title: The development and implementation of an educational intervention on first episode psychosis for primary care.
abstract: BACKGROUND
  This paper describes the development and implementation of an educational intervention to help general practitioners (GPs) recognise young people with first episode psychosis.
  
  
  METHODS
  The Medical Research Council complex interventions framework was used to guide the development of the intervention. The theoretical phase included a literature review of previous educational interventions in primary care and consideration of the literature on attitude formation and change, and the relationship between attitudes and behaviour. The modelling phase included focus groups with GPs and service users, and a training needs analysis questionnaire administered to GPs. The 2-stage intervention consisted of a video featuring role-plays of primary care consultations, GP-led discussion and discussion with early intervention service users. The acceptability and utility of the educational programme was evaluated using a 5-point Likert scale questionnaire administered at the end of each session.
  
  
  RESULTS
  General practitioners from each of the 39 intervention practices participated in the initial session and from 27 practices in the booster session. Information about symptoms and signs of first episode psychosis was the most valued aspect of the initial session. The booster session was also well received, with GPs valuing the opportunity to gain insight into first episode psychosis from users.
  
  
  CONCLUSIONS
  This paper adds a pragmatic description to the literature on the development of educational interventions in primary care. The Medical Research Council framework helped to identify and clarify component parts of the intervention and how the active components may relate to the expected outcome of behaviour change.
authors.affiliation: Department of Primary Care, University of Birmingham, Birmingham, UK. H.E.Lester@bham.ac.uk
authors.forename: Helen
authors.initials: H
authors.lastname: Lester
authors.forename: Lynda
authors.initials: L
authors.lastname: Tait
authors.forename: Amrit
authors.initials: A
authors.lastname: Khera
authors.forename: Max
authors.initials: M
authors.lastname: Birchwood
authors.forename: Nick
authors.initials: N
authors.lastname: Freemantle
authors.forename: Paul
authors.initials: P
authors.lastname: Patterson
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002983:Clinical Competence / Q000592:standards*; D004503:Education, Medical, Graduate / Q000379:methods*; D005194:Family Practice / Q000193:education* / Q000592:standards; D005260:Female; D006291:Health Policy; D006801:Humans; D008297:Male; D015397:Program Evaluation; D011618:Psychotic Disorders / Q000175:diagnosis*; D006113:United Kingdom