Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model

ISRCTN ISRCTN63111827
DOI https://doi.org/10.1186/ISRCTN63111827
Secondary identifying numbers N/A
Submission date
10/06/2008
Registration date
24/07/2008
Last edited
19/06/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Til Wykes
Scientific

Department of Psychology
PO Box 77
Institute of Psychiatry
King's College London
De Crespigny Park
London
SE5 8AF
United Kingdom

Study information

Study designMulticentre comparison of two psychiatric inpatient models
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please email emese.csipke@iop.kcl.ac.uk to request a patient information sheet
Scientific titlePatient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model
Study objectivesThe 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(s)Bexley and Greenwich NHS Research Ethics Committee, 27/11/2007, ref: 07/H0809/49
Health condition(s) or problem(s) studiedAcutely mentally ill patients
InterventionA 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 typeOther
Primary outcome measure1. 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 measures1. 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 study start date01/11/2008
Completion date31/10/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants400
Key inclusion criteriaAll adult psychiatric inpatients aged between 18 and 65 years, either sex
Key exclusion criteriaNo exclusion criteria
Date of first enrolment01/11/2008
Date of final enrolment31/10/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Institute of Psychiatry, King's College London
London
SE5 8AF
United Kingdom

Sponsor information

Institute of Psychiatry, King's College London (UK)
University/education

De Crespigny Park
London
SE5 8AF
England
United Kingdom

Website http://www.iop.kcl.ac.uk/
ROR logo "ROR" https://ror.org/0220mzb33

Funders

Funder type

Government

Programme Grants for Applied Research (ref: RP-PG-0606-1050)
Government organisation / National government
Alternative name(s)
NIHR Programme Grants for Applied Research, PGfAR
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2014 Yes No

Editorial Notes

19/06/2017: Publication reference added.