refocus trial protocol for a cluster randomised controlled trial of a pro-recovery intervention within community based mental health teams重新试验协议pro-recovery集群随机对照试验的干预在社区精神卫生团队.pdfVIP

Slade et al. BMC Psychiatry 2011, 11:185 /1471-244X/11/185 STUDY PROTOCOL Open Access REFOCUS Trial: protocol for a cluster randomised controlled trial of a pro-recovery intervention within community based mental health teams * Mike Slade , Victoria Bird, Clair Le Boutillier, Julie Williams, Paul McCrone and Mary Leamy Abstract Background: There is a consensus about the importance of ‘recovery’ in mental health services, but the evidence base is limited. Methods/Design: A two centre, cluster randomised controlled trial. Participants are community-based mental health teams, and service users aged 18-65 years with a primary clinical diagnosis of psychosis. In relation to the REFOCUS Manual /refocus, which describes a 12-month, pro-recovery intervention based on the REFOCUS Model, the objectives are: (1) To establish the effectiveness of the intervention described in the REFOCUS Manual; (2) To validate the REFOCUS Model; (3) To establish and optimise trial parameters for the REFOCUS Manual; and (4) To understand the relationship between clinical outcomes and recovery outcomes. The hypothesis for the main study is that service users in the intervention arm will experience significantly greater increases in measures of personal recovery (as measured by the QPR) compared to service users receiving care from control teams. The hypothesis for the secondary study is that black service users in the intervention arm will experience significantly greater increases in measures of personal recovery (as measured by the QPR) and client satisfaction (as measured by the CSQ) compared to Black service users receiving care from control teams. The intervention comprises treatment as usual plus two components: recovery-promoting relationships and working practices. The control condition is treatment as usual. The