What should inpatient psychological therapies be for? Qualitative views of service users on outcomes.

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 explore...

Descripción completa

Detalles Bibliográficos
Publicado en:Health Expectations Vol. 27; no. 1; pp. 1 - 12
Autores principales: Morgan, Ceri, Clarkson, Lucy, Hiscocks, Rebecca, Hopkins, India, Berry, Katherine, Tyler, Natasha, Wood, Lisa, Jacobsen, Pamela
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2024
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175641732&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 175641732
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13696513
        EVY
      jtl: Health Expectations
      issn: 13696513
      maglogo: Y
    pubinfo:
      dt: Feb2024
      vid: 27
      iid: 1
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        175641732
        172905404
        175641732
        175641732
        10.1111/hex.13889
        175641732
      ppf: 1
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: What should inpatient psychological therapies be for? Qualitative views of service users on outcomes.
      aug:
        au:
          Morgan, Ceri
          Clarkson, Lucy
          Hiscocks, Rebecca
          Hopkins, India
          Berry, Katherine
          Tyler, Natasha
          Wood, Lisa
          Jacobsen, Pamela
        affil: Department of Psychology, University of Bath, Bath, UK
      sug:
        subj:
          Acute Care
          Psychotherapy Methods
          Psychiatric Units
          Patient Attitudes
          Patient-Reported Outcomes
          Mental Health
          Human
          Male
          Female
          Qualitative Studies
          Semi-Structured Interview
          Conceptual Framework
          Purposive Sample
          Snowball Sample
          Thematic Analysis
          Funding Source
          Adolescence
          Adult
          Middle Age
          Psychological Safety
          Health Services Accessibility
          Inpatients
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N