Evaluation of a pro-recovery training intervention (REFOCUS-RETAFORM) in specialist mental health services across France: stepped-wedge cluster randomised controlled trial protocol.
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Dubreucq Julien, Franck Nicolas, Plasse Julien, Muller Anne-Elisabeth, Bralet Marie-Cécile, Bera-Potelle Céline, Berna Fabrice, Blachère Clara, Carpentier Alexandre, Chereau Isabelle, Chillet Pauline, Dubreucq Marine, Durand-Zaleski Isabelle, Chirio-Espitalier Marion, Espi Pauline, Fourneret Pierre, Gabriel-Segard Tristan, Guioux Axel, Grangé Anne-Laure, Green Amanda, Green Errol, Guillard-Bouhet Nathalie, Gerardin Priscille, Harscoet Yves-Antoine, Khazaal Yasser, Lassere Evelyne, Le Bras Alicia, Leamy Mary, Legrand Guillaume, Legros-Lafarge Emilie, Llorca Pierre-Michel, Jaafari Nemat, Mabille Louis, Masson David, Massoubre Catherine, Moisset Aurore, Nahabedian Noushig, Quiles Clélia, Reydellet David, Simon Antoine, Sibert Aude, Tresse Rémi, Tinland Aurélie, Meadows Graham, Slade Mike, RETAFORM study group
Аннотация
METHODS: A two-step stepped wedge cluster randomised controlled trial will be conducted, with a nested qualitative sub-study exploring stakeholders' views on changes in staff-user relationships and implementation influences. The REFOCUS-RETAFORM intervention is a training intervention for mental health staff, to develop recovery-promoting relationships and pro-recovery working practices. Clusters are services, which transition sequentially from control to intervention condition in a randomised order. Eight clusters are randomised to deliver REFOCUS-RETAFORM in year one and eight clusters in year two. Each cluster delivers REFOCUS-RETAFORM to two teams from their organisation (32 teams in total). Participants are a) service users aged 13-65 years attending services implementing REFOCUS-RETAFORM, and b) staff receiving the intervention. The primary outcome is the Questionnaire about the Process of Recovery. Secondary outcomes include perceived stigma and coercion, self-stigma and wellbeing for service users, and recovery-orientation for staff. Data will be collected from 540 service users (180 at baseline, 180 at month 12, 180 at month 24) and 220 staff. We will use multilevel mixed-effects models, adjusting for secular trends and thematic analysis for the qualitative interview data.
DISCUSSION: Findings will inform the continued transformation of French specialist mental health services toward a recovery orientation.
TRIAL REGISTRATION: Clinical Trials NCT05824234, registered 21 April 2023.