Cited by 21Schizophrenia research and treatmentPsychiatric care and mental health servicesMental Health and Patient Involvement

Improving implementation of evidence based practice for people with psychosis through training the wider workforce: Results of the GOALS feasibility randomised controlled trial

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Waller, Helen, Landau, Sabine, Fornells-Ambrojo, Miriam, Jolley, Suzanne, McCrone, Paul, Halkoree, Rikesh, Basit, Nedah, Iredale, Catherine +4 more·2018·Journal of Behavior Therapy and Experimental Psychiatry

Abstract

BACKGROUND AND OBJECTIVES: There is a pressing need to improve access to evidence-based practice for people with psychosis. The primary aim of this study was to assess clinical feasibility of a manualised, evidence-based CBT intervention (GOALS) targeting a personalised recovery goal, delivered by the frontline workforce, following brief training. Secondly, we aimed to conduct preliminary statistical analyses of key outcomes and costs. METHODS: The GOALS study is a feasibility randomised controlled trial (ISRCTN 73188383). 75 participants with current psychosis were recruited and randomly allocated to receive either treatment as usual alone or with GOALS therapy. RESULTS: Brief training enabled frontline staff to deliver the therapy according to protocol and 74% of therapy participants partially or fully achieved their goals. There were significant improvements with a moderate effect size of 0.56 on goal attainment. However, preliminary statistical analyses found no significant differences between groups on our primary outcome of activity levels or other secondary outcomes Health economic analysis found that point estimates of costs, controlling for baseline costs, implied savings (even including intervention costs), but the difference was not statistically significant. LIMITATIONS: The study was designed as a feasibility RCT, and therefore the results of secondary estimates of efficacy effects should be treated with caution. CONCLUSIONS: This approach holds promise in supporting people with psychosis to reach personal recovery goals, cost effectively.

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Authors
Waller, H., Landau, S., Fornells-Ambrojo, M., Jolley, S., McCrone, P., Halkoree, R., Basit, N., Iredale, C., Tunnard, C., Zala, D., Craig, T. J. K., & Garety, P.
Affiliations
  • King's College London (GB)
  • South London and Maudsley NHS Foundation Trust (GB)
  • University College London (GB)
Corresponding author
Waller, Helen
Venue
Journal of Behavior Therapy and Experimental Psychiatry
Publisher
Elsevier BV
Published
2018-06
Volume
59
Pages
121-128
ISSN
0005-7916 (ISSN-L)
OpenAlex
W2776620435
Cited by
21
References
46
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2
FWCI
1.12
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Greenwich Academic Literature Archive (University of Greenwich) (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
Funders
  • National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (PB-PG-0711-25010)
  • National Institute for Health Research Biomedical Research Centre at the South London
  • Maudsley NHS Foundation Trust
  • King's College London
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords
psychosis, cognitive behavioral therapy, evidence-based practice implementation, goal achievement, activity level, health economic evaluation, cost-effectiveness, feasibility
MeSH terms
Adult, Aged, Community Mental Health Services, Feasibility Studies, Female, Goals, Health Workforce, Health Personnel, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Psychotic Disorders, Schizophrenia, Cognitive Behavioral Therapy, Health Care Costs, Evidence-Based Practice, Young Adult

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