Evaluating the feasibility of complex interventions in mental health services:standardised measure and reporting guidelines

Bird, Victoria J. and Le Boutillier, Clair and Leamy, Mary and Williams, Julie and Bradstreet, Simon and Slade, Mike (2014) Evaluating the feasibility of complex interventions in mental health services:standardised measure and reporting guidelines. British Journal of Psychiatry, 204 (4). pp. 316-321. ISSN 0007-1250

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BACKGROUND: The feasibility of implementation is insufficiently considered in clinical guideline development, leading to human and financial resource wastage.\n\nAIMS: To develop (a) an empirically based standardised measure of the feasibility of complex interventions for use within mental health services and (b) reporting guidelines to facilitate feasibility assessment.\n\nMETHOD: A focused narrative review of studies assessing implementation blocks and enablers was conducted with thematic analysis and vote counting used to determine candidate items for the measure. Twenty purposively sampled studies (15 trial reports, 5 protocols) were included in the psychometric evaluation, spanning different interventions types. Cohen's kappa (κ) was calculated for interrater reliability and test-retest reliability.\n\nRESULTS: In total, 95 influences on implementation were identified from 299 references. The final measure - Structured Assessment of FEasibility (SAFE) - comprises 16 items rated on a Likert scale. There was excellent interrater (κ = 0.84, 95% CI 0.79-0.89) and test-retest reliability (κ = 0.89, 95% CI 0.85-0.93). Cost information and training time were the two influences least likely to be reported in intervention papers. The SAFE reporting guidelines include 16 items organised into three categories (intervention, resource consequences, evaluation).\n\nCONCLUSIONS: A novel approach to evaluating interventions, SAFE, supplements efficacy and health economic evidence. The SAFE reporting guidelines will allow feasibility of an intervention to be systematically assessed.

Item Type: Journal Article
Journal or Publication Title: British Journal of Psychiatry
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700/2738
Departments: Faculty of Arts & Social Sciences > Applied Social Science
Faculty of Arts & Social Sciences > Educational Research
Faculty of Health and Medicine > Health Research
ID Code: 76691
Deposited By: ep_importer_pure
Deposited On: 16 Nov 2015 12:10
Refereed?: Yes
Published?: Published
Last Modified: 07 Jan 2020 04:38
URI: https://eprints.lancs.ac.uk/id/eprint/76691

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