Evidence map›Paper›PMID 36703162›Full record

Trial reportTrials2023

Assessing the effectiveness and cost-effectiveness of a solution-focused resource-orientated approach (DIALOG+) to improving the quality of life for people with psychosis in India and Pakistan-a cluster RCT.

Victoria Jane Bird, Sana Zehra Sajun, Renata Peppl, Sara Evans-Lacko, Stefan Priebe, Swaran Singh, Lakshmi Venkatraman, Padmavati Ramachandran, Aneeta Pasha, Ashar Malik and 1 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors.

Victoria Jane BirdQueen Mary University of London, London, UK.
Sana Zehra SajunQueen Mary University of London, London, UK. s.sajun@qmul.ac.uk.ORCID http://orcid.org/0000-0003-2765-6969
Renata PepplQueen Mary University of London, London, UK.
Sara Evans-LackoLondon School of Economics and Political Science, Care Policy and Evaluation Centre, London, UK.
Stefan PriebeQueen Mary University of London, London, UK.
Swaran SinghWarwick University, Coventry, UK.
Lakshmi VenkatramanSchizophrenia Research Foundation, Chennai, India.
Padmavati RamachandranSchizophrenia Research Foundation, Chennai, India.
Aneeta PashaInteractive Research and Development, Karachi, Pakistan.
Ashar MalikAgha Khan University, Karachi, Pakistan.
Onaiza QureshiInteractive Research and Development, Karachi, Pakistan.

Funding

National Instituite of Health Research, Department of Health and Social Care (GB) NIHR200824
6 · The paper itself

Abstract

backgroundSevere mental illness (SMI) presents a major challenge worldwide, affecting approximately 5-8% of the world's population. It causes significant distress to affected people, families and wider communities, generating high costs through loss of productivity and ongoing healthcare use. Over 75% of patients with psychosis receive inadequate care and experience a negative financial impact and reduced quality of life (QoL). It is therefore a priority to reduce the treatment gap by providing low-cost, effective interventions for people with psychosis. Our research project, PIECEs, is designed to explore, adapt and test a low-cost, approach (DIALOG+) that makes use of existing resources to improve community-based care for patients with psychosis. The research will be conducted in two urban sites: Karachi, Pakistan and Chennai, India. DIALOG+ is a novel, technology-assisted and resource-oriented intervention, based on QoL research, concepts of patient-centred communication, IT developments and solution-focused therapy. However, the approach has not been rigorously tested within India and Pakistan. Our randomised controlled trial (RCT) aims to test the effectiveness and cost-effectiveness of DIALOG+ in improving the QoL and clinical outcomes for individuals with long-term psychosis being treated in the community in India and Pakistan.

methodsTo assess the acceptability, feasibility, and cost effectiveness of DIALOG+, we will conduct a cluster RCT with 210 patients and 14 clinicians in each country. The intervention will be used during a routine interaction between a clinician and a patient. It consists of a patient-centred assessment (the DIALOG scale) whereby the clinician invites the patient to rate their satisfaction with different life domains and treatment aspects, which forms the active control group. The intervention group will follow this up with a four-step solution-focused approach to identify the patient's resources and develop solutions to deal with the patient's concerns (DIALOG+). DISCUSSION: If shown to be effective DIALOG+ has the potential to improve community-based care and the QoL for millions of people within India and Pakistan who experience psychosis.

trial registrationThe trial was registered prospectively on the ISRCTN Registry: ISRCTN13022816 on 9 February 2022.

Indexed as

Psychotic DisordersCost-Benefit AnalysisHumansIndiaPakistanQuality of LifeGlobal mental healthLMICsPsychosocial interventionsQuality of lifeResource-oriented approachSolution-focused

Identifiers

PMID36703162
PMCPMC9881322

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.