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Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial
Family involvement is part of the evidence-based treatment for persons with psychotic disorders, yet is under-implemented despite guideline recommendations. This study assessed whether an implementation support programme increased the adherence to guidelines on family involvement, compared to guidel...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9934504/ https://www.ncbi.nlm.nih.gov/pubmed/36797515 http://dx.doi.org/10.1007/s10488-023-01255-0 |
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author | Hestmark, Lars Romøren, Maria Heiervang, Kristin Sverdvik Hansson, Kristiane Myckland Ruud, Torleif Šaltytė Benth, Jūratė Norheim, Irene Weimand, Bente Pedersen, Reidar |
author_facet | Hestmark, Lars Romøren, Maria Heiervang, Kristin Sverdvik Hansson, Kristiane Myckland Ruud, Torleif Šaltytė Benth, Jūratė Norheim, Irene Weimand, Bente Pedersen, Reidar |
author_sort | Hestmark, Lars |
collection | PubMed |
description | Family involvement is part of the evidence-based treatment for persons with psychotic disorders, yet is under-implemented despite guideline recommendations. This study assessed whether an implementation support programme increased the adherence to guidelines on family involvement, compared to guideline/manual only. In a cluster randomised design, community mental health centre units in South-East Norway went through stratified allocation to the experimental (n = 7) or control (n = 7) arm. Experimental clusters received an implementation support programme including clinical training and supervision, appointing a family coordinator and an implementation team, a toolkit, and fidelity measurements at baseline, 12, 18, and 24 months with on-site feedback and supervision. Control clusters received no such support and had fidelity measurements at baseline and 24 months without feedback. During fidelity measurements, adherence to the guidelines was measured with the basic family involvement and support scale, the general organizational index, and the family psychoeducation fidelity scale, the latter being the primary outcome. The scales consist of 12–14 items rated from 1 to 5. Data was analysed with an independent samples t-test, linear mixed models, and a tobit regression model. At 24 months, the mean scores were 4.00 or higher on all scales in the experimental arm, and the increase in adherence to the guidelines was significantly greater than in the control arm with p-values < 0.001. Large-scale implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres may be accomplished, with substantial implementation support. Trial Registration: ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10488-023-01255-0. |
format | Online Article Text |
id | pubmed-9934504 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-99345042023-02-17 Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial Hestmark, Lars Romøren, Maria Heiervang, Kristin Sverdvik Hansson, Kristiane Myckland Ruud, Torleif Šaltytė Benth, Jūratė Norheim, Irene Weimand, Bente Pedersen, Reidar Adm Policy Ment Health Original Article Family involvement is part of the evidence-based treatment for persons with psychotic disorders, yet is under-implemented despite guideline recommendations. This study assessed whether an implementation support programme increased the adherence to guidelines on family involvement, compared to guideline/manual only. In a cluster randomised design, community mental health centre units in South-East Norway went through stratified allocation to the experimental (n = 7) or control (n = 7) arm. Experimental clusters received an implementation support programme including clinical training and supervision, appointing a family coordinator and an implementation team, a toolkit, and fidelity measurements at baseline, 12, 18, and 24 months with on-site feedback and supervision. Control clusters received no such support and had fidelity measurements at baseline and 24 months without feedback. During fidelity measurements, adherence to the guidelines was measured with the basic family involvement and support scale, the general organizational index, and the family psychoeducation fidelity scale, the latter being the primary outcome. The scales consist of 12–14 items rated from 1 to 5. Data was analysed with an independent samples t-test, linear mixed models, and a tobit regression model. At 24 months, the mean scores were 4.00 or higher on all scales in the experimental arm, and the increase in adherence to the guidelines was significantly greater than in the control arm with p-values < 0.001. Large-scale implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres may be accomplished, with substantial implementation support. Trial Registration: ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10488-023-01255-0. Springer US 2023-02-16 2023 /pmc/articles/PMC9934504/ /pubmed/36797515 http://dx.doi.org/10.1007/s10488-023-01255-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Hestmark, Lars Romøren, Maria Heiervang, Kristin Sverdvik Hansson, Kristiane Myckland Ruud, Torleif Šaltytė Benth, Jūratė Norheim, Irene Weimand, Bente Pedersen, Reidar Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title | Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title_full | Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title_fullStr | Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title_full_unstemmed | Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title_short | Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial |
title_sort | implementation of guidelines on family involvement for persons with psychotic disorders (ifip): a cluster randomised controlled trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9934504/ https://www.ncbi.nlm.nih.gov/pubmed/36797515 http://dx.doi.org/10.1007/s10488-023-01255-0 |
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