Trial reportHealth expectations : an international journal of public participation in health care and health policy2021
The CORE study-An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized-controlled trial.
Trial report in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Service user involvement in mental health service commissioning, development and delivery: A systematic review of service level outcomes.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Community-based models of care facilitating the recovery of people living with persistent and complex mental health needs: a systematic review and narrative synthesis.Frontiers in psychiatry · 2023Pooled it
- The CORE study-An adapted mental health experience codesign intervention to improve psychosocial recovery for people with severe mental illness: A stepped wedge cluster randomized-controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2021Trial
- Evaluating the Co-Design and Implementation of a Multicomponent Intervention to Improve Communication in Aged Care: A Nested Process Evaluation Protocol.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Exploring the Epistemological Significance of Qualitative Research in Behavior Analysis.Behavior analysis in practice · 2026Article
- Scoping Review of Co-Design in Mental Health Research: Essential Elements and Recommendations.OTJR : occupation, participation and health · 2026Article
- Co-Designing Aphasia Services: Evaluation of Involvement and Processes to Support Inclusion of People With Post Stroke Aphasia.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Priorities for post-stroke aphasia service development: Prioritisation phase of an experience-based co-design study.Clinical rehabilitation · 2025Article
- Article
- A New Podcast for Reducing Stigma Against People Living With Complex Mental Health Issues: Co-design Study.JMIR formative research · 2023Article
- A co-design living labs philosophy of practice for end-to-end research design to translation with people with lived-experience of mental ill-health and carer/family and kinship groups.Frontiers in public health · 2023Article
- Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach.Frontiers in psychiatry · 2023Article
- Unpacking the potential of developmental evaluation in codesign work.Health expectations : an international journal of public participation in health care and health policy · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health policies outline the need for codesign of services and quality improvement in partnership with service users and staff (and sometimes carers), and yet, evidence of systematic implementation and the impacts on healthcare outcomes is limited.
objectiveThe aim of this study was to test whether an adapted mental health experience codesign intervention to improve recovery-orientation of services led to greater psychosocial recovery outcomes for service users.
designA stepped wedge cluster randomized-controlled trial was conducted. SETTING AND
participantsFour Mental Health Community Support Services providers, 287 people living with severe mental illnesses, 61 carers and 120 staff were recruited across Victoria, Australia.
main outcome measuresThe 24-item Revised Recovery Assessment Scale (RAS-R) measured individual psychosocial recovery.
resultsA total of 841 observations were completed with 287 service users. The intention-to-treat analysis found RAS-R scores to be similar between the intervention (mean = 84.7, SD= 15.6) and control (mean = 86.5, SD= 15.3) phases; the adjusted estimated difference in the mean RAS-R score was -1.70 (95% confidence interval: -3.81 to 0.40; p = .11). DISCUSSION: This first trial of an adapted mental health experience codesign intervention for psychosocial recovery outcomes found no difference between the intervention and control arms.
conclusionsMore attention to the conditions that are required for eight essential mechanisms of change to support codesign processes and implementation is needed. PATIENT AND PUBLIC INVOLVEMENT: The State consumer (Victorian Mental Illness Awareness Council) and carer peak bodies (Tandem representing mental health carers) codeveloped the intervention. The adapted intervention was facilitated by coinvestigators with lived-experiences who were coauthors for the trial and process evaluation protocols, the engagement model and explanatory model of change for the trial.
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