Using plain English and behaviourally specific language to increase the implementation of clinical guidelines for psychological treatments in schizophrenia.

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Abstract

BACKGROUND: Inequalities in the implementation of recommended psychological interventions for schizophrenia persist. Writing guidance in a particular style has been shown to improve service user intention to implement the recommendations. This current study explored this further in healthcare staff members. AIMS: Can behaviourally specific and plain English language improve healthcare intentions to perform actions in line with guidance for schizophrenia. METHOD: An independent measure, single blind, randomised control trial. Guidance was written and disseminated in two formats, the "original" and "alternative". Self-report measures were administered to assess the cognitive determents of behaviour as described by the Theory of Planned Behaviour, actual behaviour consistent with the guidance, comprehension and satisfaction with the guidance. RESULTS: No significant results were found when comparing the original guidance to the alternative for the cognitive determinants of behaviour, actual behaviour, comprehension or satisfaction. CONCLUSIONS: Behaviourally specific and plain English language does not affect healthcare professionals' intentions or behaviour to implement recommended guidance for the provision of psychological interventions for schizophrenia. A more multi-factorial approach including organisational culture may be required.

Keyword(s)

CBT; FI; NICE; Schizophrenia; guidelines; implementation; psychological interventions

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