Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial
Objectives We examined the efficacy of case management (CM) interventions to encourage participation in colorectal cancer screening for patients with schizophrenia. This study aimed to clarify patients’ acceptability of the intervention and the helpful components of the intervention. Simultaneously,...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e060621.full |
| _version_ | 1826845195573919744 |
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| author | Tempei Miyaji Yosuke Uchitomi Hiroyuki Okada Masatoshi Inagaki Maiko Fujimori Taichi Shimazu Masaki Fujiwara Masafumi Kodama Ryuhei So Takanori Matsushita Yusaku Yoshimura Shigeo Horii Hirokazu Takahashi Naoki Nakaya Shiro Hinotsu Keita Harada Norihito Yamada Yuto Yamada Tsuyoshi Etoh |
| author_facet | Tempei Miyaji Yosuke Uchitomi Hiroyuki Okada Masatoshi Inagaki Maiko Fujimori Taichi Shimazu Masaki Fujiwara Masafumi Kodama Ryuhei So Takanori Matsushita Yusaku Yoshimura Shigeo Horii Hirokazu Takahashi Naoki Nakaya Shiro Hinotsu Keita Harada Norihito Yamada Yuto Yamada Tsuyoshi Etoh |
| author_sort | Tempei Miyaji |
| collection | DOAJ |
| description | Objectives We examined the efficacy of case management (CM) interventions to encourage participation in colorectal cancer screening for patients with schizophrenia. This study aimed to clarify patients’ acceptability of the intervention and the helpful components of the intervention. Simultaneously, the study aimed to determine the acceptability, appropriateness and feasibility of the intervention from the perspective of psychiatric care providers.Study design and setting This study was a secondary qualitative analysis of a mixed-method randomised controlled trial that evaluated the efficacy of the CM approach to encourage participation in cancer screening for people with schizophrenia. The intervention comprised education and patient navigation for colorectal cancer screening. Interviews were conducted with patients who received the intervention and staff from two psychiatric hospitals in Japan who delivered the intervention.Participants Of the 172 patients with schizophrenia who participated in the trial, 153 were included. In addition, three out of six providers were included.Data collection and analysis Using a structured interview, the case manager asked participants about patient acceptability and the helpful components of the intervention. Content analysis was conducted for the responses obtained, and the number of responses was tabulated by two researchers. For the interviews with the providers, opinions obtained from verbatim transcripts were extracted and summarised.Results Forty-three of the 56 patients perceived that the intervention was acceptable. For the intervention component, inperson counselling with an explanation of the screening process by psychiatric care providers was most frequently reported by the patients as helpful (48 of the 68 respondents). Psychiatric care providers evaluated the intervention as acceptable, appropriate and easy to understand and administer. However, providing the intervention to all patients simultaneously was considered difficult with the current human resources.Conclusions This study showed that the CM intervention was perceived as acceptable by patients and acceptable and appropriate by psychiatric care providers.Trial registration number UMIN000036017. |
| first_indexed | 2024-04-13T20:08:06Z |
| format | Article |
| id | doaj.art-b6d12275ac684f38829c1af12ff01e73 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-02-16T14:31:21Z |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-b6d12275ac684f38829c1af12ff01e732025-02-01T12:20:13ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060621Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trialTempei Miyaji0Yosuke Uchitomi1Hiroyuki Okada2Masatoshi Inagaki3Maiko Fujimori4Taichi Shimazu5Masaki Fujiwara6Masafumi Kodama7Ryuhei So8Takanori Matsushita9Yusaku Yoshimura10Shigeo Horii11Hirokazu Takahashi12Naoki Nakaya13Shiro Hinotsu14Keita Harada15Norihito Yamada16Yuto Yamada17Tsuyoshi Etoh18Division of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, JapanInnovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Chuo-ku, Tokyo, JapanDepartment of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan2 Department of Psychiatry, Faculty of Medicine, Shimane University, Izumo, JapanDivision of Behavioral Sciences, National Cancer Center Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji,Chuo-ku, Tokyo, 104-0045, JapanDivision of Behavioral Sciences, National Cancer Center Institute for Cancer Control, Research Center for Cancer Prevention and Screening, National Cancer Center, Chuo-ku, Tokyo, Japan1 Department of Neuropsychiatry, Okayama University Hospital, Okayama, Japan4 Okayama Psychiatric Medical Center, Okayama, Japan4 Okayama Psychiatric Medical Center, Okayama, Japan5 Zikei Hospital, Okayama, Japan5 Zikei Hospital, Okayama, Japan5 Zikei Hospital, Okayama, Japan30 Department of Metabolism and Endocrinology, Liver Center, Saga University Hospital, Saga, Saga, JapanTohoku Medical Megabank Organization, Tohoku University, Sendai, Japan7 Department of Biostatistics, Sapporo Medical University, Sapporo, Japan13 Department of Gastroenterology, Okayama University Hospital, Okayama, Japan16 Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JapanDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, JapanDepartment of Nursing, Shimane University Hospital, Izumo, JapanObjectives We examined the efficacy of case management (CM) interventions to encourage participation in colorectal cancer screening for patients with schizophrenia. This study aimed to clarify patients’ acceptability of the intervention and the helpful components of the intervention. Simultaneously, the study aimed to determine the acceptability, appropriateness and feasibility of the intervention from the perspective of psychiatric care providers.Study design and setting This study was a secondary qualitative analysis of a mixed-method randomised controlled trial that evaluated the efficacy of the CM approach to encourage participation in cancer screening for people with schizophrenia. The intervention comprised education and patient navigation for colorectal cancer screening. Interviews were conducted with patients who received the intervention and staff from two psychiatric hospitals in Japan who delivered the intervention.Participants Of the 172 patients with schizophrenia who participated in the trial, 153 were included. In addition, three out of six providers were included.Data collection and analysis Using a structured interview, the case manager asked participants about patient acceptability and the helpful components of the intervention. Content analysis was conducted for the responses obtained, and the number of responses was tabulated by two researchers. For the interviews with the providers, opinions obtained from verbatim transcripts were extracted and summarised.Results Forty-three of the 56 patients perceived that the intervention was acceptable. For the intervention component, inperson counselling with an explanation of the screening process by psychiatric care providers was most frequently reported by the patients as helpful (48 of the 68 respondents). Psychiatric care providers evaluated the intervention as acceptable, appropriate and easy to understand and administer. However, providing the intervention to all patients simultaneously was considered difficult with the current human resources.Conclusions This study showed that the CM intervention was perceived as acceptable by patients and acceptable and appropriate by psychiatric care providers.Trial registration number UMIN000036017.https://bmjopen.bmj.com/content/12/6/e060621.full |
| spellingShingle | Tempei Miyaji Yosuke Uchitomi Hiroyuki Okada Masatoshi Inagaki Maiko Fujimori Taichi Shimazu Masaki Fujiwara Masafumi Kodama Ryuhei So Takanori Matsushita Yusaku Yoshimura Shigeo Horii Hirokazu Takahashi Naoki Nakaya Shiro Hinotsu Keita Harada Norihito Yamada Yuto Yamada Tsuyoshi Etoh Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial BMJ Open |
| title | Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial |
| title_full | Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial |
| title_fullStr | Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial |
| title_full_unstemmed | Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial |
| title_short | Patients’ acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia: a qualitative secondary analysis of a mixed-method randomised clinical trial |
| title_sort | patients acceptability and implementation outcomes of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia a qualitative secondary analysis of a mixed method randomised clinical trial |
| url | https://bmjopen.bmj.com/content/12/6/e060621.full |
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