The challenge of recruiting people with schizophrenia to a health promotion trial

Authors: Abbott, Margaret1; Arthur, Antony2; Walker, Liz3; Doody, Gillian4

Source: British Journal of General Practice, Volume 55, Number 517, August 2005 , pp. 634-636(3)

Publisher: Royal College of General Practitioners

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Abstract:

People with schizophrenia have an increased risk of coronary heart disease. This pilot study tested the feasibility of carrying out a randomised controlled trial to compare coronary heart disease prevention for this population through an enhanced occupational therapy support intervention versus a practice-based intervention. Difficulty in deciding whether to take part meant that 123 visits were made to 25 people with 12 ultimately providing informed consent. Participants' discussion at a subsequent focus group (n = 3) suggested a poor understanding of the study process. Distrust of randomisation suggests that randomised controlled trials may not be the best way to evaluate community-based interventions for people with schizophrenia.

Keywords: CORONARY DISEASE; FEASIBILITY STUDIES; MENTAL HEALTH; PILOT PROJECTS; SCHIZOPHRENIA

Document Type: Short communication

Affiliations: 1: GP Principal, Windmill Practice, Sneinton, Nottingham 2: Senior lecturer in elder care, School of Nursing, University of Nottingham, Nottingham 3: Occupational therapy researcher, Research and Development Department, Nottinghamshire Healthcare Trust, Nottingham 4: Clinical senior lecturer in psychiatry, Division of Psychiatry, University of Nottingham, Nottingham

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