The PULSAR project (primary care trial): does providing recovery-oriented training to general practitioners delivering primary mental health care improve the personal recovery of their patients?

Not Applicable

Recruiting

• Conditions: Psychotic disorders; Any other mental health condition; Mental Health - Psychosis and personality disorders; Mental Health - Depression; Public Health - Health service research

• Registration Number: ACTRN12614001312639
• Lead Sponsor: Monash University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-12-16
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 378

Inclusion Criteria

CONSUMERS
1. Aged 18 years or over
2. Aged less than 75 years
3. Have English proficiency
4. Are able to provide informed consent
5. Are patients of the participating general practitioners (GPs) i.e., consulting with the participating GP in at least 50% of their visits to the clinic or is identified by the GP as a patient.

In addition:
6. Seven of the 10 patients recruited per cluster, in the previous 3-months prior to data collection, must have either
6.1 a mental health plan made or reviewed and/or
6.2 received any class of antidepressant medication on a continuing basis (prescribed for a least a month) to provide treatment for a mental illness.

If insufficient numbers are identified the time frame will be moved out to 6 months.

7. Three of the 10 patients recruited from each cluster must have
7.1 a clinical diagnosis of psychosis, e.g. schizophrenia, schizoaffective disorder, bipolar disorder and/or
7.2 been prescribed antipsychotic medication in the previous 6 months.

STAFF
1. Work within a community health service or accredited primary care site located in the catchment of Monash Health. Depending on response to initial recruitment, this may be extended to any GP practice that is within Medicare Local regions that overlap with the Monash Health catchment.
2. Have worked at this practice for a least 12 months.
3. The participating site is the principal site of their clinical practice and the majority of their services are devoted to generalist primary care.
4. Commit to participating in PULSAR training.
5. Commit to identifying eligible patients and sending study invitation letters and study surveys to potential patient participants for the study.

Exclusion Criteria

People who are in prison

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Improved personal recovery as indicated by Process of Recovery Questionnaire (QPR)[9 and 18 months. The overarching study design is a two stepped-wedge cluster randomised controlled trial, and the primary timepoints for this design are at 9 and 18 months. This is because the QPR data collection points for all sites are at baseline, 9 months and 18 months with the intervention commencing in the first quarter of year 1 for the cluster sites randomised to receive the intervention first (A sites) and in the last quarter of year 1 for the remaining cluster sites (B sites).]

Secondary Outcome Measures

Name	Time	Method
Recovery in mental health using the INSPIRE Recovery in mental health: INSPIRE<br>[The secondary timepoint is at 9 months following the PULSAR intervention.];Improvements in mental well-being using the Warwick and Edinburgh Wellbeing Scale (WEMWBS)[9 months following the PULSAR intervention.];Psychological distress as measured by the Kessler-10 (K-10) [9 months following the PULSAR intervention.]