Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study

Introduction Some people, who have common mental health disorders such as depression and anxiety, also have some psychotic experiences. These individuals may experience a treatment gap: their symptoms neither reach the increasingly high threshold for secondary care, nor do they receive full benefit...

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Main Authors: Alexandros Georgiadis, Robbie Duschinsky, Jesus Perez, Peter B Jones, Debra Russo, Clare Knight, Emma Soneson, Mary Dixon-Woods
Format: Article
Language:English
Published: BMJ Publishing Group 2018-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/8/11/e026064.full
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author Alexandros Georgiadis
Robbie Duschinsky
Jesus Perez
Peter B Jones
Debra Russo
Clare Knight
Emma Soneson
Mary Dixon-Woods
author_facet Alexandros Georgiadis
Robbie Duschinsky
Jesus Perez
Peter B Jones
Debra Russo
Clare Knight
Emma Soneson
Mary Dixon-Woods
author_sort Alexandros Georgiadis
collection DOAJ
description Introduction Some people, who have common mental health disorders such as depression and anxiety, also have some psychotic experiences. These individuals may experience a treatment gap: their symptoms neither reach the increasingly high threshold for secondary care, nor do they receive full benefit from current interventions offered by the Improving Access to Psychological Therapies (IAPT) programme. The result may be poorer clinical and functional outcomes. A new talking therapy could potentially benefit this group. Informed by principles of coproduction, this study will seek the views of service users and staff to inform the design and development of such a therapy.Methods and analysis Semistructured interviews will be conducted with IAPT service users, therapists and managers based in three different geographical areas in England. Our sample will include (1) approximately 15 service users who will be receiving therapy or will have completed therapy at the time of recruitment, (2) approximately 15 service users who initiated treatment but withdrew, (3) approximately 15 therapists each with at least 4-month experience in a step-3 IAPT setting and (4) three IAPT managers. Data analysis will be based on the constant comparative method.Ethics and dissemination The study has been approved by the London Harrow Research Ethics Committee (reference: 18/LO/0642), and all National Health Service Trusts have granted permissions to conduct the study. Findings will be published in peer-reviewed academic journals, and presented at academic conferences. We will also produce a ‘digest’ summary of the findings, which will be accessible, visual and freely available.
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spelling doaj-art-52604ef545334b74a0b504e131bad51d2025-02-11T14:55:09ZengBMJ Publishing GroupBMJ Open2044-60552018-11-0181110.1136/bmjopen-2018-026064Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative studyAlexandros Georgiadis0Robbie Duschinsky1Jesus Perez2Peter B Jones3Debra Russo4Clare Knight5Emma Soneson6Mary Dixon-Woods71 THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UKDepartment of Public Health & Primary Care, University of Cambridge, Cambridge, UKCambridgeshire and Peterborough NHS Foundation Trust, Cambridge, Cambridgeshire, UKDepartment of Psychiatry, University of Cambridge, Cambridge, UKPsychiatry, University of Cambridge, Cambridge, Cambridgeshire, UKPsychiatry, University of Cambridge, Cambridge, Cambridgeshire, UKDepartment of Psychiatry, University of Cambridge, Cambridge, UKDepartment of Public Health and Primary Care, THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Strangeways Research Laboratory, Cambridge, UKIntroduction Some people, who have common mental health disorders such as depression and anxiety, also have some psychotic experiences. These individuals may experience a treatment gap: their symptoms neither reach the increasingly high threshold for secondary care, nor do they receive full benefit from current interventions offered by the Improving Access to Psychological Therapies (IAPT) programme. The result may be poorer clinical and functional outcomes. A new talking therapy could potentially benefit this group. Informed by principles of coproduction, this study will seek the views of service users and staff to inform the design and development of such a therapy.Methods and analysis Semistructured interviews will be conducted with IAPT service users, therapists and managers based in three different geographical areas in England. Our sample will include (1) approximately 15 service users who will be receiving therapy or will have completed therapy at the time of recruitment, (2) approximately 15 service users who initiated treatment but withdrew, (3) approximately 15 therapists each with at least 4-month experience in a step-3 IAPT setting and (4) three IAPT managers. Data analysis will be based on the constant comparative method.Ethics and dissemination The study has been approved by the London Harrow Research Ethics Committee (reference: 18/LO/0642), and all National Health Service Trusts have granted permissions to conduct the study. Findings will be published in peer-reviewed academic journals, and presented at academic conferences. We will also produce a ‘digest’ summary of the findings, which will be accessible, visual and freely available.https://bmjopen.bmj.com/content/8/11/e026064.full
spellingShingle Alexandros Georgiadis
Robbie Duschinsky
Jesus Perez
Peter B Jones
Debra Russo
Clare Knight
Emma Soneson
Mary Dixon-Woods
Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
BMJ Open
title Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
title_full Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
title_fullStr Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
title_full_unstemmed Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
title_short Coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences: a study protocol of a multiperspective qualitative study
title_sort coproducing healthcare service improvement for people with common mental health disorders including psychotic experiences a study protocol of a multiperspective qualitative study
url https://bmjopen.bmj.com/content/8/11/e026064.full
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