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
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 design | Multicentre comparison of two psychiatric inpatient models |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please email emese.csipke@iop.kcl.ac.uk to request a patient information sheet |
| Scientific title | Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model |
| Study objectives | 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(s) | Bexley and Greenwich NHS Research Ethics Committee, 27/11/2007, ref: 07/H0809/49 |
| Health condition(s) or problem(s) studied | 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 |
| 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 study start date | 01/11/2008 |
| Completion date | 31/10/2012 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 400 |
| Key inclusion criteria | All adult psychiatric inpatients aged between 18 and 65 years, either sex |
| Key exclusion criteria | No exclusion criteria |
| Date of first enrolment | 01/11/2008 |
| Date of final enrolment | 31/10/2012 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Institute of Psychiatry, King's College London
London
SE5 8AF
United Kingdom
SE5 8AF
United Kingdom
Sponsor information
Institute of Psychiatry, King's College London (UK)
University/education
University/education
De Crespigny Park
London
SE5 8AF
England
United Kingdom
| Website | http://www.iop.kcl.ac.uk/ |
|---|---|
"ROR" |
https://ror.org/0220mzb33 |
Funders
Funder type
Government
Programme Grants for Applied Research (ref: RP-PG-0606-1050)
Government organisation / National government
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 share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not 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.
