The Comquol Study: - a pilot cluster randomised trial looking at a structured communication intervention in secure mental health settings: outcomes and challenges

MacInnes, D. L., Kinane, C., Parrott, J. and Mansfield, J. (2016) The Comquol Study: - a pilot cluster randomised trial looking at a structured communication intervention in secure mental health settings: outcomes and challenges. In: Royal College of Psychiatrists. Forensic Psychiatry Faculty Annual Conference 2016, 2nd-4th March 2016, Glasgow. (Unpublished)

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There is limited research in forensic settings examining therapeutic relationships. A structured communication approach, placing patients’ perspectives at the heart of discussions about their care, has been developed and used to improve patients’ quality of life in secure settings.

The objectives of the pilot study were to:
• Establish the feasibility of the trial design
• Determine the variability of the outcomes of interest
• Estimate the costs of the intervention
• If necessary, refine the intervention

A pilot study was conducted using a cluster randomised controlled trial design. Data was collected from July 2012 to January 2015 from participants in 6 medium secure in–patient services in London and Southern England. 55 patients and 47 nurses were recruited to the intervention group with 57 patients and 45 nurses recruited to the control group.
The intervention consisted of two elements:
A computer-mediated approach (DIALOG+) and
Non-directive counselling based on SFT
The focus was on employing a user centred approach promoting patients active participation in the intervention.
6 nurse-patient meetings were held over a 6 month period. Patients rated their satisfaction with a range of domains followed by discussions on improving patient identified problems. Assessments took place at baseline, 6 months, and 12 months. Participants were not blind to their allocated group. The primary outcome was self-reported quality of life collected by a researcher blind to participants’ allocation status.

Aim and Objectives of Presentation
The presentation aims to develop an awareness of the procedures required to undertake a study using trial methodology in a forensic mental health setting and gain an awareness of some of the main principles underpinning the Comquol study.
Aby the end of the presentation attendees should be able to:

• Understand the practicalities involved when undertaking a pilot trial in forensic settings
• Be aware of using a computer- mediated structured communication approach to help collaborative decision making
• Acknowledge the main the findings of the ComQuol study

Item Type: Conference or Workshop Item (Paper)
Subjects: R Medicine
R Medicine > RT Nursing
Divisions: Faculty of Health and Wellbeing > School of Nursing
Depositing User: Dr Douglas MacInnes
Date Deposited: 22 Jun 2016 15:27
Last Modified: 22 Jun 2016 16:04

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Last edited: 29/06/2016 12:23:00