Table 4 Comparison of changes within and between the groups.
WITHIN | BETWEEN | |||||
|---|---|---|---|---|---|---|
Intervention N = 1821 | Control N = 2561 | Intervention vs. Control | ||||
Variable | AdjOR (95% CI) | p-value† | AdjOR (95% CI) | p-value† | Ratio OR (95% CI) | p-value† |
Knowledge | ||||||
8b. # Does your unit solicit input from user organisation for the planning of mental health services? (% yes) | 1.3(0.7-2.4) | 0.390 | 1.9(1.1-3.2)** | 0.014 | 0.7(0.3-1.5) | 0.334 |
11. Are users invited to participate in staff training meetings at your unit? (% yes) | 11.6 (2.6-52.3)** | 0.001 | 2.7(1.1-6.4)** | 0.030 | 4.4(0.8-25.0)* | 0.098 |
12. Has your unit ever asked users to act as teachers at staff training events? (% yes) | 3.0(1.0-8.8)** | 0.046 | 1.6(0.9-3.0) | 0.116 | 1.8(0.5-6.3) | 0.340 |
21. # Does the unit have a users' committee? (% yes) | 1.6(0.9-3.1) | 0.130 | 1.0(0.6-1.6) | 0.949 | 1.7(0.7-3.8) | 0.220 |
22. # Does the unit have representatives or spokespersons on behalf of the users? (% yes) | 1.7(0.8-3.3) | 0.142 | 1.2(0.7-2.0) | 0.531 | 1.4(0.6-3.4) | 0.418 |
Practice | ||||||
3. Are users told they have a right to see and/or correct their records? (% yes) | 1.8(0.9-3.4)* | 0.072 | 1.1(0.7-1.9) | 0.627 | 1.6(0.7-3.6) | 0.270 |
7. Do you tell users what goals are intended to be accomplished by the treatment? (% yes) | 2.2(0.9-5.4)* | 0.094 | 2.2(0.7-6.6) | 0.176 | 1.0(0.2-4.2) | 0.995 |
26. # In your opinion, are next of kin in general sufficiently involved? (% yes) | 0.8(0.4-1.7) | 0.640 | 1.5(0.8-2.6) | 0.172 | 0.6(0.2-1.4) | 0.221 |
Attitudes | ||||||
6. In most cases, where does the responsibility for deciding the goals of treatment usually lie? (% entirely/mostly the user) | 1.8(0.6-5.1) | 0.281 | 0.5(0.2-1.3) | 0.152 | 3.3(0.9-13.0)* | 0.082 |
14. Should users be involved in the evaluation of their presenting problems? (% always/usually) | 3.0(0.9-10.2)* | 0.073 | 1.8(0.7-4.8) | 0.233 | 1.7(0.4-7.9) | 0.514 |
23. # How would you describe the unit's general attitude towards user participation? (% very/quite good) | 1.6(0.9-3.1) | 0.121 | 1.2(0.7-2.0) | 0.605 | 1.4(0.6-3.3) | 0.393 |
18. In your opinion, what are the most important reasons when users of mental health care don't want to be involved? | ||||||
- Lacking in self-confidence (% yes) | 0.5 (0.3-0.9)** | 0.026 | 0.6 (0.4-1.1)* | 0.085 | 0.8 (0.4-1.7) | 0.550 |
- Lacking in motivation (% yes) | 0.7 (0.3-1.1) | 0.123 | 1.0 (0.6-1.7) | 0.977 | 0.7 (0.3-1.5) | 0.315 |
- Lack of trust in the ability of the services to provide help (% yes) | 0.6 (0.3-1.2) | 0.169 | 0.9 (0.5-1.6) | 0.761 | 0.7 (0.3-1.7) | 0.416 |
- Other reasons (% yes) | 0.4 (0.2-1.1) | 0.076 | 0.9 (0.5-1.8) | 0.793 | 0.5 (0.1-1.5) | 0.188 |
20. In your opinion, how would the service develop if users were involved in planning and/or carrying out the mental health service?: | ||||||
- More chance that users would benefit from those services the first time round (% yes) | 0.6 (0.3-1.3) | 0.178 | 0.8 (0.4-1.4) | 0.388 | 0.7 (0.3-2.0) | 0.562 |
- Downgrading of services and delivery (% yes) | 4.8 (0.5-45.9) | 0.173 | 1.0 (0.3-3.2) | 0.978 | 4.9 (0.4-61.9) | 0.221 |