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The PULSAR Specialist Care protocol: a stepped-wedge cluster randomized control trial of a training intervention for community mental health teams in recovery-oriented practice

Overview of attention for article published in BMC Psychiatry, May 2017
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Title
The PULSAR Specialist Care protocol: a stepped-wedge cluster randomized control trial of a training intervention for community mental health teams in recovery-oriented practice
Published in
BMC Psychiatry, May 2017
DOI 10.1186/s12888-017-1321-3
Pubmed ID
Authors

Frances Shawyer, Joanne C. Enticott, Lisa Brophy, Annie Bruxner, Ellie Fossey, Brett Inder, John Julian, Ritsuko Kakuma, Penelope Weller, Elisabeth Wilson-Evered, Vrinda Edan, Mike Slade, Graham N. Meadows

Abstract

Recovery features strongly in Australian mental health policy; however, evidence is limited for the efficacy of recovery-oriented practice at the service level. This paper describes the Principles Unite Local Services Assisting Recovery (PULSAR) Specialist Care trial protocol for a recovery-oriented practice training intervention delivered to specialist mental health services staff. The primary aim is to evaluate whether adult consumers accessing services where staff have received the intervention report superior recovery outcomes compared to adult consumers accessing services where staff have not yet received the intervention. A qualitative sub-study aims to examine staff and consumer views on implementing recovery-oriented practice. A process evaluation sub-study aims to articulate important explanatory variables affecting the interventions rollout and outcomes. The mixed methods design incorporates a two-step stepped-wedge cluster randomized controlled trial (cRCT) examining cross-sectional data from three phases, and nested qualitative and process evaluation sub-studies. Participating specialist mental health care services in Melbourne, Victoria are divided into 14 clusters with half randomly allocated to receive the staff training in year one and half in year two. Research participants are consumers aged 18-75 years who attended the cluster within a previous three-month period either at baseline, 12 (step 1) or 24 months (step 2). In the two nested sub-studies, participation extends to cluster staff. The primary outcome is the Questionnaire about the Process of Recovery collected from 756 consumers (252 each at baseline, step 1, step 2). Secondary and other outcomes measuring well-being, service satisfaction and health economic impact are collected from a subset of 252 consumers (63 at baseline; 126 at step 1; 63 at step 2) via interviews. Interview-based longitudinal data are also collected 12 months apart from 88 consumers with a psychotic disorder diagnosis (44 at baseline, step 1; 44 at step 1, step 2). cRCT data will be analyzed using multilevel mixed-effects modelling to account for clustering and some repeated measures, supplemented by thematic analysis of qualitative interview data. The process evaluation will draw on qualitative, quantitative and documentary data. Findings will provide an evidence-base for the continued transformation of Australian mental health service frameworks toward recovery. Australian and New Zealand Clinical Trial Registry: ACTRN12614000957695 . Date registered: 8 September 2014.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 115 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 115 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 18%
Researcher 16 14%
Student > Ph. D. Student 14 12%
Student > Doctoral Student 10 9%
Other 7 6%
Other 18 16%
Unknown 29 25%
Readers by discipline Count As %
Medicine and Dentistry 21 18%
Psychology 18 16%
Nursing and Health Professions 13 11%
Social Sciences 8 7%
Engineering 3 3%
Other 15 13%
Unknown 37 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 May 2017.
All research outputs
#12,136,670
of 15,920,653 outputs
Outputs from BMC Psychiatry
#2,697
of 3,572 outputs
Outputs of similar age
#181,297
of 268,556 outputs
Outputs of similar age from BMC Psychiatry
#1
of 1 outputs
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