Biomedical subjects

Michael Barkham

Publications and source records attributed to Michael Barkham.

21 records · Page 2Linked to original sources

PubMed2002

Towards a standardised brief outcome measure: psychometric properties and utility of the CORE-OM.

BACKGROUND: An acceptable, standardised outcome measure to assess efficacy and effectiveness is needed across multiple disciplines offering psychological therapies. AIMS: To present psychometric data on reliability, validity and sensitivity to change for the CORE-OM (Clinical Outcomes in Routine Evaluation--Outcome Measure). METHOD: A 34-item self-report instrument was-developed, with domains of subjective well-being, symptoms, function and risk. Analysis includes internal reliability, test-retest reliability, socio-demographic differences, exploratory principal-component analysis, correlations with other instruments, differences between clinical and non-clinical samples and assessment of change within a clinical group. RESULTS: Internal and test-retest reliability were good (0.75-0.95), as was convergent validity with seven other instruments, with large differences between clinical and non-clinical samples and good sensitivity to change. CONCLUSIONS: The CORE-OM is a reliable and valid instrument with good sensitivity to change. It is acceptable in a wide range of practice settings.

Adolescent↗

PubMed2002

Practice improvement methods: conceptual base, evidence-based research, and practice-based recommendations.

OBJECTIVES: To provide (1) an overview of the purpose of practice improvement methods and a conceptual base for the relationship between the various practice improvement methods; (2) an evidence-based review of the range of practice improvement methods; and (3) practice-based recommendations. DESIGN AND METHOD: Secondary research design using electronic literature search of PsycINFO database was carried out on eight practice improvement methods (PIMs) and the evidence for effectiveness presented. RESULTS: There is evidence of effectiveness in changing practice for each of the PIMs reviewed, and for some, there is also evidence of effects on patient outcomes. Each has strengths and weaknesses. However, the stronger conclusion from reviews is that use of multiple PIMs is more likely to impact clinical practice and patient outcomes than use of a single PIM. CONCLUSION: The development of PIMs should concentrate on combination and integration between methods to maximize their effectiveness.

Databases as Topic↗

PubMedDate not supplied

Developing a U.K. protocol for collaborative care: a qualitative study.

OBJECTIVE: This study aimed to explore the views of stakeholders including patients, general practitioners (GPs) and mental health workers on the feasibility, acceptability and barriers to a collaborative care model for treatment of depression within the context of U.K. primary health care. METHOD: We used semistructured interviews and focus groups with a purposive sample of 11 patients and 38 professionals from a wide selection of primary and secondary care mental health services, as well as framework analysis using a "constant comparative" approach to identify key concepts and themes. RESULTS: Regular contact for patients with depression is acceptable and valued by both patients and professionals. However, patients value support, whereas professionals focus on information. To be acceptable to patients, contacts about medication or psychosocial support must minimize the potential for patient disempowerment. The use of the telephone is convenient and lends anonymity, but established mental health workers think it will impair their judgments. While patients merely identified the need for skilled case managers, GPs preferred established professionals; however, these workers did not see themselves in this role. All involved were cautious about deploying new workers. Additional barriers included practical and organizational issues. CONCLUSIONS: Although a telephone-delivered mix of medication support and low-intensity psychological intervention is generally acceptable, significant issues to be addressed include the values of the current mental health workforce, fears about new workers' experience and competence, the balance of face-to-face and telephone contacts and case manager education in nonspecific skills necessary to develop a therapeutic alliance, as well as the knowledge and skills required for education, medication support and behavioral activation. Qualitative research can add value to careful modeling of collaborative care prior to international implementation.

Attitude of Health Personnel↗