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Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
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Register:
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ISRCTN |
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Last refreshed on:
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24 July 2017 |
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Main ID: |
ISRCTN63111827 |
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Date of registration:
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24/07/2008 |
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Prospective Registration:
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Yes |
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Primary sponsor: |
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Public title:
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Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model
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Scientific title:
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Patient involvement in improving the evidence base on inpatient care: changing service configuration - the 'triage' model |
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Date of first enrolment:
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01/11/2008 |
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Target sample size:
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400 |
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Recruitment status: |
Completed |
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URL:
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http://isrctn.com/ISRCTN63111827 |
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Study type:
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Interventional |
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Study design:
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Multicentre comparison of two psychiatric inpatient models (Treatment)
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Phase:
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Not Specified
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Countries of recruitment
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United Kingdom
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Contacts
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Name:
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Address:
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Telephone:
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Email:
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Affiliation:
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Name:
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Til
Wykes |
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Address:
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Department of Psychology
PO Box 77
Institute of Psychiatry
King's College London
De Crespigny Park
SE5 8AF
London
United Kingdom |
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Telephone:
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Email:
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Affiliation:
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Key inclusion & exclusion criteria
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Inclusion criteria: All adult psychiatric inpatients aged between 18 and 65 years, either sex
Exclusion criteria: No exclusion criteria
Age minimum:
Age maximum:
Gender:
Both
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Health Condition(s) or Problem(s) studied
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Acutely mentally ill patients
Mental and Behavioural Disorders
Mental disorder, not otherwise specified
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Intervention(s)
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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.
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Primary Outcome(s)
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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.
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Secondary Outcome(s)
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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.
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Source(s) of Monetary Support
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Programme Grants for Applied Research (ref: RP-PG-0606-1050)
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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