Evidence map›Paper›PMID 33541304›Full record

ArticleBMC psychiatry2021

Mental healthcare clinician engagement with point of care testing; a qualitative study.

Joseph Butler, Simone de Cassan, Phil Turner, Belinda Lennox, Gail Hayward, Margaret Glogowska

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

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. 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

6 authors at 2 institutions in 1 country.

Joseph Butler *Foundation Year 3 Physical Health Care, Department of Psychiatry, University of Oxford, Oxford, UK. Joseph.Butler@psych.ox.ac.uk.ORCID 0000-0002-8226-6763
Simone de Cassan *Core trainee Psychiatry, Oxford Health NHS Foundation Trust, Oxford, UK.
Phil TurnerNIHR Community Healthcare MIC, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Belinda LennoxOxford Health NHS Foundation Trust, UK and Professor of Psychiatry, Department of Psychiatry, University of Oxford, Oxford, UK.
Gail HaywardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Margaret GlogowskaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Oxford Health NHS Foundation Trust · GBUniversity of Oxford · GB

Funding

Department of Health NIHR300105
6 · The paper itself

Abstract

backgroundPoint of Care Testing (POCT) is being increasingly used to augment the delivery of physical health care in a variety of settings, but their use in mental health has been limited. Research into understanding the barriers faced for successful implementation of POCT in these settings is lacking. We aimed to identify factors affecting engagement and implementation of POCT within mental health teams by exploring the attitudes to POCT, and the perceived impact POCT has on the practice of mental healthcare clinicians.

methodsAlongside a study evaluating the impact of a point of care device in Community Mental Health Teams (CMHTs), qualitative interviews were carried out with CMHT clinicians using POCT as part of annual physical checks for patients with severe and enduring mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis.

resultsFifteen clinicians were interviewed across a range of professional backgrounds. Clinicians identified usability of the technology, positive impact on their patient's experience and improved self-efficacy as drivers for successful implementation of POCT into their clinical practice. Issues with device functioning and the potential for a negative effect on the therapeutic relationship with their patients were identified as barriers. Level of physical heath training was not found to be a barrier by mental health professionals to using POCT.

conclusionsUnderstanding barriers and drivers for engagement is important to allow co-production of POCT and guidelines to facilitate introduction of POCT into routine clinical practice.

Indexed as

Mental Health ServicesPoint-of-Care TestingHealth PersonnelHumansPoint-of-Care SystemsQualitative ResearchCMHTCommunity mental health teamPhysical healthPOCTPoint of care devicePoint of care testingSevere mental illness

Identifiers

PMID33541304
PMCPMC7863427
OpenAlexW3126596371

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.