A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study
Abstract:BackgroundSupplementary prescribing for mental health nurses was first introduced in the UK in 2003. Since then, a number of studies have reported stakeholders' perceptions of the success of the initiative. However, there has been little experimental research conducted into its effectiveness. This paper reports findings from the first known study to compare the cost and clinical impact of mental health nurse supplementary prescribing to independent medical prescribing.MethodsA post-test control group experimen… Show more
“…Benefits of the group intervention included decreased isolation, increased knowledge and confidence in themselves as parents. These themes closely matched those that emerged from our analysis of follow up responses of mothers that participated in our face-to-face groups [50]. While it is possible that the provision of a free computer and free internet access for one year may have influenced participant response to report about the intervention in positive way, the finding that the themes closely matched those emerging from the face-to-face groups is reassuring.…”
BackgroundWe examined the feasibility of providing web-based mental health services, including synchronous internet video conferencing of an evidence-based support/education group, to at-risk women, specifically poor lone mothers. The objectives of this study were to: (i) adapt a face-to-face support/education group intervention to a web-based format for lone mothers, and (ii) evaluate lone mothers' response to web-based services, including an online video conferencing group intervention program.MethodsParticipating mothers were recruited through advertisements. To adapt the face-to-face intervention to a web-based format, we evaluated participant motivation through focus group/key informant interviews (n = 7), adapted the intervention training manual for a web-based environment and provided a computer training manual. To evaluate response to web-based services, we provided the intervention to two groups of lone mothers (n = 15). Pre-post quantitative evaluation of mood, self-esteem, social support and parenting was done. Post intervention follow up interviews explored responses to the group and to using technology to access a health service. Participants received $20 per occasion of data collection. Interviews were taped, transcribed and content analysis was used to code and interpret the data. Adherence to the intervention protocol was evaluated.ResultsMothers participating in this project experienced multiple difficulties, including financial and mood problems. We adapted the intervention training manual for use in a web-based group environment and ensured adherence to the intervention protocol based on viewing videoconferencing group sessions and discussion with the leaders. Participant responses to the group intervention included decreased isolation, and increased knowledge and confidence in themselves and their parenting; the responses closely matched those of mothers who obtained same service in face-to-face groups. Pre-and post-group quantitative evaluations did not show significant improvements on measures, although the study was not powered to detect these.ConclusionsWe demonstrated that an evidence-based group intervention program for lone mothers developed and evaluated in face-to-face context transferred well to an online video conferencing format both in terms of group process and outcomes.
“…Benefits of the group intervention included decreased isolation, increased knowledge and confidence in themselves as parents. These themes closely matched those that emerged from our analysis of follow up responses of mothers that participated in our face-to-face groups [50]. While it is possible that the provision of a free computer and free internet access for one year may have influenced participant response to report about the intervention in positive way, the finding that the themes closely matched those emerging from the face-to-face groups is reassuring.…”
BackgroundWe examined the feasibility of providing web-based mental health services, including synchronous internet video conferencing of an evidence-based support/education group, to at-risk women, specifically poor lone mothers. The objectives of this study were to: (i) adapt a face-to-face support/education group intervention to a web-based format for lone mothers, and (ii) evaluate lone mothers' response to web-based services, including an online video conferencing group intervention program.MethodsParticipating mothers were recruited through advertisements. To adapt the face-to-face intervention to a web-based format, we evaluated participant motivation through focus group/key informant interviews (n = 7), adapted the intervention training manual for a web-based environment and provided a computer training manual. To evaluate response to web-based services, we provided the intervention to two groups of lone mothers (n = 15). Pre-post quantitative evaluation of mood, self-esteem, social support and parenting was done. Post intervention follow up interviews explored responses to the group and to using technology to access a health service. Participants received $20 per occasion of data collection. Interviews were taped, transcribed and content analysis was used to code and interpret the data. Adherence to the intervention protocol was evaluated.ResultsMothers participating in this project experienced multiple difficulties, including financial and mood problems. We adapted the intervention training manual for use in a web-based group environment and ensured adherence to the intervention protocol based on viewing videoconferencing group sessions and discussion with the leaders. Participant responses to the group intervention included decreased isolation, and increased knowledge and confidence in themselves and their parenting; the responses closely matched those of mothers who obtained same service in face-to-face groups. Pre-and post-group quantitative evaluations did not show significant improvements on measures, although the study was not powered to detect these.ConclusionsWe demonstrated that an evidence-based group intervention program for lone mothers developed and evaluated in face-to-face context transferred well to an online video conferencing format both in terms of group process and outcomes.
“… Example from the literature: cost–consequences analysis of mental health nurse prescribing A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study (Norman 2010) This study compared the cost and clinical impact of mental health supplementary prescribing with those of medical prescribing in 90 patients matched for age, gender, primary diagnosis and time since diagnosis. The cost of mental health nurse prescribing included the time costs of training, supervision and consultation.…”
Section: Methods Of Economic Evaluationmentioning
confidence: 99%
“…A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study (Norman 2010)…”
SummaryEconomic evaluation involves the comparative analysis of the costs and
consequences of alternative (different) treatment options. Economic
evaluations provide decision makers with information about the relative
value for money, or cost-effectiveness, of various treatment programmes. The
relative cost-effectiveness of new interventions is a key consideration in
health technology assessments by the UK's National Institute for Health and
Care Excellence, and economic evaluations alongside randomised controlled
trials are routinely requested by funders such as the National Institute for
Health Research. This article outlines some of the key concepts and issues
in the economic evaluation of mental healthcare.
“…While these studies suggest potential benefits to consumers of mental health nurse prescribing, to the best of our knowledge, there have been no randomized trials, and only one controlled trial, testing safety and effectiveness (Norman et al . ).…”
Section: Introductionmentioning
confidence: 97%
“…Authors of a number of qualitative studies examining patient views of nurse prescribing have generally reported positive experiences (Earle et al 2011;Jones et al 2007). While these studies suggest potential benefits to consumers of mental health nurse prescribing, to the best of our knowledge, there have been no randomized trials, and only one controlled trial, testing safety and effectiveness (Norman et al 2010).…”
The aim of the present qualitative, systematic review was to identify and summarize qualitative research that focussed on mental health nurse prescribing, synthesize findings, and outline key themes discerned. In November 2016, a systematic search was conducted for primary studies of the electronic databases PubMed, Excerpta Medica, (Embase), Cumulative Index to Nursing and Allied Health Literature, Scopus, and PsycINFO. Of the 101 papers identified through the search strategy, 12 qualitative studies met the review inclusion criteria. These studies included perspectives from nurses, doctors, and patients/clients regarding their attitudes about, and experiences of, nurse prescribing. Three themes emerged from the review: (i) patient-centred care; (ii) professional role; and (iii) professional support. Nurse prescribers embrace a patient-centred approach, providing timely and effective medication management. Adequate education and continuing professional development inclusive of clinical supervision enable competency development in nurse prescribing, supportive professional relationships, and patient safety. Further research is necessary to establish safety and demonstrate enhanced clinical outcomes from mental health nurse prescribing.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
