The RESPECT Study: a feasibility randomised controlled trial of a sexual health promotion intervention for people with serious mental illness in community mental health services in the UK

Hughes, E, Mitchell, N, Gascoyne, S, Moe-Bryne, T, Edmondson, A ORCID: https://orcid.org/0000-0002-0224-1997, Coleman, E, Millett, L, Ali, S, Cournos, F, Dare, C, Hewitt, C, Johnson, S, Kaur, HD, McKinnon, K, Mercer, C, Nolan, F, Walker, C, Wainberg, M and Watson, J, 2020. The RESPECT Study: a feasibility randomised controlled trial of a sexual health promotion intervention for people with serious mental illness in community mental health services in the UK. BMC Public Health, 20: 1736. ISSN 1471-2458

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Abstract

Background: People with serious mental illness (SMI) have sexual health needs but there is little evidence to inform effective interventions to address them. In fact, there are few studies that have addressed this topic for people with SMI outside USA and Brazil. Therefore, the aim of the study was to establish the acceptability and feasibility of a trial of a sexual health promotion intervention for people with SMI in the UK.

Method: The RESPECT study was a two-armed randomised controlled, open feasibility study comparing Sexual health promotion intervention (3 individual sessions of 1 hour) (I) or usual care (UC) for adults aged 18 or over, with SMI, within community mental health services in four UK cities. The main outcome of interest was the percentage who consented to participate, and retained in each arm of the trial, retention for the intervention, and completeness of data collection.

Results: Of a target sample of 100, a total of 72 people were enrolled in the trial over 12 months. Recruitment in the initial months was low and so an extension was granted. However this extension meant that the later recruited participants would only be followed up to the 3 month point. There was good retention in the intervention and the study as a whole; 77.8% of those allocated to intervention (n=28) received it. At three months, 81.9% (30 I; 29 UC) and at 6 months, 76.3% (13 I and 16 UC) completed the follow-up interviews. No adverse events were reported. There was good completeness of the data. The sexual health outcomes for the intervention group changed in favour of the intervention.

Conclusions: The target of 100 participants was not achieved within the study's timescale. However, effective strategies were identified that improved recruitment in the final few months. Retention rates and completeness of data in both groups indicate that it is acceptable and feasible to undertake a study promoting sexual health for people with SMI. A fully powered RCT is required to establish effectiveness of the intervention in adoption of safer sex.

Item Type:	Journal article
Publication Title:	BMC Public Health
Creators:	Hughes, E., Mitchell, N., Gascoyne, S., Moe-Bryne, T., Edmondson, A., Coleman, E., Millett, L., Ali, S., Cournos, F., Dare, C., Hewitt, C., Johnson, S., Kaur, H.D., McKinnon, K., Mercer, C., Nolan, F., Walker, C., Wainberg, M. and Watson, J.
Publisher:	BioMed Central Ltd.
Date:	17 November 2020
Volume:	20
ISSN:	1471-2458
Identifiers:	Number Type 1375987 Other 10.1186/s12889-020-09661-x DOI
Rights:	© the author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Divisions:	Schools > School of Social Sciences
Record created by:	Jill Tomkinson
Date Added:	13 Oct 2020 15:14
Last Modified:	31 May 2021 15:10
URI:	https://irep.ntu.ac.uk/id/eprint/41287

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