{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:45:41Z","timestamp":1787021141483,"version":"build-2736575974"},"reference-count":28,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec id=\"S2056472421009261_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>NHS Practitioner Health is the England wide programme providing mental health and addiction healthcare to doctors and dentists. Outcomes are assessed using five measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009261_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To contribute to a service evaluation of NHS Practitioner Health. To determine responsiveness to change and compare outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009261_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Measures were completed at baseline and 6 months: Generalized Anxiety Disorder Assessment (GAD-7), Perceived Stress Scale (PSS), Patient Health Questionaire-9 (PHQ-9), Warwick-Edinburgh Mental Wellbeing scale (WEMWBS), Psychological Outcome Profiles (PSYCHLOPS). Responsiveness to change was determined using effect size with improvement threshold \u22650.80. Instruments were compared using Bland\u2013Altman plots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009261_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our sample,\n                      <jats:italic>n<\/jats:italic>\n                      = 402; with 14 (3.5%) excluded for missing data; final sample,\n                      <jats:italic>n<\/jats:italic>\n                      = 388. All measures showed strong mean effect sizes: PSYCHLOPS 1.86 (95%CI 1.73\u20131.99), 75.8% \u22650.80; PSS 1.48 (1.34\u20131.62), 64.4% \u22650.80; WEMWBS 1.24 (1.13\u20131.35), 58.2% \u22650.80; GAD-7 1.07 (0.96\u20131.18), 52.8% \u22650.80; PHQ-9 0.86 (0.76\u20130.96), 52.8% \u22650.80. Findings were largely unchanged after stratification by diagnosis, presenting problem or therapy type. Fifty (12.9%) participants did not reach the threshold for improvement on any instrument. Bland\u2013Altman plots indicated generally strong agreement between measures; combining PSYCHLOPS with WEMWBS maximised capture of improvement with only 3.6% of patients lying outside limits of agreement; GAD-7 was most likely to duplicate recovery scores of other measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472421009261_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients attending the NHS Practitioner Health service demonstrated high levels of improvement in mental health scores. The patient-generated instrument produced higher change scores than standardised instruments. Combining PSYCHLOPS and WEMWBS captured 96% of patients with above threshold improvement; GAD-7 added little to overall recovery measurement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2021.926","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T03:23:20Z","timestamp":1622517800000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation of NHS Practitioner Health: capturing mental health outcomes using five instruments"],"prefix":"10.1192","volume":"7","author":[{"given":"Kieran","family":"Simpson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6514-9904","authenticated-orcid":false,"given":"Mark","family":"Ashworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Roberts-Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"Ayis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"S2056472421009261_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"S2056472421009261_ref7","doi-asserted-by":"publisher","DOI":"10.3310\/hta2140"},{"key":"S2056472421009261_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"S2056472421009261_ref10","unstructured":"10 Statistical Package for the Social Sciences. 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Practitioner Health, no date ( https:\/\/www.drugsandalcohol.ie\/33340\/1\/PH-annual-report-singles2019.pdf)."},{"key":"S2056472421009261_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-5-26"},{"key":"S2056472421009261_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2012.00239.x"},{"key":"S2056472421009261_ref23","unstructured":"23 European Association for Physician Health. Reports and Research. 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e106"}}