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dc.contributor.authorAdams, Clive E.
dc.date.accessioned2017-10-30T11:45:16Z
dc.date.available2017-10-30T11:45:16Z
dc.date.issued2008
dc.identifier.citationKitcheman, J., Adams, C. E., Pervaiz, A., Kader, I., Mohandas, D. & Brookes, G. (2008). Does an encouraging letter encourage attendance at psychiatric out-patient clinics? The Leeds PROMPTS randomized study. Psychological Medicine, 38 (5), pp.717-723.en
dc.identifier.other10.1017/S0033291707001766
dc.identifier.urihttp://hdl.handle.net/20.500.12904/10451
dc.description.abstractBackground: The aim was to reduce non-attendance for first-time consultations at psychiatric out-patient clinics. Method: The study was a pragmatic randomized controlled trial; the setting was seven inner-city UK out-patient clinics in Leeds. The participants were 764 subjects of working age with an appointment to attend a psychiatric out-patient clinic for the first time. The intervention was an 'orientation statement' letter delivered 24-48 h before the first appointment compared with standard care. The primary outcome measure was attendance at the first appointment; secondary outcomes included hospitalization, transfer of care, continuing attendance, discharge, presentation at accident and emergency and death by 1 year. Results: Follow-up was for 763 out of 764 subjects (>99%) for primary and for 755 out of 764 subjects (98.8%) of secondary outcome data. The orientation statement significantly reduced the numbers of people failing to attend [79 out of 388 v. 101 out of 376 subjects, relative risk 0.76, 95% confidence interval (CI) 0.59-0.98, number needed to treat 16, 95% CI 10-187]. Conclusions: Prompting people to go to psychiatric out-patient clinics for the first time encourages them to attend. Pragmatic trials within a busy working environment are possible and informative. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)en
dc.subjectCommunity mental health serviceen
dc.subjectMental disordersen
dc.subjectMotivationen
dc.subjectPatient dropouten
dc.subjectReferral and consultationen
dc.titleDoes an encouraging letter encourage attendance at psychiatric out-patient clinics? The Leeds PROMPTS randomized studyen
dc.typeArticle


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