Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review
Identifieur interne : 000027 ( Pmc/Checkpoint ); précédent : 000026; suivant : 000028Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review
Auteurs : Kamaldeep S. Bhui ; Rabeea'H W. Aslam ; Andrea Palinski ; Rose Mccabe ; Mark R. D. Johnson ; Scott Weich ; Swaran P. Singh ; Martin Knapp ; Vittoria Ardino ; Ala SzczepuraSource :
- The British Journal of Psychiatry [ 0007-1250 ] ; 2015.
Abstract
Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services.
To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services.
Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations.
Twenty-one studies were included in our analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials (range of
Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices.
Url:
DOI: 10.1192/bjp.bp.114.158899
PubMed: 26243761
PubMed Central: 4523926
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review</title><author><name sortKey="Bhui, Kamaldeep S" sort="Bhui, Kamaldeep S" uniqKey="Bhui K" first="Kamaldeep S." last="Bhui">Kamaldeep S. Bhui</name></author><author><name sortKey="Aslam, Rabeea H W" sort="Aslam, Rabeea H W" uniqKey="Aslam R" first="Rabeea'H W." last="Aslam">Rabeea'H W. Aslam</name></author><author><name sortKey="Palinski, Andrea" sort="Palinski, Andrea" uniqKey="Palinski A" first="Andrea" last="Palinski">Andrea Palinski</name></author><author><name sortKey="Mccabe, Rose" sort="Mccabe, Rose" uniqKey="Mccabe R" first="Rose" last="Mccabe">Rose Mccabe</name></author><author><name sortKey="Johnson, Mark R D" sort="Johnson, Mark R D" uniqKey="Johnson M" first="Mark R. D." last="Johnson">Mark R. D. Johnson</name></author><author><name sortKey="Weich, Scott" sort="Weich, Scott" uniqKey="Weich S" first="Scott" last="Weich">Scott Weich</name></author><author><name sortKey="Singh, Swaran P" sort="Singh, Swaran P" uniqKey="Singh S" first="Swaran P." last="Singh">Swaran P. Singh</name></author><author><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name></author><author><name sortKey="Ardino, Vittoria" sort="Ardino, Vittoria" uniqKey="Ardino V" first="Vittoria" last="Ardino">Vittoria Ardino</name></author><author><name sortKey="Szczepura, Ala" sort="Szczepura, Ala" uniqKey="Szczepura A" first="Ala" last="Szczepura">Ala Szczepura</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26243761</idno><idno type="pmc">4523926</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523926</idno><idno type="RBID">PMC:4523926</idno><idno type="doi">10.1192/bjp.bp.114.158899</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000023</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000023</idno><idno type="wicri:Area/Pmc/Curation">000023</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000023</idno><idno type="wicri:Area/Pmc/Checkpoint">000027</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000027</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review</title><author><name sortKey="Bhui, Kamaldeep S" sort="Bhui, Kamaldeep S" uniqKey="Bhui K" first="Kamaldeep S." last="Bhui">Kamaldeep S. Bhui</name></author><author><name sortKey="Aslam, Rabeea H W" sort="Aslam, Rabeea H W" uniqKey="Aslam R" first="Rabeea'H W." last="Aslam">Rabeea'H W. Aslam</name></author><author><name sortKey="Palinski, Andrea" sort="Palinski, Andrea" uniqKey="Palinski A" first="Andrea" last="Palinski">Andrea Palinski</name></author><author><name sortKey="Mccabe, Rose" sort="Mccabe, Rose" uniqKey="Mccabe R" first="Rose" last="Mccabe">Rose Mccabe</name></author><author><name sortKey="Johnson, Mark R D" sort="Johnson, Mark R D" uniqKey="Johnson M" first="Mark R. D." last="Johnson">Mark R. D. Johnson</name></author><author><name sortKey="Weich, Scott" sort="Weich, Scott" uniqKey="Weich S" first="Scott" last="Weich">Scott Weich</name></author><author><name sortKey="Singh, Swaran P" sort="Singh, Swaran P" uniqKey="Singh S" first="Swaran P." last="Singh">Swaran P. Singh</name></author><author><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name></author><author><name sortKey="Ardino, Vittoria" sort="Ardino, Vittoria" uniqKey="Ardino V" first="Vittoria" last="Ardino">Vittoria Ardino</name></author><author><name sortKey="Szczepura, Ala" sort="Szczepura, Ala" uniqKey="Szczepura A" first="Ala" last="Szczepura">Ala Szczepura</name></author></analytic><series><title level="j">The British Journal of Psychiatry</title><idno type="ISSN">0007-1250</idno><idno type="eISSN">1472-1465</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2"><bold>Background</bold></p><p id="P3">Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services.</p><p id="P4"><bold>Aims</bold></p><p id="P5">To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services.</p><p id="P6"><bold>Method</bold></p><p id="P7">Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations.</p><p id="P8"><bold>Results</bold></p><p id="P9">Twenty-one studies were included in our analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials (range of <italic>d</italic> 0.18–0.75) than for moderate- or lower-quality studies (range of <italic>d</italic> 0.18–4.3). The review found only two studies offering weak economic evidence.</p><p id="P10"><bold>Conclusions</bold></p><p id="P11">Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. 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U">U Nabitz</name></author><author><name sortKey="Smit, F" uniqKey="Smit F">F Smit</name></author><author><name sortKey="Koeter, Mw" uniqKey="Koeter M">MW Koeter</name></author><author><name sortKey="Schippers, Gm" uniqKey="Schippers G">GM Schippers</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Baarnhielm, S" uniqKey="Baarnhielm S">S Baarnhielm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fortuna, Lr" uniqKey="Fortuna L">LR Fortuna</name></author><author><name sortKey="Porche, Mv" uniqKey="Porche M">MV Porche</name></author><author><name sortKey="Alegria, M" uniqKey="Alegria M">M Alegria</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Br J Psychiatry</journal-id><journal-id journal-id-type="iso-abbrev">Br J Psychiatry</journal-id><journal-id journal-id-type="hwp">bjprcpsych</journal-id><journal-title-group><journal-title>The British Journal of Psychiatry</journal-title></journal-title-group><issn pub-type="ppub">0007-1250</issn><issn pub-type="epub">1472-1465</issn><publisher><publisher-name>Royal College of Psychiatrists</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26243761</article-id><article-id pub-id-type="pmc">4523926</article-id><article-id pub-id-type="doi">10.1192/bjp.bp.114.158899</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Articles</subject></subj-group></article-categories><title-group><article-title>Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Bhui</surname><given-names>Kamaldeep S.</given-names></name><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Aslam</surname><given-names>Rabeea'h W.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Palinski</surname><given-names>Andrea</given-names></name></contrib><contrib contrib-type="author"><name><surname>McCabe</surname><given-names>Rose</given-names></name></contrib><contrib contrib-type="author"><name><surname>Johnson</surname><given-names>Mark R. D.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Weich</surname><given-names>Scott</given-names></name></contrib><contrib contrib-type="author"><name><surname>Singh</surname><given-names>Swaran P.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Knapp</surname><given-names>Martin</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ardino</surname><given-names>Vittoria</given-names></name></contrib><contrib contrib-type="author"><name><surname>Szczepura</surname><given-names>Ala</given-names></name></contrib><aff><bold>Kamaldeep S. Bhui</bold>, MD, FRCPsych, Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine, Queen Mary University of London, London;<bold>Rabeea'h W. Aslam</bold>, MSc,<bold>Andrea Palinski</bold>, Barts & The London School of Medicine, Queen Mary University of London, London;<bold>Rose McCabe</bold>, PhD, University of Exeter Medical School, Exeter;<bold>Mark R. D. Johnson</bold>, Mary Seacole Research Centre, De Montfort University, Leicester;<bold>Scott Weich</bold>, MD,<bold>Swaran P. Singh</bold>, MD, Warwick Medical School, University of Warwick, Coventry;<bold>Martin Knapp</bold>, PhD,<bold>Vittoria Ardino</bold>, PhD, London School of Economics, London;<bold>Ala Szczepura</bold>, PhD, Centre for Technology Enabled Health Research (CTEHR), Faculty of Health & Life Sciences, Coventry University, Coventry, UK</aff></contrib-group><author-notes><corresp id="cor1"><bold>Correspondence</bold>: K. S. Bhui, Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine & Dentistry, Old Anatomy Building, Charterhouse Square, London EC1M 6Q, UK. Email: <email>k.s.bhui@qmul.ac.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><month>8</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>207</volume><issue>2</issue><fpage>95</fpage><lpage>103</lpage><history><date date-type="received"><day>13</day><month>10</month><year>2014</year></date><date date-type="rev-recd"><day>4</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>4</day><month>2</month><year>2015</year></date></history><permissions><copyright-statement>© The Royal College of Psychiatrists 2015.</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.</license-p></license></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="95.pdf"></self-uri><abstract><p id="P2"><bold>Background</bold></p><p id="P3">Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services.</p><p id="P4"><bold>Aims</bold></p><p id="P5">To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services.</p><p id="P6"><bold>Method</bold></p><p id="P7">Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations.</p><p id="P8"><bold>Results</bold></p><p id="P9">Twenty-one studies were included in our analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials (range of <italic>d</italic> 0.18–0.75) than for moderate- or lower-quality studies (range of <italic>d</italic> 0.18–4.3). The review found only two studies offering weak economic evidence.</p><p id="P10"><bold>Conclusions</bold></p><p id="P11">Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices.</p></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Ardino, Vittoria" sort="Ardino, Vittoria" uniqKey="Ardino V" first="Vittoria" last="Ardino">Vittoria Ardino</name><name sortKey="Aslam, Rabeea H W" sort="Aslam, Rabeea H W" uniqKey="Aslam R" first="Rabeea'H W." last="Aslam">Rabeea'H W. Aslam</name><name sortKey="Bhui, Kamaldeep S" sort="Bhui, Kamaldeep S" uniqKey="Bhui K" first="Kamaldeep S." last="Bhui">Kamaldeep S. Bhui</name><name sortKey="Johnson, Mark R D" sort="Johnson, Mark R D" uniqKey="Johnson M" first="Mark R. D." last="Johnson">Mark R. D. Johnson</name><name sortKey="Knapp, Martin" sort="Knapp, Martin" uniqKey="Knapp M" first="Martin" last="Knapp">Martin Knapp</name><name sortKey="Mccabe, Rose" sort="Mccabe, Rose" uniqKey="Mccabe R" first="Rose" last="Mccabe">Rose Mccabe</name><name sortKey="Palinski, Andrea" sort="Palinski, Andrea" uniqKey="Palinski A" first="Andrea" last="Palinski">Andrea Palinski</name><name sortKey="Singh, Swaran P" sort="Singh, Swaran P" uniqKey="Singh S" first="Swaran P." last="Singh">Swaran P. Singh</name><name sortKey="Szczepura, Ala" sort="Szczepura, Ala" uniqKey="Szczepura A" first="Ala" last="Szczepura">Ala Szczepura</name><name sortKey="Weich, Scott" sort="Weich, Scott" uniqKey="Weich S" first="Scott" last="Weich">Scott Weich</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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