The Library
Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services : systematic review
Tools
Tools
Tools
Bhui, K. S., Aslam, R. W., Palinski, A., McCabe, R., Johnson, M. R. D., Weich, S., Singh, Swaran P., Knapp, M., Ardino, V. and Szczepura, Ala (2015) Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services : systematic review. The British Journal of Psychiatry, 207 (2). pp. 95-103. doi:10.1192/bjp.bp.114.158899 ISSN 0007-1250.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1192/bjp.bp.114.158899
Abstract
Background : Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services.
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.
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.
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.
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.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | The British Journal of Psychiatry | ||||
| Publisher: | Royal College of Psychiatrists | ||||
| ISSN: | 0007-1250 | ||||
| Official Date: | 2015 | ||||
| Dates: |
|
||||
| Volume: | 207 | ||||
| Number: | 2 | ||||
| Page Range: | pp. 95-103 | ||||
| DOI: | 10.1192/bjp.bp.114.158899 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
