University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Randomised controlled trial of the clinical and cost-effectiveness of a peer-delivered self-management intervention to prevent relapse in crisis resolution team users: study protocol

Johnson, Sonia, Mason, Oliver, Osborn, David, Milton, Alyssa, Henderson, Claire, Marston, Louise, Ambler, Gareth, Hunter, Rachael, Pilling, Stephen, Morant, Nicola , Gray, Richard, Weaver, Tim, Nolan, Fiona and Lloyd-Evans, Brynmor (2017) Randomised controlled trial of the clinical and cost-effectiveness of a peer-delivered self-management intervention to prevent relapse in crisis resolution team users: study protocol BMJ Open, 7 (10), e015665.

[img]
Preview
Text
Randomised controlled trial of the clinical and cost-effectiveness of a peer-delivered self-management intervention to prevent relapse in crisis resolution team users - study protocol.pdf - Version of Record
Available under License Creative Commons Attribution Non-commercial.

Download (383kB) | Preview

Abstract

Introduction

Crisis resolution teams (CRTs) provide assessment and intensive home treatment in a crisis, aiming to offer an alternative for people who would otherwise require a psychiatric inpatient admission. They are available in most areas in England. Despite some evidence for their clinical and cost-effectiveness, recurrent concerns are expressed regarding discontinuity with other services and lack of focus on preventing future relapse and readmission to acute care. Currently evidence on how to prevent readmissions to acute care is limited. Self-management interventions, involving supporting service users in recognising and managing signs of their own illness and in actively planning their recovery, have some supporting evidence, but have not been tested as a means of preventing readmission to acute care in people leaving community crisis care. We thus proposed the current study to test the effectiveness of such an intervention. We selected peer support workers as the preferred staff to deliver such an intervention, as they are well-placed to model and encourage active and autonomous recovery from mental health problems.

Methods and analysis

The CORE (CRT Optimisation and Relapse Prevention) self-management trial compares the effectiveness of a peer-provided self-management intervention for people leaving CRT care, with treatment as usual supplemented by a booklet on self-management. The planned sample is 440 participants, including 40 participants in an internal pilot. The primary outcome measure is whether participants are readmitted to acute care over 1 year of follow-up following entry to the trial. Secondary outcomes include self-rated recovery at 4 and at 18 months following trial entry, measured using the Questionnaire on the Process of Recovery. Analysis will follow an intention to treatment principle. Random effects logistic regression modelling with adjustment for clustering by peer support worker will be used to test the primary hypothesis.

Ethics and dissemination

The CORE self-management trial was approved by the London Camden and Islington Research Ethics Committee (REC ref: 12/LO/0988). A Trial Steering Committee and Data Monitoring Committee oversee the progress of the study. We will report on the results of the clinical trial, as well as on the characteristics of the participants and their associations with relapse.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Johnson, Sonia
Mason, Olivero.mason@surrey.ac.uk
Osborn, David
Milton, Alyssa
Henderson, Claire
Marston, Louise
Ambler, Gareth
Hunter, Rachael
Pilling, Stephen
Morant, Nicola
Gray, Richard
Weaver, Tim
Nolan, Fiona
Lloyd-Evans, Brynmor
Date : 1 October 2017
Identification Number : 10.1136/bmjopen-2016-015665
Copyright Disclaimer : © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Depositing User : Clive Harris
Date Deposited : 12 Dec 2017 15:38
Last Modified : 14 Mar 2018 16:26
URI: http://epubs.surrey.ac.uk/id/eprint/845236

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800