hEARD: help Exploring At-Risk Disengagement Delphi Study

  • Research type

    Research Study

  • Full title

    Development of a user centred care model to improve engagement and outcomes for those at risk of developing psychosis using Delphi methods

  • IRAS ID

    329848

  • Contact name

    Lauren Cox

  • Contact email

    lauren.cox@gmmh.nhs.uk

  • Sponsor organisation

    University of Manchester

  • Clinicaltrials.gov Identifier

    N/A, N/A

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    People deemed as at risk of developing psychosis (also known as ARMS - At-Risk Mental State services) often disengage (leave early) from services developed to support them, which can lead to poor health, social and personal outcomes and is poorly understood. This research is part of a three phased set of studies aimed at exploring and addressing service disengagement for ARMS users in order to retain users in services and improve their overall outcomes. This is of relevance and importance, as there are no studies which specifically explore disengagement and how to address this from a service-user perspective.
    Information has been collected from service users regarding their reasons for disengaging from such services and opinions on how this could be addressed in clinical practice. The information has been generated into statements for experts (service users, carers and relevant professionals) to vote on their priorities for a user-centred care model (additional to current service delivery) which may keep users engaged, reduce risk of development of psychosis and improve their overall outcomes. Future plans will be to test the model in clinical practice via seeking further funding.
    The Delphi study will use three survey rounds for 80 experts to vote on the priorities for the user-centred model and to reach agreement on aspects of the model. There will be a break between each survey, therefore participants would be involved in the study for six months if they completed all surveys. ARMS users and their carers across ARMS services will be recruited across Greater Manchester, Merseyside, the North East and the Midlands. Professionals (clinicians, researchers, policy makers, commissioners) will be recruited via existing professional contact networks and supervisory team networks.
    The study is funded by NIHR as part of a Clinical Doctoral Research Fellowship.

  • REC name

    South Central - Berkshire B Research Ethics Committee

  • REC reference

    24/SC/0143

  • Date of REC Opinion

    23 May 2024

  • REC opinion

    Further Information Favourable Opinion