Evidence map›Paper›PMID 33986066›Full record

ArticleBMJ open2021

Developing a theory-informed complex intervention to improve nurse-patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study.

Sarah McAllister, Alan Simpson, Vicki Tsianakas, Nick Canham, Vittoria De Meo, Cady Stone, Glenn Robert

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

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  10. Supporting Older People Living With Frailty to Self-Manage Multiple Medicines: An Experience-Based Co-Design of a Complex Intervention Developed in UK Primary Care.Health expectations : an international journal of public participation in health care and health policy · 2025
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  20. Activities and technologies: developing safer acute inpatient mental health care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
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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

7 authors at 2 institutions in 1 country.

Sarah McAllisterFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK Sarah.McAllister@kcl.ac.uk.ORCID 0000-0002-0448-006X
Alan SimpsonFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Vicki TsianakasFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Nick CanhamIndependent Service User and Carer Group, London, UK.
Vittoria De MeoIndependent Service User and Carer Group, London, UK.
Cady StoneIndependent Service User and Carer Group, London, UK.
Glenn RobertFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0001-8781-6675
King's College London · GBLondon Women's Clinic · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur objectives were threefold: (1) describe a collaborative, theoretically driven approach to co-designing complex interventions; (2) demonstrate the implementation of this approach to share learning with others; and (3) develop a toolkit to enhance therapeutic engagement on acute mental health wards. DESIGN AND

participantsWe describe a theory-driven approach to co-designing an intervention by adapting and integrating Experience-based Co-design (EBCD) with the Behaviour Change Wheel (BCW). Our case study was informed by the results of a systematic integrative review and guided by this integrated approach. We undertook 80 hours of non-participant observations, and semistructured interviews with 14 service users (7 of which were filmed), 2 carers and 12 clinicians from the same acute ward. The facilitated intervention co-design process involved two feedback workshops, one joint co-design workshop and seven small co-design team meetings. Data analysis comprised the identification of touchpoints and use of the BCW and behaviour change technique taxonomy to inform intervention development.

settingThis study was conducted over 12 months at an acute mental health organisation in England.

resultsThe co-designed

conclusionsOur theory-driven approach enhanced both EBCD and the BCW. It introduces a robust theoretical approach to guide intervention development within the co-design process and sets out how to meaningfully involve service users and other stakeholders when designing and implementing complex interventions.

Indexed as

HospitalsMental HealthBehavior TherapyCommunicationEnglandHumansadult psychiatrymental healthqualitative researchquality in health care

Identifiers

PMID33986066
PMCPMC8126294
OpenAlexW3163306257

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.