What should inpatient psychological therapies be for? Qualitative views of service users on outcomes
Abstract Background There is limited research on what, when and how outcomes should be measured in psychological therapy trials in acute mental health inpatient wards. Objectives This study aimed to consider what outcomes service users think are important to measure. Methods This qualitative study e...
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| Format: | Article |
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Wiley
2024-02-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.13889 |
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| author | Ceri Morgan Lucy Clarkson Rebecca Hiscocks India Hopkins Katherine Berry Natasha Tyler Lisa Wood Pamela Jacobsen |
| author_facet | Ceri Morgan Lucy Clarkson Rebecca Hiscocks India Hopkins Katherine Berry Natasha Tyler Lisa Wood Pamela Jacobsen |
| author_sort | Ceri Morgan |
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| description | Abstract Background There is limited research on what, when and how outcomes should be measured in psychological therapy trials in acute mental health inpatient wards. Objectives This study aimed to consider what outcomes service users think are important to measure. Methods This qualitative study explored the views of 14 participants, who had an inpatient admission within the last year, on outcomes of psychological therapies using semistructured interviews. Data were analysed using thematic analysis from a critical realist perspective with both inductive and deductive coding. Results The 126 outcomes that were important to participants were mapped onto an established taxonomy of outcomes across different health areas and the socioecological framework to consider the wider context and help summarise the outcomes. Most of the outcomes were mapped to the intrapersonal and interpersonal level. In addition to the outcome mapping, three themes were constructed from the qualitative data: (1) I am not a problem I am a person, (2) Feeling cared for and loved, (3) What does getting better look like. Conclusions Our results highlight the need for patient‐reported outcomes which are cocreated with service users, disseminating research and training on preventing dehumanising experiences, enhancing psychological safety and therapeutic relationships and improving access to psychological therapy. Patient or Public Contribution The wider People with Personal Experience Involvement Committee at the University of Bath were consulted which included a focus group during the early planning stages. We also collaborated with a person with personal experience, at every stage of the research. This included developing our research question and aims, protocol, participant documents (e.g., information and debrief forms), advertisement and recruitment strategy, interview topic guide, the codes, the final themes and quotes and reviewing the manuscript. People with lived experience of being admitted to an acute mental health inpatient ward participated in our study. |
| format | Article |
| id | doaj-art-3a28b82d154544648fc909daacc0c7ce |
| institution | Kabale University |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Wiley |
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| series | Health Expectations |
| spelling | doaj-art-3a28b82d154544648fc909daacc0c7ce2025-08-23T11:53:04ZengWileyHealth Expectations1369-65131369-76252024-02-01271n/an/a10.1111/hex.13889What should inpatient psychological therapies be for? Qualitative views of service users on outcomesCeri Morgan0Lucy Clarkson1Rebecca Hiscocks2India Hopkins3Katherine Berry4Natasha Tyler5Lisa Wood6Pamela Jacobsen7Department of Psychology University of Bath Bath UKDepartment of Psychology University of Bath Bath UKDepartment of Psychology University of Bath Bath UKDepartment of Psychology University of Bath Bath UKDivision of Psychology and Mental Health University of Manchester Manchester UKNIHR School for Primary Care Research University of Manchester Manchester UKDivision of Psychiatry University College London London UKDepartment of Psychology University of Bath Bath UKAbstract Background There is limited research on what, when and how outcomes should be measured in psychological therapy trials in acute mental health inpatient wards. Objectives This study aimed to consider what outcomes service users think are important to measure. Methods This qualitative study explored the views of 14 participants, who had an inpatient admission within the last year, on outcomes of psychological therapies using semistructured interviews. Data were analysed using thematic analysis from a critical realist perspective with both inductive and deductive coding. Results The 126 outcomes that were important to participants were mapped onto an established taxonomy of outcomes across different health areas and the socioecological framework to consider the wider context and help summarise the outcomes. Most of the outcomes were mapped to the intrapersonal and interpersonal level. In addition to the outcome mapping, three themes were constructed from the qualitative data: (1) I am not a problem I am a person, (2) Feeling cared for and loved, (3) What does getting better look like. Conclusions Our results highlight the need for patient‐reported outcomes which are cocreated with service users, disseminating research and training on preventing dehumanising experiences, enhancing psychological safety and therapeutic relationships and improving access to psychological therapy. Patient or Public Contribution The wider People with Personal Experience Involvement Committee at the University of Bath were consulted which included a focus group during the early planning stages. We also collaborated with a person with personal experience, at every stage of the research. This included developing our research question and aims, protocol, participant documents (e.g., information and debrief forms), advertisement and recruitment strategy, interview topic guide, the codes, the final themes and quotes and reviewing the manuscript. People with lived experience of being admitted to an acute mental health inpatient ward participated in our study.https://doi.org/10.1111/hex.13889acuteinpatientmental healthoutcomespatient‐reported outcomespsychological therapies |
| spellingShingle | Ceri Morgan Lucy Clarkson Rebecca Hiscocks India Hopkins Katherine Berry Natasha Tyler Lisa Wood Pamela Jacobsen What should inpatient psychological therapies be for? Qualitative views of service users on outcomes Health Expectations acute inpatient mental health outcomes patient‐reported outcomes psychological therapies |
| title | What should inpatient psychological therapies be for? Qualitative views of service users on outcomes |
| title_full | What should inpatient psychological therapies be for? Qualitative views of service users on outcomes |
| title_fullStr | What should inpatient psychological therapies be for? Qualitative views of service users on outcomes |
| title_full_unstemmed | What should inpatient psychological therapies be for? Qualitative views of service users on outcomes |
| title_short | What should inpatient psychological therapies be for? Qualitative views of service users on outcomes |
| title_sort | what should inpatient psychological therapies be for qualitative views of service users on outcomes |
| topic | acute inpatient mental health outcomes patient‐reported outcomes psychological therapies |
| url | https://doi.org/10.1111/hex.13889 |
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