{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T16:24:41Z","timestamp":1789057481228,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T00:00:00Z","timestamp":1431648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CLAHRC-NDL","award":["CLAHRC-NDL"],"award-info":[{"award-number":["CLAHRC-NDL"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Accessible summary<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>One third of people diagnosed with PD do not complete treatment and non\u2010completion is associated with poorer clinical outcomes.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Equipping staff to be better able to engage this client group is important, and web\u2010based, self\u2010directed learning is a potentially cost\u2010effective way to train staff.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>This study examined the implementation of a web\u2010based training programme called Readiness Enhancement Management Strategies (REMS) in three types of service.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Completion rates were 94.4% in community health services; 92.3% in prison offender health services; and 46.5% in probation services. Staff found the content of REMS acceptable and useful.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>This study demonstrated that staff in NHS and criminal justice settings can complete REMS, but staff in probation services are challenged by time pressures and limited computer access. Staff at probation sites were less familiar with PD issues compared with the NHS staff.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>A web\u2010based staff training programme called <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>eadiness <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>nhancement <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>anagement <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>trategies (<jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content>) was developed to promote the engagement of people with personality difficulties in treatment. This \u2018proof of concept\u2019 study examined the <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content> implementation process, its acceptability and the feasibility of using service data for future evaluation. Staff in six services working with people diagnosed with personality disorder or undiagnosed people with personality difficulties were eligible to participate: two community health services, two prison offender health services and two probation services. Of 92 eligible staff, 74 were available to undertake <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content>. These staff completed knowledge and acceptability surveys and rated service user engagement with treatment. The proportion of treatment sessions attended by service users was collected for a 30\u2010week period. <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content> completion rates were community \u2013 94.4%, prison \u2013 92.3% and probation \u2013 46.5%. Three quarters of participants rated <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content> as 7 out of 10 or higher. All teams were able to provide service data for the study period. <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content> can be implemented by <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ervices (<jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content>) staff in community and prison settings, but technology issues need to be resolved in probation services. <jats:styled-content style=\"fixed-case\">REMS<\/jats:styled-content> may be useful for <jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content> staff working with difficult to engage clients, and an evaluation is a feasible prospect.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpm.12214","type":"journal-article","created":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T08:36:55Z","timestamp":1431679015000},"page":"502-509","source":"Crossref","is-referenced-by-count":5,"title":["<scp>R<\/scp>eadiness <scp>E<\/scp>nhancement <scp>M<\/scp>anagement <scp>S<\/scp>trategies (<scp>REMS<\/scp>): a proof of concept and evaluation feasibility study of staff training to improve service engagement by people with personality difficulties"],"prefix":"10.1111","volume":"22","author":[{"given":"M.","family":"Clarke","sequence":"first","affiliation":[{"name":"Institute of Mental Health University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Jinks","sequence":"additional","affiliation":[{"name":"Institute of Mental Health University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"McMurran","sequence":"additional","affiliation":[{"name":"Institute of Mental Health University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.423"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.10.1181"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10683160701858206"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07740-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.1835"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.17.3.243.22151"},{"key":"e_1_2_7_8_1","first-page":"54","article-title":"Techniques for evaluating training programmes","volume":"50","author":"Kirkpatrick D.","year":"1996","journal-title":"Training and Development"},{"key":"e_1_2_7_9_1","volume-title":"Cognitive\u2010Behavioral Treatment of Borderline Personality Disorder","author":"Linehan M.M.","year":"1993"},{"key":"e_1_2_7_10_1","unstructured":"McCroneP. 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