Patient involvement in improving the evidence base on inpatient care: improving inpatient therapeutic environments
| ISRCTN | ISRCTN84014053 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN84014053 |
| 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 | Waiting list cluster randomised controlled trial, with several comparison points (so called 'interrupted time series') |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Cluster randomised trial |
| Study setting(s) | Hospital |
| Study type | Quality of life |
| 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: improving inpatient therapeutic environments |
| Study objectives | 1. To investigate in detail the difference that increasing therapeutic activities makes on the environmental milieu and how this is perceived by the patients and staff 2. To explore the sustainability of positive effects (particularly on staff morale and the level of increased activities) and the appearance of side effects |
| Ethics approval(s) | Bexley and Greenwich NHS Research Ethics Committee, 27/11/2007, ref: 07/HO809/49 |
| Health condition(s) or problem(s) studied | Acutely mentally ill patients |
| Intervention | Ward based non-pharmaceutical therapies (e.g, groups for voice hearers, medication information, communication training): specifics to be decided by Autumn 2008. Assessment will take place on four occasions, at six-monthly intervals. |
| Intervention type | Other |
| Primary outcome measure | 1. User perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. 2. Staff perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. To be collected at baseline, then at 6 months, 12 months and 18 months. |
| Secondary outcome measures | 1. Patient assessments: 1.1. Use of therapeutic activities available: through records of weekly activity planning reviews 1.2. Symptoms: Positive and Negative Symptoms Scale (PANSS) scores 1.3. The Nurses' Observation Scale for Inpatient Evaluation (NOSIE): behaviour scale measuring social and disruptive behaviours over a short time frame 1.4. Satisfaction measure (chosen from assessment in WP1) 2. Staff assessments: 2.1. Maslach Burnout Inventory to measure burn out and positive attributes of the work place 2.2. Satisfaction measure (chosen from assessments in WP1) 3. General ward assessments: 3.1. Length of stay on inpatient wards during the study period 3.2. Ward Atmosphere Scale 3.3. Routine incident reporting from electronic records 3.4. Therapeutic programme guide based on activities available 3.5. Movement of ward staff measured as length of stay, number of new staff and their ward origin 4. Economic measure: Client Service Receipt Inventory for Inpatient Care (CSRI-I) To be collected at baseline, then at 6 months, 12 months and 18 months. |
| 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 | 420 |
| Key inclusion criteria | All patients (both genders, aged 18 - 65 years) present on the ward during a two week interval during each of the four assessment periods. |
| Key exclusion criteria | Patients will only be excluded if they have already been entered into the study at an earlier admission. |
| 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 | 01/07/2016 | Yes | No |
Editorial Notes
19/06/2017: Publication reference added.
