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Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial

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Enhanced relapse prevention for bipolar disorder by community mental health teams : cluster feasibility randomised trial. / Lobban, F.; Taylor, L.; Chandler, C.; Tyler, Elizabeth; Kinderman, P.; Kolamunnage-Dona, R.; Gamble, C.; Peters, S.; Pontin, E.; Sellwood, William; Morriss, R. K.

In: British Journal of Psychiatry, Vol. 196, No. 1, 01.2010, p. 59-63.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Lobban, F, Taylor, L, Chandler, C, Tyler, E, Kinderman, P, Kolamunnage-Dona, R, Gamble, C, Peters, S, Pontin, E, Sellwood, W & Morriss, RK 2010, 'Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial', British Journal of Psychiatry, vol. 196, no. 1, pp. 59-63. https://doi.org/10.1192/bjp.bp.109.065524

APA

Lobban, F., Taylor, L., Chandler, C., Tyler, E., Kinderman, P., Kolamunnage-Dona, R., Gamble, C., Peters, S., Pontin, E., Sellwood, W., & Morriss, R. K. (2010). Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial. British Journal of Psychiatry, 196(1), 59-63. https://doi.org/10.1192/bjp.bp.109.065524

Vancouver

Lobban F, Taylor L, Chandler C, Tyler E, Kinderman P, Kolamunnage-Dona R et al. Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial. British Journal of Psychiatry. 2010 Jan;196(1):59-63. https://doi.org/10.1192/bjp.bp.109.065524

Author

Lobban, F. ; Taylor, L. ; Chandler, C. ; Tyler, Elizabeth ; Kinderman, P. ; Kolamunnage-Dona, R. ; Gamble, C. ; Peters, S. ; Pontin, E. ; Sellwood, William ; Morriss, R. K. / Enhanced relapse prevention for bipolar disorder by community mental health teams : cluster feasibility randomised trial. In: British Journal of Psychiatry. 2010 ; Vol. 196, No. 1. pp. 59-63.

Bibtex

@article{9b9401e2cc7f47cabc3c1686f46d2b8f,
title = "Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial",
abstract = "BackgroundRelapse prevention for bipolar disorder increases time to relapse but is not available in routine practice.AimsTo determine the feasibility and effectiveness of training community mental health teams (CMHTS) to deliver enhanced relapse prevention.Methodin a cluster randomised controlled trial, CMHT workers were allocated to receive 12h training in enhanced relapse prevention to offer to people with bipolar disorder or to continue giving treatment as usual. The primary outcome was time to relapse and the secondary outcome was functioning.ResultsTwenty-three CMHTs and 96 service users took part. Compared with treatment as usual, enhanced relapse prevention increased median time to the next bipolar episode by 8.5 weeks (hazard ratio 0.79, 95% CI 0.45-1.38). Social and occupational functioning improved with the intervention (regression coefficient 0.68, 95% CI 0.05-1.32). The clustering effect was negligible but imprecise (intracluster correlation coefficient 0.0001, 95% CI 0.0000-0.5142).ConclusionsTraining care coordinators to offer enhanced relapse prevention for bipolar disorder may be a feasible effective treatment. Large-scale cluster trials are needed.",
keywords = "GROUP PSYCHOEDUCATION, CARE, IMPAIRMENT, SYMPTOMS, EFFICACY",
author = "F. Lobban and L. Taylor and C. Chandler and Elizabeth Tyler and P. Kinderman and R. Kolamunnage-Dona and C. Gamble and S. Peters and E. Pontin and William Sellwood and Morriss, {R. K.}",
year = "2010",
month = jan,
doi = "10.1192/bjp.bp.109.065524",
language = "English",
volume = "196",
pages = "59--63",
journal = "British Journal of Psychiatry",
issn = "0007-1250",
publisher = "Royal College of Psychiatrists",
number = "1",

}

RIS

TY - JOUR

T1 - Enhanced relapse prevention for bipolar disorder by community mental health teams

T2 - cluster feasibility randomised trial

AU - Lobban, F.

AU - Taylor, L.

AU - Chandler, C.

AU - Tyler, Elizabeth

AU - Kinderman, P.

AU - Kolamunnage-Dona, R.

AU - Gamble, C.

AU - Peters, S.

AU - Pontin, E.

AU - Sellwood, William

AU - Morriss, R. K.

PY - 2010/1

Y1 - 2010/1

N2 - BackgroundRelapse prevention for bipolar disorder increases time to relapse but is not available in routine practice.AimsTo determine the feasibility and effectiveness of training community mental health teams (CMHTS) to deliver enhanced relapse prevention.Methodin a cluster randomised controlled trial, CMHT workers were allocated to receive 12h training in enhanced relapse prevention to offer to people with bipolar disorder or to continue giving treatment as usual. The primary outcome was time to relapse and the secondary outcome was functioning.ResultsTwenty-three CMHTs and 96 service users took part. Compared with treatment as usual, enhanced relapse prevention increased median time to the next bipolar episode by 8.5 weeks (hazard ratio 0.79, 95% CI 0.45-1.38). Social and occupational functioning improved with the intervention (regression coefficient 0.68, 95% CI 0.05-1.32). The clustering effect was negligible but imprecise (intracluster correlation coefficient 0.0001, 95% CI 0.0000-0.5142).ConclusionsTraining care coordinators to offer enhanced relapse prevention for bipolar disorder may be a feasible effective treatment. Large-scale cluster trials are needed.

AB - BackgroundRelapse prevention for bipolar disorder increases time to relapse but is not available in routine practice.AimsTo determine the feasibility and effectiveness of training community mental health teams (CMHTS) to deliver enhanced relapse prevention.Methodin a cluster randomised controlled trial, CMHT workers were allocated to receive 12h training in enhanced relapse prevention to offer to people with bipolar disorder or to continue giving treatment as usual. The primary outcome was time to relapse and the secondary outcome was functioning.ResultsTwenty-three CMHTs and 96 service users took part. Compared with treatment as usual, enhanced relapse prevention increased median time to the next bipolar episode by 8.5 weeks (hazard ratio 0.79, 95% CI 0.45-1.38). Social and occupational functioning improved with the intervention (regression coefficient 0.68, 95% CI 0.05-1.32). The clustering effect was negligible but imprecise (intracluster correlation coefficient 0.0001, 95% CI 0.0000-0.5142).ConclusionsTraining care coordinators to offer enhanced relapse prevention for bipolar disorder may be a feasible effective treatment. Large-scale cluster trials are needed.

KW - GROUP PSYCHOEDUCATION

KW - CARE

KW - IMPAIRMENT

KW - SYMPTOMS

KW - EFFICACY

UR - http://www.scopus.com/inward/record.url?scp=74949130860&partnerID=8YFLogxK

U2 - 10.1192/bjp.bp.109.065524

DO - 10.1192/bjp.bp.109.065524

M3 - Journal article

VL - 196

SP - 59

EP - 63

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 1

ER -