Evidence map›Paper›PMID 35978272›Full record

Trial reportThe British journal of psychiatry : the journal of mental science2023

Evaluation of a complex intervention for prisoners with common mental health problems, near to and after release: the Engager randomised controlled trial.

Richard Byng, Tim Kirkpatrick, Charlotte Lennox, Fiona C Warren, Rob Anderson, Sarah Louise Brand, Lynne Callaghan, Lauren Carroll, Graham Durcan, Laura Gill and 23 more

Open access · hybridAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of psychiatry : the journal of mental science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

33 authors at 13 institutions in 1 country.

Richard ByngCommunity and Primary Care Research Group, University of Plymouth, UK.ORCID 0000-0001-7411-9467
Tim KirkpatrickDivision of Psychology and Mental Health, University of Manchester, UK.
Charlotte LennoxDivision of Psychology and Mental Health, University of Manchester, UK.
Fiona C WarrenCollege of Medicine & Health, University of Exeter, UK.
Rob AndersonCollege of Medicine & Health, University of Exeter, UK.
Sarah Louise BrandCollege of Medicine & Health, University of Exeter, UK.
Lynne CallaghanCommunity and Primary Care Research Group, University of Plymouth, UK.
Lauren CarrollCommunity and Primary Care Research Group, University of Plymouth, UK.
Graham DurcanCentre for Mental Health, South Bank Technopark, London, UK.
Laura GillCommunity and Primary Care Research Group, University of Plymouth, UK.
Sara GoodierCommunity and Primary Care Research Group, University of Plymouth, UK.
Jonathan GrahamDivision of Psychology and Mental Health, University of Manchester, UK.
Rebecca GreerCommunity and Primary Care Research Group, University of Plymouth, UK.
Mark HaddadCity, University of London, UK.
Tirril HarrisKings College London, UK.
William HenleyCollege of Medicine & Health, University of Exeter, UK.
Rachael HunterResearch Department of Primary Care and Population Health, University College London, Royal Free Medical School, UK.ORCID 0000-0002-7447-8934
Sarah LeonardDivision of Psychology and Mental Health, University of Manchester, UK.ORCID 0000-0002-1729-0556
Mike MaguireCentre for Criminology, University of South Wales, UK.
Susan MichieResearch Department of Primary Care and Population Health, University College London, Royal Free Medical School, UK.
Christabel OwensCollege of Medicine & Health, University of Exeter, UK.ORCID 0000-0001-9846-0889
Mark PearsonWolfson Palliative Care Research Centre, Hull York Medical School, Faculty of Health Sciences, University of Hull, UK.
Cath QuinnCommunity and Primary Care Research Group, University of Plymouth, UK.
Sarah Rybczynska-BuntCommunity and Primary Care Research Group, University of Plymouth, UK.
Caroline StevensonDivision of Psychology and Mental Health, University of Manchester, UK.
Amy StewartCommunity and Primary Care Research Group, University of Plymouth, UK.
Alex StirzakerSouth West Mental Health Clinical Network, NHS England, UK.
Roxanne ToddDivision of Psychology and Mental Health, University of Manchester, UK.
Florian WalterDivision of Psychology and Mental Health, University of Manchester, UK.
Lauren WestonCommunity and Primary Care Research Group, University of Plymouth, UK.
Nat WrightUniversity of Leeds, UK.
Rod S TaylorMRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, Institute of Health and Well Being, University of Glasgow, UK.
Jenny ShawDivision of Psychology and Mental Health, University of Manchester, UK and Greater Manchester Manchester Health NHS Foundation Trust, UK.
University of Plymouth · GBUniversity of Manchester · GBUniversity of Exeter · GBThe Royal Free Hospital · GBCentre for Mental Health · GBCity, University of London · GBGreater Manchester Mental Health NHS Foundation Trust · GBKing's College London · GBMRC/CSO Social and Public Health Sciences Unit · GBNHS EnglandUniversity of Hull · GBUniversity of Leeds · GBUniversity of South Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany male prisoners have significant mental health problems, including anxiety and depression. High proportions struggle with homelessness and substance misuse.

aimsThis study aims to evaluate whether the Engager intervention improves mental health outcomes following release.

methodThe design is a parallel randomised superiority trial that was conducted in the North West and South West of England (ISRCTN11707331). Men serving a prison sentence of 2 years or less were individually allocated 1:1 to either the intervention (Engager plus usual care) or usual care alone. Engager included psychological and practical support in prison, on release and for 3-5 months in the community. The primary outcome was the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM), 6 months after release. Primary analysis compared groups based on intention-to-treat (ITT).

resultsIn total, 280 men were randomised out of the 396 who were potentially eligible and agreed to participate; 105 did not meet the mental health inclusion criteria. There was no mean difference in the ITT complete case analysis between groups (92 in each arm) for change in the CORE-OM score (1.1, 95% CI -1.1 to 3.2,

conclusionsEngager is the first trial of a collaborative care intervention adapted for prison leavers. The intervention was not shown to be effective using standard outcome measures. Further testing of different support strategies for prison with mental health problems is needed.

Indexed as

Mental HealthPrisonersAnxietyCost-Benefit AnalysisEnglandHumansMalecommon mental health problemcomplex interventionOffenderprisonrandomised controlled trial

Identifiers

PMID35978272
PMCPMC10895504
OpenAlexW4292253183

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.