Evidence map›Paper›PMID 31826793›Full record

ArticleBJPsych open2019

Perspectives of patients, carers and mental health staff on early warning signs of relapse in psychosis: a qualitative investigation.

Stephanie Allan, Simon Bradstreet, Hamish J McLeod, John Gleeson, John Farhall, Maria Lambrou, Andrea Clark, Andrew I Gumley

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Healthcare Professionals' Views on the Use of Passive Sensing and Machine Learning Approaches in Secondary Mental Healthcare: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  5. Article
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

8 authors at 3 institutions in 2 countries.

Stephanie AllanStudent, Glasgow Institute of Health and Wellbeing, University of Glasgow, UK.ORCID https://orcid.org/0000-0002-4175-0591
Simon BradstreetTrial Manager, Glasgow Institute of Health and Wellbeing, University of Glasgow, UK.
Hamish J McLeodProfessor, Glasgow Institute of Health and Wellbeing, University of Glasgow, UK.ORCID https://orcid.org/0000-0002-4225-1815
John GleesonProfessor, Australian Catholic University, Australia.
John FarhallAssociate Professor, La Trobe University, Australia.
Maria LambrouResearch Assistant, Australian Catholic University, Australia.
Andrea ClarkResearch Assistant, Glasgow Institute of Health and Wellbeing, University of Glasgow, UK.
Andrew I GumleyProfessor, Glasgow Institute of Health and Wellbeing, University of Glasgow, UK.
University of Glasgow · GBAustralian Catholic University · AULa Trobe University · AU

Funding

Department of Health HTA/13/154/04
6 · The paper itself

Abstract

backgroundRelapse prevention strategies based on monitoring of early warning signs (EWS) are advocated for the management of psychosis. However, there has been a lack of research exploring how staff, carers and patients make sense of the utility of EWS, or how these are implemented in context.

aimsTo develop a multiperspective theory of how EWS are understood and used, which is grounded in the experiences of mental health staff, carers and patients.

methodTwenty-five focus groups were held across Glasgow and Melbourne (EMPOWER Trial, ISRCTN: 99559262). Participants comprised 88 mental health staff, 21 patients and 40 carers from UK and Australia (total n = 149). Data were analysed using constructivist grounded theory.

resultsAll participants appeared to recognise EWS and acknowledged the importance of responding to EWS to support relapse prevention. However, recognition of and acting on EWS were constructed in a context of uncertainty, which appeared linked to risk appraisals that were dependent on distinct stakeholder roles and experiences. Within current relapse management, a process of weighted decision-making (where one factor was seen as more important than others) described how stakeholders weighed up the risks and consequences of relapse alongside the risks and consequences of intervention and help-seeking.

conclusionsMental health staff, carers and patients speak about using EWS within a weighted decision-making process, which is acted out in the context of relationships that exist in current relapse management, rather than an objective response to specific signs and symptoms.

Indexed as

clinical decision-makingImplementationqualitative researchschizophrenia

Identifiers

PMID31826793
PMCPMC7001464
OpenAlexW3004189500

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.