Evidence map›Paper›PMID 35717161›Full record

ArticleBMC psychiatry2022

Common patient experiences across three resource-oriented interventions for severe mental illness: a qualitative study in low-resource settings.

Hana Sikira, Sabina Slatina Murga, Maja Muhić, Alma Džubur Kulenović, Stefan Priebe

Abstract read
In one paragraph

Article in BMC psychiatry, 2022. 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Family Psycho-Social Involvement Intervention for severe mental illness in Uganda.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    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

5 authors.

Hana SikiraDepartment of Psychiatry, Clinical Centre University of Sarajevo, Sarajevo, Bosnia and Herzegovina. hanasikira@hotmail.com.
Sabina Slatina MurgaDepartment of Psychiatry, Clinical Centre University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Maja MuhićDepartment of Psychiatry, Clinical Centre University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Alma Džubur KulenovićDepartment of Psychiatry, Clinical Centre University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Stefan PriebeUnit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK.

Funding

Department of Health
6 · The paper itself

Abstract

introductionResource-oriented interventions can be a low-cost option to improve care for patients with severe mental illnesses in low-resource settings. From 2018 to 2021 we conducted three randomized controlled trials testing resource-oriented interventions in Bosnia and Herzegovina (B&H), i.e. befriending through volunteers, multi-family groups, and improving patient-clinician meetings using the DIALOG+ intervention. All interventions were applied over 6 months and showed significant benefits for patients' quality of life, social functioning, and symptom levels. In this study, we explore whether patient experiences point to common processes in these interventions.

methodsIn-depth semi-structured interviews were conducted with 15 patients from each intervention, resulting in a total sample of 45 patients. Patients were purposively selected at the end of the interventions including patients with different levels of engagement and different outcomes. Interviews explored the experiences of patients and were audio-recorded, transcribed, and analysed using the thematic analysis framework proposed by Braun and Clark.

resultsThree broad themes captured the overall experiences of patients receiving resource-oriented interventions: An increased confidence and agency in the treatment process; A new and unexpected experience in treatment; Concerns about the sustainability of the interventions.

conclusionsThe findings suggest that the three interventions - although focusing on different relationships of the patients - lead to similar beneficial experiences. In addition to being novel in the context of the mental health care system in B&H, they empower patients to take a more active and confident role in treatment. Whilst strengthening patients' agency in their treatment may be seen as a value in itself, it may also help to achieve significantly improved treatment outcomes. This shows promise for the implementation of these interventions in other low-resource countries with similar settings.

Indexed as

Mental DisordersQuality of LifeHumansPatient Outcome AssessmentQualitative ResearchVolunteersFamily involvementGlobal mental healthLMICsPsychosocial interventionsResource-oriented approachSevere mental illnessSolution-focusedVolunteer support

Identifiers

PMID35717161
PMCPMC9206385

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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.