WORK PACKAGES
Work Package 1
Set up, approvals and recruitment (months: 1-18)
Objectives
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Secure ethical approvals and governance permissions.
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Finalise trial documentation and data management systems.
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Recruit provider organisations and clusters.
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Recruit PPIE groups and provide necessary training.
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Recruit stakeholder group members.
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Recruit and finalise TMG, TSC and DMC members.
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Train research staff in accessible communication and trial procedures.
Work package 2 & 3
Workshop 1 (months: 10-12)
Objectives
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Workshop involving trainers, research team, support staff, and home managers to develop a manualised train-the-trainer SPECTROM training delivery plan.
Workshop 2 (months: 12-14)
Objectives
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Workshop involving pharmacists, specialist nurses, GPs, psychiatrists, PPIE representatives, home managers and multidisciplinary team members to develop a manualised home medication review, psychotropic medication optimisation, and prescriber engagement plan.
Work Package 4
Train the trainers (months: 20-24)
Objectives
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Implement the train-the-trainer model of SPECTROM training delivery and roll out the training among staff teams.
Work Package 5
SPECTROM training delivery (24-36)
Objectives
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Deliver SPECTROM training to support staff and home managers in intervention clusters.
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Ensure fidelity and consistency across training sessions.
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Provide ongoing support to staff and managers.
Work Package 6
Trial delivery including home medication review and medication optimisation, and data collection (months: 17-42)
Objectives
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Pharmacist-led home medication review and optimisation planning in collaboration with home managers and other stakeholders.
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Collect behavioural, medication, and quality‑of‑life data using validated measures.
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Extract medication data from records.
Work Package 7
Process evaluation (months: 20-42)
Objectives
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Understand how SPECTROM is implemented in real-world settings through interviews, focus groups and surveys.
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Identify mechanisms of impact and contextual influences.
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Assess fidelity, acceptability, and feasibility.
Work Package 8
Economic evaluation (months: 17-42)
Objectives
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Assess the cost-effectiveness of SPECTROM compared with TAU.
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Estimate cost per QALY gained.
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Model budget impact for NHS and social care.
Work package 9 & 10
Analysis (months: 37-48) and Dissemination (months: 43-48)
Objectives
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Conduct primary and secondary analyses.
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Produce accessible outputs for all relevant stakeholders, including people with intellectual disabilities and families.
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Support national implementation if effective.
