Information Prescriptions: a broad perspective

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Information Prescriptions a broad perspective

• Presented by David Chamberlain
• Worcestershire Health Libraries

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Bibliotherapy / Information Prescription / Books
On Prescription - Definitions

• Bibliotherapy has been described as the guided
  use of reading, always with a therapeutic outcome
  in mind
• Information prescription is newer than
  bibliotherapy but generally refers to the
  provision of a prescription of information from
  a clinician to a patient in any format (hardcopy
  or electronic).
• Books On Prescriptions involves partnership
  working between clinicians and Librarians where a
  clinician offers a prescription to a patient who
  then uses the public library to borrow the
  prescription

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Our Health, our Care, our Say

• White Paper indicates that by 2008 all people
  with a long term condition should be offered an
  information prescription. Our health, our
  care, our say a new direction for community
  health services. DH. 2006
• http//www.dh.gov.uk/assetRoot/04/12/74/59/0412745
  9.pdf

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The Project

• To investigate1. Published evidence2. Ongoing
  or completed projectsIn order to inform the
  development of information prescription in the
  West Midlands and wider health community.

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Working Group established

• Isla Robert (WM South SHA) oversaw working group
• David Chamberlain (Worcestershire Health
  Libraries) led on research evidence base.
• Desmond Heaps (Warwickshire Public Libraries)
  led on audit of current or ongoing IP projects
  across the UK.

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Evidence-Based

• Achieved by
• Literature search and summary of findings
• Questionnaire sent out to past and ongoing
  projects via PLUS survey group
• Findings summarised in a paper

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Outcome

• A paper detailing the evidence base and best
  practice - based on lessons learnt from the
  audit of projects and research.
• Important to be an easily read document with
  clear recommendations for practice and research
• To improve patient care and to reach a wide
  audience

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Project Scope

• 2 literature searches Sept 06 and Feb 07
• 67 articles considered
• 59 Reviewed
• 21 Projects contacted and details summarised

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Some of the disorders/ topics covered by
Information Prescriptions/ BOPs

• Anxiety, depression, panic disorder, PTSD.
• Self harm, bulimia nervosa
• Diabetes, alcohol, obesity
• Sexual dysfunction
• Cost effectivenessPopulations studies Adults,
  older people, children, adolescents

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Lessons from the evidence base some examples

• Useful for those suffering chronic or remitting
  emotional disorders (Den Boer et al 2004)
• Bibliotherapy can facilitate rapid improvement in
  depression (Floyd et al 2003)
• Treatment by GPs in primary care is an
  appropriate setting (Mckendree-Smith et al 2003)
• Useful if clients are actively recruited
  (Cuijpers 1998)
• Treatment can reduce anxiety even if the
  individual has a physical problem (Jones 2002)
• Bibliotherapy should be utilized as a cheaper
  option than traditional drug therapies (Forest
  1998)

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Suggested titles

• Beating the Blues (Nice Guidance 2006)
• By Tanner and Ball 18.94 ISBN 064636622x
• Feeling Good (Anderson 2005)
• By Burns 4.79 ISBN 0380810336
• Change your Thinking (Frazer 2003)
• By Edelman 7.25 ISBN 0091906954
• Control your Depression (Frazer 2003)
• By Lewisohn 6.28 ISBN 05532363900
• When I say No I feel Guilty (Floyd 2003)
• By Smith 4.30 ISBN 0553263900

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Implications for research some examples

• More work is required in primary care to
  investigate the cost-effectiveness of self help
  and the most suitable format and presentation of
  material. (Anderson 2005)
• Further research is needed to determine what type
  of self help tools are most effective and the
  conditions under which they are effective. (Jorm
  et al 2004)
• Future studies would benefit from developing and
  testing self help tools (Newman et al. 2003)
• Drop out rates must be included in studies
  (Eyensbach 2005)

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Some of the benefits identified from past and
on-going projects

• Identified as cost effective forms of
  intervention Devon
• Positive responses from patients to this form of
  intervention Devon
• Improved patient self management Cardiff
• Improved doctor/patient collaboration Cardiff

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Over all conclusion

• Clear evidence that Information Prescription/
  BOPs is an effective treatment
• Specific patient groups identified
• Evidence to support delivery in the primary care
  setting
• It is cost effective
• Increases patient autonomy
• Improves doctor/patient collaboration

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Further plans

• Publication of research Journal of Psychiatric
  and Mental Health Nursing
• West Midlands event
• 15th May 2007 Books On Prescription
• Emphasis on inviting those wishing to
  implement BOPs
• Short presentation on definitions and an
  example of how a project was implemented,
  followed by facilitated workshops with interested
  parties

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Thank you

• Any questions?
• David Chamberlain
• Lead Librarian, Community Outreach
• Worcestershire Health Libraries
• David.Chamberlain_at_worcsacute.wmids.nhs.uk
• 01527 505773