Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial

Humera Plappert¹, Charley Hobson-Merrett², Bliss Gibbons³, Elina Baker⁴, Sheridan Bevan⁵, Michael Clark⁶, Siobhan Creanor^{7

8}, Linda Davies⁹, Rebecca Denyer¹⁰, Julia Frost⁴, Linda Gask¹¹, John Gibson¹², Laura Gill², Ruth Gwernan-Jones⁴, Pollyanna Hardy⁵, Joanne Hosking², Peter Huxley¹³, Alison Jeffrey⁸, Benjamin Jones⁷, Steven Marwaha¹⁰, Vanessa Pinold¹², Claire Planner⁹, Tim Rawcliffe¹⁴, Siobhan Reilly¹⁵, Debra Richards², Lynsey Williams², Max Birchwood¹⁶, Richard Byng²

Affiliations

¹ School of Psychology, University of Birmingham, Birmingham, UK h.plappert@bham.ac.uk.
² Community and Primary Care Research Group- Faculty of Medicine, University of Plymouth, Plymouth, UK.
³ Coventry and Warwickshire Partnership NHS Trust, Coventry, UK.
⁴ Institute of Health Research, University of Exeter, Exeter, UK.
⁵ Birmingham Clinical Trials Unit, Birmingham University, Birmingham, UK.
⁶ London School of Economics and Political Science, London, UK.
⁷ Exeter Clinical Trials Unit, University of Exeter, Exeter, UK.
⁸ Peninsula Clinical Trials Unit, University of Plymouth, Plymouth, UK.
⁹ Division of Population Health - Health Services Research & Primary Care, University of Manchester, Manchester, UK.
¹⁰ School of Psychology, University of Birmingham, Birmingham, UK.
¹¹ Psychiatry, University of Manchester, Manchester, UK.
¹² McPin Foundation, London, UK.
¹³ School of Health Sciences, Bangor University, UK.
¹⁴ Lancashire Care NHS Foundation Trust, Preston, UK.
¹⁵ Faculty of Health Studies, University of Bradford, Bradford, UK.
¹⁶ Warwick Medical School, University of Warwick, Warwick, UK.

PMID: 33785568
PMCID: PMC8278501
DOI: 10.3399/BJGPO.2021.0033

Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial

Humera Plappert et al. BJGP Open. 2021.

. 2021 Jun 30;5(3):BJGPO.2021.0033.

doi: 10.3399/BJGPO.2021.0033. Print 2021 Jun.

Authors

Affiliations

¹ School of Psychology, University of Birmingham, Birmingham, UK h.plappert@bham.ac.uk.
² Community and Primary Care Research Group- Faculty of Medicine, University of Plymouth, Plymouth, UK.
³ Coventry and Warwickshire Partnership NHS Trust, Coventry, UK.
⁴ Institute of Health Research, University of Exeter, Exeter, UK.
⁵ Birmingham Clinical Trials Unit, Birmingham University, Birmingham, UK.
⁶ London School of Economics and Political Science, London, UK.
⁷ Exeter Clinical Trials Unit, University of Exeter, Exeter, UK.
⁸ Peninsula Clinical Trials Unit, University of Plymouth, Plymouth, UK.
⁹ Division of Population Health - Health Services Research & Primary Care, University of Manchester, Manchester, UK.
¹⁰ School of Psychology, University of Birmingham, Birmingham, UK.
¹¹ Psychiatry, University of Manchester, Manchester, UK.
¹² McPin Foundation, London, UK.
¹³ School of Health Sciences, Bangor University, UK.
¹⁴ Lancashire Care NHS Foundation Trust, Preston, UK.
¹⁵ Faculty of Health Studies, University of Bradford, Bradford, UK.
¹⁶ Warwick Medical School, University of Warwick, Warwick, UK.

PMID: 33785568
PMCID: PMC8278501
DOI: 10.3399/BJGPO.2021.0033

Abstract

Background: Current NHS policy encourages an integrated approach to provision of mental and physical care for individuals with long term mental health problems. The 'PARTNERS2' complex intervention is designed to support individuals with psychosis in a primary care setting.

Aim: The trial will evaluate the clinical and cost-effectiveness of the PARTNERS2 intervention.

Design & setting: This is a cluster randomised controlled superiority trial comparing collaborative care (PARTNERS2) with usual care, with an internal pilot to assess feasibility. The setting will be primary care within four trial recruitment areas: Birmingham & Solihull, Cornwall, Plymouth, and Somerset. GP practices are randomised 1:1 to either (a) the PARTNERS2 intervention plus modified standard care ('intervention'); or (b) standard care only ('control').

Method: PARTNERS2 is a flexible, general practice-based, person-centred, coaching-based intervention aimed at addressing mental health, physical health, and social care needs. Two hundred eligible individuals from 39 GP practices are taking part. They were recruited through identification from secondary and primary care databases. The primary hypothesis is quality of life (QOL). Secondary outcomes include: mental wellbeing, time use, recovery, and process of physical care. A process evaluation will assess fidelity of intervention delivery, test hypothesised mechanisms of action, and look for unintended consequences. An economic evaluation will estimate its cost-effectiveness. Intervention delivery and follow-up have been modified during the COVID-19 pandemic.

Conclusion: The overarching aim is to establish the clinical and cost-effectiveness of the model for adults with a diagnosis of schizophrenia, bipolar, or other types of psychoses.

Keywords: Bipolar Disorder; Collaborative Care; Protocol; Psychotic Disorders; Randomized Controlled Trial; Schizophrenia.

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Figures

**Figure 1.. Flowchart detailing recruitment of research participants process.**
ASAP = as soon as possible. CRN = clinical research network. EOI = expression of interest.

See this image and copyright information in PMC

References

1. Reilly S, Planner C, Hann M, et al. The role of primary care in service provision for people with severe mental illness in the United Kingdom. PLoS One. 2012;7(5):e36468. doi: 10.1371/journal.pone.0036468. - DOI - PMC - PubMed
1. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74(4):511–544. doi: 10.2307/3350391. - DOI - PubMed
1. Leamy M, Bird V, Le Boutillier C, et al. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–452. doi: 10.1192/bjp.bp.110.083733. - DOI - PubMed
1. Bora R. Empowering people: coaching for mental health recovery. London: Rethink Mental Illness; 2012.
1. Pawson R, Tilley N. Realistic Evaluation. London: Sage Publications; 1997.

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Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial

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Evaluation of a primary care-based collaborative care model (PARTNERS2) for people with diagnoses of schizophrenia, bipolar, or other psychoses: study protocol for a cluster randomised controlled trial

Authors

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Abstract

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References

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