Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review
Background Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. <br></br> Aims To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients a...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Cambridge University Press
2018
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| _version_ | 1826257371861614592 |
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| author | Bhui, KS Aslam, RW Palinski, A McCabe, R Johnson, MRD Weich, S Singh, SP Knapp, M Ardino, V Szczepura, A |
| author_facet | Bhui, KS Aslam, RW Palinski, A McCabe, R Johnson, MRD Weich, S Singh, SP Knapp, M Ardino, V Szczepura, A |
| author_sort | Bhui, KS |
| collection | OXFORD |
| description | Background
Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services.
<br></br>
Aims
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.
<br></br>
Method
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.
<br></br>
Results
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 d 0.18–0.75) than for moderate- or lower-quality studies (range of d 0.18–4.3). The review found only two studies offering weak economic evidence.
<br></br>
Conclusions
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. |
| first_indexed | 2024-03-06T18:17:09Z |
| format | Journal article |
| id | oxford-uuid:04ff97d4-c89c-4ec3-930f-570b09bf275d |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:17:09Z |
| publishDate | 2018 |
| publisher | Cambridge University Press |
| record_format | dspace |
| spelling | oxford-uuid:04ff97d4-c89c-4ec3-930f-570b09bf275d2022-03-26T08:54:51ZInterventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:04ff97d4-c89c-4ec3-930f-570b09bf275dEnglishSymplectic ElementsCambridge University Press2018Bhui, KSAslam, RWPalinski, AMcCabe, RJohnson, MRDWeich, SSingh, SPKnapp, MArdino, VSzczepura, ABackground Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. <br></br> Aims 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. <br></br> Method 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. <br></br> Results 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 d 0.18–0.75) than for moderate- or lower-quality studies (range of d 0.18–4.3). The review found only two studies offering weak economic evidence. <br></br> Conclusions 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. |
| spellingShingle | Bhui, KS Aslam, RW Palinski, A McCabe, R Johnson, MRD Weich, S Singh, SP Knapp, M Ardino, V Szczepura, A Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title | Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title_full | Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title_fullStr | Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title_full_unstemmed | Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title_short | Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: Systematic review |
| title_sort | interventions to improve therapeutic communications between black and minority ethnic patients and professionals in psychiatric services systematic review |
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