta RetzerInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, UK.
Laura GillCommunity and Primary Care Research Group, University of Plymouth, Faculty of Medicine and Dentistry, Plymouth Science Park, Plymouth, UK.
Humera PlappertInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, UK.
Siobhan ReillyHealth Research, Lancaster University, Furness Building, Lancaster, UK.
Vanessa PinfoldThe McPin Foundation, 32-36 Loman Street, London, UK.
Linda GaskCentre for Primary Care research, University of Manchester, Oxford Road, Williamson Building, Manchester, UK.
Richard ByngCommunity and Primary Care Research Group, University of Plymouth, Faculty of Medicine and Dentistry, Plymouth Science Park, Plymouth, UK.
Max BirchwoodWarwick Medical School, University of Warwick, Coventry, UK.
University of Exeter · GBUniversity of Plymouth · GBLancaster University · GBUniversity of Birmingham · GBMcPin Foundation · GBUniversity of Manchester · GBUniversity of Warwick · GB

Funding

Department of Health RP-PG-0611-20004
6 · The paper itself

Abstract

backgroundMany people diagnosed with schizophrenia, bipolar or other psychoses in England receive the majority of their healthcare from primary care. Primary care practitioners may not be well equipped to meet their needs and there is often poor communication with secondary care. Collaborative care is a promising alternative model but has not been trialled specifically with this service user group in England. Collaborative care for other mental health conditions has not been widely implemented despite evidence of its effectiveness. We carried out a formative evaluation of the PARTNERS model of collaborative care, with the aim of establishing barriers and facilitators to delivery, identifying implementation support requirements and testing the initial programme theory.

methodsThe PARTNERS intervention was delivered on a small scale in three sites. Qualitative data was collected from primary and secondary care practitioners, service users and family carers, using semi-structured interviews, session recordings and tape-assisted recall. Deductive and inductive thematic analysis was carried out; themes were compared to the programme theory and used to inform an implementation support strategy.

resultsKey components of the intervention that were not consistently delivered as intended were: interaction with primary care teams, the use of coaching, and supervision. Barriers and facilitators identified were related to service commitment, care partner skills, supervisor understanding and service user motivation. An implementation support strategy was developed, with researcher facilitation of communication and supervision and additional training for practitioners. Some components of the intervention were not experienced as intended; this appeared to reflect difficulties with operationalising the intervention. Analysis of data relating to the intended outcomes of the intervention indicated that the mechanisms proposed in the programme theory had operated as expected.

conclusionsAdditional implementation support is likely to be required for the PARTNERS model to be delivered; the effectiveness of such support may be affected by practitioner and service user readiness to change. There is also a need to test the programme theory more fully. These issues will be addressed in the process evaluation of our full trial.

trial registrationISRCTN95702682 , 26 October 2017.

Indexed as

Intersectoral CollaborationQualitative ResearchAdultBipolar DisorderCaregiversEnglandFemaleHealth PersonnelHumansMaleMiddle AgedPrimary Health CarePsychotic DisordersSchizophreniaSchizophrenic PsychologyBipolarCollaborative careFeasibility studiesFormative evaluationPsychosisRecoverySchizophrenia

Identifiers

PMID30616552
PMCPMC6323712
OpenAlexW2913481035

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.