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Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review

Bhui, Kamaldeep and Aslam, Rabbea’h W and Palinski, Andrea and McCabe, Rose and Johnson, Mark and Weich, Scott and Singh, Swaran Preet and Knapp, Martin and Ardino, Vittoria and Szczepura, Ala (2015) Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review. British Journal of Psychiatry, 207 (2). pp. 95-103. ISSN 0007-1250

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Identification Number: 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: Article
Official URL: http://bjp.rcpsych.org/
Additional Information: © 2015 The Royal College of Psychiatrists
Divisions: Personal Social Services Research Unit
Subjects: R Medicine > RA Public aspects of medicine
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 07 Sep 2015 11:43
Last Modified: 13 Dec 2017 18:33
Projects: 10/141/02
Funders: National Institute of Health Research – Health Technology Assessment: evidence synthesis, National Institute of Health Research – Health Technology Assessment: evidence synthesis
URI: http://eprints.lse.ac.uk/id/eprint/63422

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