Methodological challenges in evaluating the effectiveness of women's crisis houses compared with psychiatric wards: findings from a pilot patient preference RCT

Howard, Louise M., Leese, Morven, Byford, Sarah, Killaspy, Helen, Cole, Laura ORCID: https://orcid.org/0000-0001-7194-5616, Lawlor, Caroline and Johnson, Sonia (2009) Methodological challenges in evaluating the effectiveness of women's crisis houses compared with psychiatric wards: findings from a pilot patient preference RCT. The Journal of Nervous and Mental Disease, 197 (10). pp. 722-727. ISSN 0022-3018

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Abstract

There are several methodological difficulties to address when evaluating acute psychiatric services. This study explored potential methods in evaluating the effectiveness of women's crisis houses compared with psychiatric wards in a pilot patient preference randomized controlled trial. Women requiring voluntary admission to a psychiatric hospital or women's crisis house were asked to enter this pilot and different options for recruitment were explored, including different recruitment sites in the pathway to admission and methods for including women without capacity. Forty-one percent (n = 42) of women entering the study agreed to be randomized and 59% (n = 61) entered patient preference arms. Only 7% of women were recruited before admission and 1 woman without capacity entered the study, despite procedures to facilitate this. Recruitment of patients with acute psychiatric crises is therefore challenging; researchers evaluating acute services should establish a consensus on how ethically and practically to recruit patients in this setting.

Item Type: Article
Additional Information: © 2009 Lippincott Williams & Wilkins, Inc. This is the peer reviewed version of the following article: [Howard, Louise M.; Leese, Morven; Byford, Sarah; Killaspy, Helen; Cole, Laura; Lawlor, Caroline; Johnson, Sonia, Methodological Challenges in Evaluating the Effectiveness of Women's Crisis Houses Compared With Psychiatric Wards: Findings From a Pilot Patient Preference RCT, The Journal of Nervous and Mental Disease: October 2009 - Volume 197 - Issue 10 - p 722-727 doi: 10.1097/NMD.0b013e3181b97621], which has been published in final form at https://doi.org/10.1097/nmd.0b013e3181b97621.
Uncontrolled Keywords: Randomized controlled trials, emergency services, psychiatric, mental disorders, evaluation studies
Subjects: Medicine and health
Social sciences
Related URLs:
Depositing User: Laura Cole
Date Deposited: 03 Aug 2021 13:36
Last Modified: 28 Aug 2021 07:14
URI: http://repository.uwl.ac.uk/id/eprint/7709

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