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A Systematic Review and Meta-analysis of Recovery Educational Interventions for Mental Health Professionals

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Abstract

The history of mental health care has been marked by various struggles in maintaining the dignity of service users. Some reform movements have started to use educational strategies aimed at the beliefs and attitudes of professionals, as well as changing the way that practice is carried out. This paper intends to systematically review and synthesize studies assessing awareness and training activities for mental health professionals covering aspects related to recovery, empowerment, and in general, rights-based care to achieve full citizenship of mental health services users. We reviewed 26 articles and were able to include 14 of them in meta-analytic calculations. Our results at the qualitative level show an evolution of the literature towards better quality designs and focus on aspects related to the impact and maintenance of the effects of these training activities. Meta-analytic calculations found high heterogeneity but no risk of biases and low-to moderate effect sizes with a statistically significant impact on beliefs and attitudes but not on practices. The importance of this information in improving and advancing these educational activities is addressed.

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The meta-analysis database from this project will be public under the same document object identifier as the article as supplemental material.

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Acknowledgements

We would like to thank all people and organisations involved in the cultural change that the Recovery in mental health movement involves.

Funding

FJEO has received funding from the European Union’s Framework Programme for Research and Innovation Horizon 2020 (2014–2020) under the Marie Skłodowska-Curie Grant Agreement No 654808. HGM is supported by a predoctoral contract (FPU15/01721) given by the Spanish Ministry of Education, Culture and Sports. None of these agencies had any role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

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Contributions

FJEO designed the study, wrote the protocol, conducted literature searches and provided summaries of research studies. HGM extracted data from individual studies to carry the meta-analytic calculations. Both authors assessed risk of bias in individual studies. Author FJEO conducted the statistical analysis. FJEO wrote the first draft of the manuscript. Both authors contributed to and have approved the final manuscript.

Corresponding author

Correspondence to Francisco José Eiroa-Orosa.

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All authors declare that they have no conflicts of interest related to the present study.

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Eiroa-Orosa, F.J., García-Mieres, H. A Systematic Review and Meta-analysis of Recovery Educational Interventions for Mental Health Professionals. Adm Policy Ment Health 46, 724–752 (2019). https://doi.org/10.1007/s10488-019-00956-9

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  • DOI: https://doi.org/10.1007/s10488-019-00956-9

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