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Randomized Controlled Trial
. 2015 Aug 13:16:348.
doi: 10.1186/s13063-015-0896-6.

A cluster randomised controlled trial and process evaluation of a training programme for mental health professionals to enhance user involvement in care planning in service users with severe mental health issues (EQUIP): study protocol for a randomised controlled trial

Peter Bower  1 , Chris Roberts  2 , Neil O'Leary  3 , Patrick Callaghan  4 , Penny Bee  5 , Claire Fraser  6 , Chris Gibbons  7 , Nicola Olleveant  8 , Anne Rogers  9 , Linda Davies  10 , Richard Drake  11   12 , Caroline Sanders  13 , Oonagh Meade  14 , Andrew Grundy  15 , Lauren Walker  16 , Lindsey Cree  17 , Kathryn Berzins  18 , Helen Brooks  19 , Susan Beatty  20 , Patrick Cahoon  21 , Anita Rolfe  22 , Karina Lovell  23
Affiliations
Randomized Controlled Trial

A cluster randomised controlled trial and process evaluation of a training programme for mental health professionals to enhance user involvement in care planning in service users with severe mental health issues (EQUIP): study protocol for a randomised controlled trial

Peter Bower et al. Trials. .

Abstract

Background: Involving service users in planning their care is at the centre of policy initiatives to improve mental health care quality in England. Whilst users value care planning and want to be more involved in their own care, there is substantial empirical evidence that the majority of users are not fully involved in the care planning process. Our aim is to evaluate the effectiveness and cost-effectiveness of training for mental health professionals in improving user involvement with the care planning processes.

Methods/design: This is a cluster randomised controlled trial of community mental health teams in NHS Trusts in England allocated either to a training intervention to improve user and carer involvement in care planning or control (no training and care planning as usual). We will evaluate the effectiveness of the training intervention using a mixed design, including a 'cluster cohort' sample, a 'cluster cross-sectional' sample and process evaluation. Service users will be recruited from the caseloads of care co-ordinators. The primary outcome will be change in self-reported involvement in care planning as measured by the validated Health Care Climate Questionnaire. Secondary outcomes include involvement in care planning, satisfaction with services, medication side-effects, recovery and hope, mental health symptoms, alliance/engagement, well-being and quality of life. Cost- effectiveness will also be measured. A process evaluation informed by implementation theory will be undertaken to assess the extent to which the training was implemented and to gauge sustainability beyond the time-frame of the trial.

Discussion: It is hoped that the trial will generate data to inform mental health care policy and practice on care planning.

Trial registration number: ISRCTN16488358 (14 May 2014).

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Figures

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Fig. 1
EQUIP trial design
Fig. 2
Fig. 2
Consolidated Standards of Reporting Trials (CONSORT) diagram
See this image and copyright information in PMC

References

    1. Department of Health. The NHS Plan: a plan for investment, a plan for reform. London: 2000.
    1. Royal College of Physicians. Advance care planning (National Guidelines, Number 12): Concise guidance to good practice. London: 2009.
    1. Care Services Improvement Partnership and National Institute for Mental Health in England. Our choices in mental health: a framework for improving choice for people who use mental health services and their carers. London: 2005.
    1. Healthcare Commission. The pathway to recovery: a review of NHS acute inpatient mental health services. London: 2008
    1. Department of Health. Effective care co-ordination in mental health services: modernising the care programme approach - A policy booklet. London: 1999.

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