Related Experiment Video
Updated: Aug 30, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Assessing the value of assertive outreach. Qualitative study of process and outcome generation in the UK700 trial
Tim Weaver1, Peter Tyrer, Jane Ritchie
1Department of Social Science and Medicine, Imperial College, London, UK. t.weaver@ic.ac.uk
Background:
It is unclear why intensive case management (ICM) failed to reduce hospitalisation in the UK700 trial.
Aims:
To investigate outcome generation in the UK700 trial.
Method:
A qualitative investigation was undertaken in one UK700 centre.
Results:
Both intensive and standard case management practised individual casework, employed assertive outreach with comparable frequency, and performed similarly in the out-patient management of emergencies and in-patient discharge. However, ICM was advantaged in managing some non-compliance and undertaking casework that prevented psychiatric emergencies. Absence of team-based management and bureaucratised access to social care limited the impact of these differences on outcomes and the effective practice of assertive outreach, although this was relevant to only a sub-population of patients.
Conclusions:
The impact of ICM was undermined by organisational factors. Sensitive anticipatory casework, which prevents psychiatric emergencies, may make ICM more effective than an exclusive focus on assertive outreach. Our findings demonstrate the value of qualitative research in evaluating complex interventions.
Related Concept Videos
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
01:16Clinical Trials
There are four phases in a clinical trial. A phase one...