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Effective self-management strategies for bipolar disorder: a community-engaged Delphi consensus consultation study

Michalak, Erin E., Suto, Melinda J., Barnes, Steven J., Hou, Sharon, Lapsley, Sara, Scott, Mike, Murray, Greg, Austin, Jehannine, Elliott, Nusha Balram and Berk, Lesley 2016, Effective self-management strategies for bipolar disorder: a community-engaged Delphi consensus consultation study, Journal of affective disorders, vol. 206, pp. 77-86, doi: 10.1016/j.jad.2016.06.057.

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Title Effective self-management strategies for bipolar disorder: a community-engaged Delphi consensus consultation study
Author(s) Michalak, Erin E.
Suto, Melinda J.
Barnes, Steven J.
Hou, Sharon
Lapsley, Sara
Scott, Mike
Murray, Greg
Austin, Jehannine
Elliott, Nusha Balram
Berk, LesleyORCID iD for Berk, Lesley orcid.org/0000-0002-3677-7503
Journal name Journal of affective disorders
Volume number 206
Start page 77
End page 86
Total pages 10
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-12
ISSN 1573-2517
Keyword(s) Bipolar disorder
Community-Based Participatory Research
Delphi Consensus Consultation
Self-management
Summary BACKGROUND: Self-management represents an important complement to psychosocial treatments for bipolar disorder (BD), but research is limited. Specifically, little is known about self-management approaches for elevated mood states; this study investigated self-management strategies for: (1) maintaining balance in mood, and (2) stopping progression into hypomania/mania. METHODS: To identify the common components of BD self-management, Delphi Consensus Consultation methods were combined with a Community-Based Participatory Research (CBPR) approach across five study phases: (1) Qualitative dataset content analysis; (2) Academic/grey literature reviews; (3) Content analysis; (4) Two Delphi rounds (rating strategies on a 5-point Likert scale, Very Unhelpful-Very Helpful), and; (5) Quantitative analysis and interpretation. Participants were people with BD and healthcare providers. RESULTS: Phases 1 and 2 identified 262 and 3940 candidate strategies, respectively; 3709 were discarded as duplicates/unintelligible. The remaining 493 were assessed via Delphi methods in Phase 4: 101 people with BD and 52 healthcare providers participated in Round 1; 83 of the BD panel (82%) and 43 of the healthcare provider panel (83%) participated in Round 2-exploratory factor analysis (EFA) was conducted on Round 2 results. LIMITATIONS: EFA was underpowered and sample was not ethnically diverse, limiting generalizability. DISCUSSION: High concordance was observed in ratings of strategy effectiveness between the two panels. Future research could usefully investigate the provisional discovery here of underlying factors which link individual strategies. For example, 'maintaining hope' underpinned strategies for maintaining balance, and 'decreasing use of stimulants' underpinned strategies to interrupt hypo/manic ascent. There is merit in combining CBPR and Delphi methods.
Language eng
DOI 10.1016/j.jad.2016.06.057
Field of Research 111714 Mental Health
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier B.V.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085622

Document type: Journal Article
Collection: Faculty of Health
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