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Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study
BACKGROUND: The components of care delivered by Early Intervention in Psychosis (EIP) services vary, but the impact on patient experience is unknown. OBJECTIVE: To investigate associations between components of care provided by EIP services in England and patient-reported outcomes. METHODS: 2374 pat...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577709/ https://www.ncbi.nlm.nih.gov/pubmed/37541700 http://dx.doi.org/10.1136/bmjment-2023-300716 |
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author | Williams, Ryan Morris, Aimee Gupta, Veenu Penington, Ed Cullen, Alexis E Quirk, Alan French, Paul Lennox, Belinda Bottle, Alex Crawford, Mike J |
author_facet | Williams, Ryan Morris, Aimee Gupta, Veenu Penington, Ed Cullen, Alexis E Quirk, Alan French, Paul Lennox, Belinda Bottle, Alex Crawford, Mike J |
author_sort | Williams, Ryan |
collection | PubMed |
description | BACKGROUND: The components of care delivered by Early Intervention in Psychosis (EIP) services vary, but the impact on patient experience is unknown. OBJECTIVE: To investigate associations between components of care provided by EIP services in England and patient-reported outcomes. METHODS: 2374 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. FINDINGS: The 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. CONCLUSIONS: Specific 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. |
format | Online Article Text |
id | pubmed-10577709 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105777092023-10-17 Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study Williams, Ryan Morris, Aimee Gupta, Veenu Penington, Ed Cullen, Alexis E Quirk, Alan French, Paul Lennox, Belinda Bottle, Alex Crawford, Mike J BMJ Ment Health Adult Mental Health BACKGROUND: The components of care delivered by Early Intervention in Psychosis (EIP) services vary, but the impact on patient experience is unknown. OBJECTIVE: To investigate associations between components of care provided by EIP services in England and patient-reported outcomes. METHODS: 2374 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. FINDINGS: The 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. CONCLUSIONS: Specific 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. BMJ Publishing Group 2023-08-04 /pmc/articles/PMC10577709/ /pubmed/37541700 http://dx.doi.org/10.1136/bmjment-2023-300716 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Adult Mental Health Williams, Ryan Morris, Aimee Gupta, Veenu Penington, Ed Cullen, Alexis E Quirk, Alan French, Paul Lennox, Belinda Bottle, Alex Crawford, Mike J Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title | Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title_full | Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title_fullStr | Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title_full_unstemmed | Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title_short | Predictors of positive patient-reported outcomes from ‘Early Intervention in Psychosis’: a national cross-sectional study |
title_sort | predictors of positive patient-reported outcomes from ‘early intervention in psychosis’: a national cross-sectional study |
topic | Adult Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577709/ https://www.ncbi.nlm.nih.gov/pubmed/37541700 http://dx.doi.org/10.1136/bmjment-2023-300716 |
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