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User-defined outcomes in mental health: A qualitative study and consensus development exercise.

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Title: User-defined outcomes in mental health: A qualitative study and consensus development exercise.
Authors: Perry, Alex (AUTHOR), Gilbody, Simon (AUTHOR)
Source: Journal of Mental Health. Oct2009, Vol. 18 Issue 5, p415-423. 9p. 2 Charts.
Subjects: Mental health services, Qualitative research, Focus groups, Delphi method, Mental health, Social change
Abstract: Background: Client-centred care in mental health requires the collection of outcomes that are meaningful to both clinicians and to users of mental health services. Aims: To elicit and prioritize mental health outcomes, from the point of view of service-users. Methods: We conducted two service user focus groups exploring how service users understood the concept of outcome. Qualitative analysis identified a hierarchical “tree” of themes relating to outcome. We then used a Delphi Panel consensus method to prioritize these outcome domains. Results: Forty-four individual outcome domains were identified. These were grouped into 6 categories of personal and social changes: Changes in Myself; Believing in Change; Satisfaction with Treatment; Managing Independently; Social Contact and Connection with Society. No particular pattern could be identified in the items that were most strongly endorsed in the Delphi exercise but two additional outcome domains were produced that had not appeared in the focus groups. Conclusions: Although the domains of outcome identified in this study overlap with many of those that are commonly in use, there appeared to be a greater emphasis on non-clinical and social outcomes. Further research could explore these findings further and develop psychometrically robust instruments that more strongly reflect a user perspective. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: User-defined outcomes in mental health: A qualitative study and consensus development exercise.
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  Data: <searchLink fieldCode="AR" term="%22Perry%2C+Alex%22">Perry, Alex</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gilbody%2C+Simon%22">Gilbody, Simon</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Oct2009, Vol. 18 Issue 5, p415-423. 9p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+change%22">Social change</searchLink>
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  Data: Background: Client-centred care in mental health requires the collection of outcomes that are meaningful to both clinicians and to users of mental health services. Aims: To elicit and prioritize mental health outcomes, from the point of view of service-users. Methods: We conducted two service user focus groups exploring how service users understood the concept of outcome. Qualitative analysis identified a hierarchical “tree” of themes relating to outcome. We then used a Delphi Panel consensus method to prioritize these outcome domains. Results: Forty-four individual outcome domains were identified. These were grouped into 6 categories of personal and social changes: Changes in Myself; Believing in Change; Satisfaction with Treatment; Managing Independently; Social Contact and Connection with Society. No particular pattern could be identified in the items that were most strongly endorsed in the Delphi exercise but two additional outcome domains were produced that had not appeared in the focus groups. Conclusions: Although the domains of outcome identified in this study overlap with many of those that are commonly in use, there appeared to be a greater emphasis on non-clinical and social outcomes. Further research could explore these findings further and develop psychometrically robust instruments that more strongly reflect a user perspective. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.3109/09638230902968175
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        Text: English
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              Text: Oct2009
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