Evidence map›Paper›PMID 37541700›Full record

ArticleBMJ mental health2023

Predictors of positive patient-reported outcomes from 'Early Intervention in Psychosis': a national cross-sectional study.

Ryan Williams, Aimee Morris, Veenu Gupta, Ed Penington, Alexis E Cullen, Alan Quirk, Paul French, Belinda Lennox, Alex Bottle, Mike J Crawford

Open access · diamondAbstract read
In one paragraph

Article in BMJ mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Navigating Discharge From Early Intervention in Psychosis Services: A Qualitative Exploration of the Experiences of Service Users and Carers.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  2. Investigating inequalities in patient outcomes for first-episode psychosis.The British journal of psychiatry : the journal of mental science · 2024
    Observational
  3. 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

10 authors at 6 institutions in 2 countries.

Ryan WilliamsDepartment of Brain Sciences, Imperial College London, London, UK ryan.williams2@nhs.net.ORCID 0000-0001-8486-4903
Aimee MorrisCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Veenu GuptaCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Ed PeningtonDepartment of Psychiatry, University of Oxford, Oxford, UK.
Alexis E CullenDepartment of Psychiatry, University of Oxford, Oxford, UK.
Alan QuirkCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Paul FrenchCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Belinda LennoxDepartment of Psychiatry, University of Oxford, Oxford, UK.
Alex BottleSchool of Public Health, Imperial College London, London, UK.
Mike J CrawfordDepartment of Brain Sciences, Imperial College London, London, UK.
Imperial College London · GBRoyal College of Psychiatrists · GBUniversity of Oxford · GBKing's College London · GBManchester Metropolitan University · GBUniversity of Liverpool · GB

Funding

Medical Research Council MR/J012939/1Medical Research Council MR/N019067/1
6 · The paper itself

Abstract

backgroundThe components of care delivered by Early Intervention in Psychosis (EIP) services vary, but the impact on patient experience is unknown.

objectiveTo investigate associations between components of care provided by EIP services in England and patient-reported outcomes.

methods2374 patients from EIP services in England were surveyed during the National Clinical Audit of Psychosis. Participants were asked about the care they received, and completed the 'Patient Global Impressions' Scale (rating whether their mental health had improved), and 'Friends and Family Test' (rating whether they would recommend their service). Information about service structure was obtained from service providers. We analysed associations between outcomes and components of care using multilevel regression.

findingsThe majority of participants were likely to recommend the treatment they had received (89.8%), and felt that their mental health had improved (89.0%). Participants from services where care coordinators had larger case loads were less likely to recommend their care. Participants were more likely to recommend their care if they had been offered cognitive behavioural therapy for psychosis, family therapy or targeted interventions for carers. Participants were more likely to report that their mental health had improved if they had been offered cognitive behavioural therapy for psychosis or targeted interventions for carers.

conclusionsSpecific components of EIP care were associated with improved patient reported outcomes. Psychosocial interventions and carer support may be particularly important in optimising outcomes for patients. CLINICAL IMPLICATIONS: These findings emphasise the need for small case load sizes and comprehensive packages of treatment in EIP services.

Indexed as

Cognitive Behavioral TherapyMental Health ServicesPsychotic DisordersCross-Sectional StudiesHumansMental HealthAdult psychiatrySchizophrenia & psychotic disorders

Identifiers

PMID37541700
PMCPMC10577709
OpenAlexW4385575506

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.