Evidence map›Paper›PMID 37357806›Full record

ArticleBJPsych open2023

Clinical and cost evaluation of two models of specialist intensive support teams for adults with intellectual disabilities who display behaviours that challenge: the IST-ID mixed-methods study.

Angela Hassiotis, Athanasia Kouroupa, Leila Hamza, Louise Marston, Renee Romeo, Nahel Yaziji, Ian Hall, Peter E Langdon, Ken Courtenay, Laurence Taggart and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Angela HassiotisDivision of Psychiatry, University College London, UK.ORCID https://orcid.org/0000-0002-9800-3909
Athanasia KouroupaDivision of Psychiatry, University College London, UK.ORCID https://orcid.org/0000-0003-3659-160X
Leila HamzaAssessment and Intervention Team, Barnet, Enfield and Haringey Mental Health NHS Trust, UK.
Louise MarstonDepartment of Primary Care and Population Health, University College London, UK.ORCID https://orcid.org/0000-0002-9973-1131
Renee RomeoInstitute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Nahel YazijiInstitute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Ian HallHackney Integrated Learning Disability Service, East London NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0002-5669-1571
Peter E LangdonCentre for Educational Development, Appraisal and Research, University of Warwick, UK.ORCID https://orcid.org/0000-0002-7745-1825
Ken CourtenayAssessment and Intervention Team, Barnet, Enfield and Haringey Mental Health NHS Trust, UK.
Laurence TaggartInstitute of Nursing and Health Research, Ulster University, Northern Ireland.
Nicola MorantDivision of Psychiatry, University College London, UK.ORCID https://orcid.org/0000-0003-4022-8133
Vicky CrosseySouth West Community Learning Disability Team & Mental Health Intensive Support and Treatment Team, NHS Lothian, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, UK.ORCID https://orcid.org/0000-0001-9866-788X

Funding

Health Services and Delivery Research Programme 16/01/24
6 · The paper itself

Abstract

backgroundIntensive support teams (ISTs) are recommended for individuals with intellectual disabilities who display behaviours that challenge. However, there is currently little evidence about the clinical and cost-effectiveness of IST models operating in England.

aimsTo investigate the clinical and cost-effectiveness of IST models.

methodWe carried out a cohort study to evaluate the clinical and cost-effectiveness of two previously identified IST models (independent and enhanced) in England. Adult participants (

resultsWe found no statistically significant differences between models for the primary outcome (adjusted

conclusionsThe study provides evidence that both models were associated with clinical improvement for similar costs at follow-up. We recommend that the choice of service model should rest with local services. Further research should investigate the critical components of IST care to inform the development of fidelity criteria, and policy makers should consider whether roll out of such teams should be mandated.

Indexed as

cost-effectivenessdevelopmental disordersIntellectual disabilityintensive supportoutcome studies

Identifiers

PMID37357806
PMCPMC10305109

What OpenQuestion holds

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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.