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

K.S. Bhui, R.W. Aslam, A. Palinski, R. McCabe, M.R.D. Johnson, S. Weich, S.P. Singh, M. Knapp, V. Ardino, A. Szczepura

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    14 Citations (Scopus)
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    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
    Original languageEnglish
    Pages (from-to)95-103
    Number of pages9
    JournalBritish Journal of Psychiatry
    Volume207
    Issue number2
    Early online date3 Aug 2015
    DOIs
    Publication statusPublished - Aug 2015

    Bibliographical note

    Copyright The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.

    Keywords

    • Article
    • Black person
    • depression
    • doctor patient relation
    • ethnic group
    • ethnography
    • health care
    • health education
    • human
    • interpersonal communication
    • medication compliance
    • mental health service
    • psychosis
    • psychotherapy
    • randomized controlled trial (topic)
    • stigma
    • systematic review

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