Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model
Acronym
Study hypothesis
The aims of this study are to:
1. Explore the effects of different models of triage in terms of their effects on bed use and costs
2. Explore the perceived benefits and costs viewed by service users and staff
3. Identify factors that might guide the development of the most effective and sustainable triage model
Ethics approval
Bexley and Greenwich NHS Research Ethics Committee, 27/11/2007, ref: 07/H0809/49
Study design
Multicentre comparison of two psychiatric inpatient models
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Treatment
Patient information sheet
Not available in web format, please email emese.csipke@iop.kcl.ac.uk to request a patient information sheet
Condition
Acutely mentally ill patients
Intervention
A comparison of outcomes for staff/patients in these two models of inpatient 'triage':
Model 1:
It is a separate ward accepting all inpatient admissions for a maximum of seven days. Stabilisation takes place over three days, the home treatment team is consulted at days three and four and a decision to admit to longer term care or home treatment is made with a resulting discharge or transfer by day seven. This service has a dedicated 'triage' consultant.
Model 2:
This consists of a triage system in every ward involving a management round with senior medical input on a daily basis. The home treatment team is managed separately but will liaise with teams in each ward.
Intervention type
Other
Phase
Not Specified
Drug names
Primary outcome measure
1. User perceptions of inpatient services (currently being developed)
2. Staff perceptions of inpatient services (currently being developed)
3. Clinical service outcomes:
3.1. Readmission rates
3.2. Length of stay and mental health act detention
To be assessed at baseline, month 6, month 12 and month 18.
Secondary outcome measures
1. Client Service Receipt Inventory for Inpatient Care (CSRI-I): to provide details of services which will be linked to costs
2. Nursing care data: frequency of 1:1 nursing, use of agency staff
3. Ward Atmosphere Scale
4. Maslach Burnout Inventory to measure burn out and positive attributes of the work place
5. Routine incident reporting from electronic records
6. Service level data: number of admissions, length of stay, bed occupancy etc.
7. Staff movement: measured as length of stay, number of new staff and their ward origin
To be assessed at baseline, month 6, month 12 and month 18.
Overall trial start date
01/11/2008
Overall trial end date
31/10/2012
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
All adult psychiatric inpatients aged between 18 and 65 years, either sex
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
400
Participant exclusion criteria
No exclusion criteria
Recruitment start date
01/11/2008
Recruitment end date
31/10/2012
Locations
Countries of recruitment
United Kingdom
Trial participating centre
Institute of Psychiatry, King's College London
London
SE5 8AF
United Kingdom
Sponsor information
Organisation
Institute of Psychiatry, King's College London (UK)
Sponsor details
De Crespigny Park
London
SE5 8AF
United Kingdom
Sponsor type
University/education
Website
Funders
Funder type
Government
Funder name
Programme Grants for Applied Research (ref: RP-PG-0606-1050)
Alternative name(s)
NIHR Programme Grants for Applied Research, PGfAR
Funding Body Type
government organisation
Funding Body Subtype
National government
Location
United Kingdom
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
2014 results in: https://www.ncbi.nlm.nih.gov/pubmed/24627298