Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)
<p><strong>Identifying individuals at risk of developing psychosis: A systematic review of the literature in primary care services.</strong></p> <p><strong>Aim:</strong> Psychosis and related disorders are a major public health issue. Early identification a...
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| Другие авторы: | |
| Формат: | Диссертация |
| Язык: | English |
| Опубликовано: |
2023
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| Предметы: |
| _version_ | 1826313490380357632 |
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| author | Radez, J |
| author2 | Johns, L |
| author_facet | Johns, L Radez, J |
| author_sort | Radez, J |
| collection | OXFORD |
| description | <p><strong>Identifying individuals at risk of developing psychosis: A systematic review of the
literature in primary care services.</strong></p>
<p><strong>Aim:</strong> Psychosis and related disorders are a major public health issue. Early identification and prevention for those at high risk (at-risk-mental-state, ARMS) is important. General practitioners (GPs) are often the first point of contact for health services. In this review we aim to identify 1) the most common methods for identifying individuals with an ARMS in primary care, 2) the methods for improving identification of individuals with an ARMS in primary care, and 3) the most common barriers that prevent GPs from screening for individuals with an ARMS.</p>
<p><strong>Methods:</strong> We conducted a systematic review (PROSPERO CRD42021245095) of quantitative and qualitative studies with no date restriction. Searches were performed in September 2021. Studies’ quality was appraised using Mixed Methods Appraisal tool (MMAT).</p>
<p><strong>Results:</strong> We identified 16 eligible studies, and all but one provided quantitative data. Nearly two-thirds of studies were classified as ‘medium’ quality. Employing narrative synthesis, we identified three themes relating to 1) improving GP knowledge and confidence in identifying individuals with an ARMS, 2) balancing the over- and under-identification of individuals with an ARMS in primary care, and 3) supporting GPs as significant stakeholders in early diagnosis and treatment of individuals with an ARMS.</p>
<p><strong>Conclusions:</strong> Improved identification of individuals with an ARMS is needed. We identified various strategies, including development and implementation of identification methods (e.g., screening measures), educational interventions for GPs (e.g., workshops), and systemic interventions (e.g., simplifying referrals to secondary care, developing integrated services). When implemented successfully, these interventions may help facilitate the access to appropriate care for individuals with an ARMS.</p> |
| first_indexed | 2024-03-07T07:54:59Z |
| format | Thesis |
| id | oxford-uuid:bed0e4b5-3fb6-4be7-a6df-d7f00b491d8f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-09-25T04:16:00Z |
| publishDate | 2023 |
| record_format | dspace |
| spelling | oxford-uuid:bed0e4b5-3fb6-4be7-a6df-d7f00b491d8f2024-07-17T09:06:29ZJerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)Thesishttp://purl.org/coar/resource_type/c_db06uuid:bed0e4b5-3fb6-4be7-a6df-d7f00b491d8fPsychosesAdolescenceEarly interventionYoung adultsPreventionEthnic barriersAt-risk mental stateEnglishHyrax Deposit2023Radez, JJohns, LWaite, F<p><strong>Identifying individuals at risk of developing psychosis: A systematic review of the literature in primary care services.</strong></p> <p><strong>Aim:</strong> Psychosis and related disorders are a major public health issue. Early identification and prevention for those at high risk (at-risk-mental-state, ARMS) is important. General practitioners (GPs) are often the first point of contact for health services. In this review we aim to identify 1) the most common methods for identifying individuals with an ARMS in primary care, 2) the methods for improving identification of individuals with an ARMS in primary care, and 3) the most common barriers that prevent GPs from screening for individuals with an ARMS.</p> <p><strong>Methods:</strong> We conducted a systematic review (PROSPERO CRD42021245095) of quantitative and qualitative studies with no date restriction. Searches were performed in September 2021. Studies’ quality was appraised using Mixed Methods Appraisal tool (MMAT).</p> <p><strong>Results:</strong> We identified 16 eligible studies, and all but one provided quantitative data. Nearly two-thirds of studies were classified as ‘medium’ quality. Employing narrative synthesis, we identified three themes relating to 1) improving GP knowledge and confidence in identifying individuals with an ARMS, 2) balancing the over- and under-identification of individuals with an ARMS in primary care, and 3) supporting GPs as significant stakeholders in early diagnosis and treatment of individuals with an ARMS.</p> <p><strong>Conclusions:</strong> Improved identification of individuals with an ARMS is needed. We identified various strategies, including development and implementation of identification methods (e.g., screening measures), educational interventions for GPs (e.g., workshops), and systemic interventions (e.g., simplifying referrals to secondary care, developing integrated services). When implemented successfully, these interventions may help facilitate the access to appropriate care for individuals with an ARMS.</p> |
| spellingShingle | Psychoses Adolescence Early intervention Young adults Prevention Ethnic barriers At-risk mental state Radez, J Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title | Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full | Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_fullStr | Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full_unstemmed | Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_short | Jerica Radez - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_sort | jerica radez thesis submitted in partial fulfilment of the degree of doctor of clinical psychology dclinpsych |
| topic | Psychoses Adolescence Early intervention Young adults Prevention Ethnic barriers At-risk mental state |
| work_keys_str_mv | AT radezj jericaradezthesissubmittedinpartialfulfilmentofthedegreeofdoctorofclinicalpsychologydclinpsych |