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• W2905465648 abstract "Background Despite the movement towards care in the community, 40% of the NHS budget on mental health care is still attributed to inpatient services. However, long before the Francis Report highlighted grave shortcomings in inpatient care, there were reports by service user groups on the poor quality of these services in mental health. The programme provides a particular focus on the inclusion of the patient’s perspective in the development and evaluation of evidence. Objectives To understand how changes to inpatient care affect the perceptions of the ward by service users and staff by using stakeholder participatory methods. Design The programme consisted of four work packages (WPs). (1) Lasting Improvements for Acute Inpatient SEttings (LIAISE): using participatory methods we developed two new scales [Views On Therapeutic Environment (VOTE) for staff and Views On Inpatient CarE (VOICE) for service users]. (2) Client Services Receipt Inventory – Inpatient (CITRINE): working with nurses and service users we developed a health economic measure of the amount of contact service users have with staff. The self-report measure records interactions with staff as well as the number of therapeutic activities attended. (3) Delivering Opportunities for Recovery (DOORWAYS): a stepped-wedge randomised controlled trial to test if training ward nurses to deliver therapeutic group activities would improve the perception of the ward by service users and staff. A total of 16 wards were progressively randomised and we compared the VOICE, VOTE and CITRINE measures before and after the intervention. A total of 1108 service users and 539 staff participated in this trial. (4) Bringing Emergency TreatmenT to Early Resolution (BETTER PATHWAYS) was an observational study comparing two service systems. The first was a ‘triage’ system in which service users were admitted to the triage ward and then either transferred to their locality wards or discharged back into the community within 7 days. The second system was routine care. We collected data from 454 service users and 284 nurses on their perceptions of the wards. Main outcome measures The main outcomes for the DOORWAYS and BETTER project were service user and staff perceptions of the ward (VOICE and VOTE, respectively) and the health economic measure was CITRINE. All were developed in WPs 1 and 2. Results We developed reliable and valid measures of (1) the perceptions of inpatient care from the perspectives of service users and nurses (VOICE and VOTE) and (2) costs of interactions that were valued by service users (CITRINE). In the DOORWAYS project, after adjusting for legal status, we found weak evidence for benefit (standardised effect of –0.18, 95% CI 0.38 improvement to 0.01 deterioration; p = 0.062). There was only a significant benefit for involuntary patients following the staff training (N582, standardised effect of –0.35, 95% CI –0.57 to –0.12; p = 0.002; interaction p -value 0.006). VOTE scores did not change over time (standardised effect size of 0.04, 95% CI –0.09 to 0.18; p = 0.54). We found no evidence of an improvement in cost-effectiveness (estimated effect of £33, 95% CI –£91 to £146; p = 0.602), but resource allocation did change towards patient-perceived meaningful contacts by an average of £12 (95% CI –£76 to £98; p = 0·774). There were no significant differences between the triage and routine models of admission in terms of better perceptions by service users (estimated effect 0.77-point improvement in VOICE score on the triage ward; p = 0.68) or nurses (estimated effect of 1.68-point deterioration in VOTE on the triage ward; p = 0.38) or in terms of the cost of the length of care provided (£391 higher on triage; p = 0.77). Strengths and limitations We have developed measures using methods involving both service users and staff from mental health services. The measures were developed specifically for acute inpatient services and, therefore, cannot be assumed to be useful for other services. For instance, extensions of the measures are under construction for use in mother and baby units. The strength of the BETTER PATHWAYS and DOORWAYS projects is the large-scale data collection. However, we were testing specific services based in inner city areas and stretching to inner urban areas. It may be that different effects would be found in more rural communities or in different types of inpatient care. Future work Our database will be used to develop an understanding of the mediating and moderating factors for improving care quality. Trial registration Current Controlled Trials ISRCTN06545047. Funding This project was funded by the NIHR Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research ; Vol. 6, No. 7. See the NIHR Journals Library website for further project information." @default.
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• W2905465648 date "2018-12-01" @default.
• W2905465648 modified "2023-10-18" @default.
• W2905465648 title "Patient involvement in improving the evidence base on mental health inpatient care: the PERCEIVE programme" @default.
• W2905465648 cites W1507711477 @default.
• W2905465648 cites W1522699164 @default.
• W2905465648 cites W1532888054 @default.
• W2905465648 cites W1941754197 @default.
• W2905465648 cites W1951307250 @default.
• W2905465648 cites W1963724961 @default.
• W2905465648 cites W1967390364 @default.
• W2905465648 cites W1967666680 @default.
• W2905465648 cites W1969711717 @default.
• W2905465648 cites W1974023298 @default.
• W2905465648 cites W1977802038 @default.
• W2905465648 cites W1980808075 @default.
• W2905465648 cites W1982732036 @default.
• W2905465648 cites W1983120777 @default.
• W2905465648 cites W1984126279 @default.
• W2905465648 cites W1984818508 @default.
• W2905465648 cites W1985254530 @default.
• W2905465648 cites W1985661126 @default.
• W2905465648 cites W1985765065 @default.
• W2905465648 cites W1986600960 @default.
• W2905465648 cites W1988270932 @default.
• W2905465648 cites W1988771307 @default.
• W2905465648 cites W1989529101 @default.
• W2905465648 cites W1989698222 @default.
• W2905465648 cites W1991098455 @default.
• W2905465648 cites W1991962708 @default.
• W2905465648 cites W1996128014 @default.
• W2905465648 cites W1997188126 @default.
• W2905465648 cites W1997881846 @default.
• W2905465648 cites W1999037403 @default.
• W2905465648 cites W2002397656 @default.
• W2905465648 cites W2005490944 @default.
• W2905465648 cites W2005880300 @default.
• W2905465648 cites W2008834784 @default.
• W2905465648 cites W2009496294 @default.
• W2905465648 cites W2012449880 @default.
• W2905465648 cites W2015272504 @default.
• W2905465648 cites W2019648544 @default.
• W2905465648 cites W2024344583 @default.
• W2905465648 cites W2027041981 @default.
• W2905465648 cites W2028904083 @default.
• W2905465648 cites W2029178672 @default.
• W2905465648 cites W2029239343 @default.
• W2905465648 cites W2029902404 @default.
• W2905465648 cites W2031982309 @default.
• W2905465648 cites W2031995109 @default.
• W2905465648 cites W2032039690 @default.
• W2905465648 cites W2032571958 @default.
• W2905465648 cites W2032763139 @default.
• W2905465648 cites W2033671536 @default.
• W2905465648 cites W2035476324 @default.
• W2905465648 cites W2035584519 @default.
• W2905465648 cites W2038948346 @default.
• W2905465648 cites W2043590911 @default.
• W2905465648 cites W2045578526 @default.
• W2905465648 cites W2048081131 @default.
• W2905465648 cites W2048833918 @default.
• W2905465648 cites W2050850707 @default.
• W2905465648 cites W2051013754 @default.
• W2905465648 cites W2051149896 @default.
• W2905465648 cites W2055426129 @default.
• W2905465648 cites W2057237726 @default.
• W2905465648 cites W2058698361 @default.
• W2905465648 cites W2059753332 @default.
• W2905465648 cites W2060444109 @default.
• W2905465648 cites W2063990718 @default.
• W2905465648 cites W2065901643 @default.
• W2905465648 cites W2066373016 @default.
• W2905465648 cites W2067033638 @default.
• W2905465648 cites W2067270077 @default.
• W2905465648 cites W2069314911 @default.
• W2905465648 cites W2070504201 @default.
• W2905465648 cites W2071686433 @default.
• W2905465648 cites W2072677461 @default.
• W2905465648 cites W2073809524 @default.
• W2905465648 cites W2076506836 @default.
• W2905465648 cites W2078698249 @default.
• W2905465648 cites W2082784923 @default.
• W2905465648 cites W2085791103 @default.
• W2905465648 cites W2089292258 @default.
• W2905465648 cites W2092252571 @default.
• W2905465648 cites W2093815817 @default.
• W2905465648 cites W2094414562 @default.
• W2905465648 cites W2096988720 @default.
• W2905465648 cites W2100133101 @default.

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