Is LiveWellCloz acceptable for patients and healthcare staff?

  • Research type

    Research Study

  • Full title

    Is the LiveWellCloz intervention acceptable for patients and healthcare staff, a qualitative analysis?

  • IRAS ID

    212799

  • Contact name

    Jason Hancock

  • Contact email

    jason.hancock@nhs.net

  • Sponsor organisation

    University of Exeter

  • Duration of Study in the UK

    0 years, 11 months, 31 days

  • Research summary

    Schizophrenia is a common severe mental illness and is associated with a life expectancy 10-20 years less than the background population. The majority of premature deaths are caused by physical illnesses such as cardiovascular disease or diabetes. While this is due to many factors the use of antipsychotic medication is known to increase the risk of physical health complications in this population.

    In 2014 NICE recommended for the first time that physical health monitoring for people taking an antipsychotic is performed by the patient’s secondary care mental health trust rather than by their GP. This poses a challenge for secondary care services. It is not known where patients wish their physical health monitoring to be performed, and there is longstanding disagreement between primary and secondary care as to where the responsibility for managing the physical health complications of this population lie. In Exeter we have developed an intervention (LiveWellCloz) within the local Clozapine clinic to increase the proportion of patients prescribed Clozapine having the appropriate physical health monitoring performed.

    This study will use short 30 minute semi-structured qualitative interviews to ask six to ten patients attending the Clozapine clinic in Exeter, and previously exposed to LiveWellCloz, if the intervention is acceptable to them and who they would want to support them with their physical health needs. This study will also interview a range of additional stakeholders including local primary and secondary care healthcare professions with a knowledge of the clinic (psychiatrists, General Practitioners, clinic and community nursing staff) to determine if the intervention is acceptable to them and to determine where they feel physical health monitoring and management should take place.

    Answering these questions will allow further improvement of this intervention and will help guide future interventions aiming to improving the physical health monitoring of patients taking antipsychotic medication.

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    16/SW/0265

  • Date of REC Opinion

    27 Sep 2016

  • REC opinion

    Further Information Favourable Opinion