Impact of Psychological Therapies on Emergency Medical Patients
Primary Purpose
Mental Health Disorder, Mental Disorder, Mental Health Wellness 1
Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Improving access to psychological therapies (IAPT)
Sponsored by
About this trial
This is an interventional treatment trial for Mental Health Disorder
Eligibility Criteria
Inclusion Criteria:
- Patients admitted to Ipswich Hospital into a ward that cares for patients who are medical emergencies.
- Patients who score 3 or higher on one or both of the GAD 2 and PHQ 2.
- Patients that have capacity to consent.
- Over 18 years old.
- Ability to speak and read in English as the study will not have the resources to employ interpreters or to get documentation translated.
- Participants that are not deemed suicidal via screening and medical and nurse assessment.
Exclusion Criteria:
- Patients not receiving care on a ward caring for medical emergencies.
- Patients under the age of 18 years old.
- Patients scoring < 3 on both GAD 2 and PHQ 2.
- Patients who do not have capacity to consent.
- Participants that are suicidal as via screening and medical and nurse assessment.
Sites / Locations
- East Suffolk and North Essex NHS Foundation Trust
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
IAPT
Arm Description
Outcomes
Primary Outcome Measures
Number of participants with moderate or severe anxiety
How many participants enrol in to the study, that are eligible to participate.
Secondary Outcome Measures
IAPT views
Thematic analysis of in depth interviews on staff and patients regarding the IAPT intervention.
Full Information
NCT ID
NCT05303870
First Posted
February 21, 2022
Last Updated
July 26, 2022
Sponsor
East Suffolk and North Essex NHS Foundation Trust
Collaborators
University of Essex
1. Study Identification
Unique Protocol Identification Number
NCT05303870
Brief Title
Impact of Psychological Therapies on Emergency Medical Patients
Official Title
Exploring the Transferability of Improving Access to Psychological Therapies (IAPT) to a General Hospital Emergency Inpatient Ward
Study Type
Interventional
2. Study Status
Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
October 10, 2021 (Actual)
Primary Completion Date
March 27, 2022 (Actual)
Study Completion Date
March 27, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
East Suffolk and North Essex NHS Foundation Trust
Collaborators
University of Essex
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Prevalence of anxiety and depression in the general population is known, but is under researched in the acute hospital setting and there is little evidence on the prevalence of anxiety and depression within the emergency medical admission population. A potential intervention for treating such mental health prevalence would be in the form of IAPT methodology which has been utilised in other parts of the NHS demonstrating good outcomes. Therefore, this feasibility study will explore the utility of IAPT in the acute setting.
This study will explore the prevalence of anxiety and depression in the emergency medical population within medical inpatient wards , utilising the assessment tools adopted by the IAPT services and explained in detail below.
The study will explore a) feasibility of introducing psychological intervention to an emergency medical ward and b) provide preliminary data on the outcome of this intervention on hospital length of stay and readmission rates.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mental Health Disorder, Mental Disorder, Mental Health Wellness 1
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
IAPT
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
Improving access to psychological therapies (IAPT)
Intervention Description
IAPT services provide evidence-based treatments for people with depression and anxiety disorders, and comorbid long-term physical health conditions or medically unexplained symptoms. IAPT services are characterised by three key principles:
Evidence-Based psychological therapies at the appropriate dose: NICE recommended therapies matched to the mental health problem, at the intensity and duration designed to optimise outcomes.
Appropriately trained and supervised workforce.
Routine outcome monitoring.
Primary Outcome Measure Information:
Title
Number of participants with moderate or severe anxiety
Description
How many participants enrol in to the study, that are eligible to participate.
Time Frame
Up to 6 months
Secondary Outcome Measure Information:
Title
IAPT views
Description
Thematic analysis of in depth interviews on staff and patients regarding the IAPT intervention.
Time Frame
Up to 6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Patients admitted to Ipswich Hospital into a ward that cares for patients who are medical emergencies.
Patients who score 3 or higher on one or both of the GAD 2 and PHQ 2.
Patients that have capacity to consent.
Over 18 years old.
Ability to speak and read in English as the study will not have the resources to employ interpreters or to get documentation translated.
Participants that are not deemed suicidal via screening and medical and nurse assessment.
Exclusion Criteria:
Patients not receiving care on a ward caring for medical emergencies.
Patients under the age of 18 years old.
Patients scoring < 3 on both GAD 2 and PHQ 2.
Patients who do not have capacity to consent.
Participants that are suicidal as via screening and medical and nurse assessment.
Facility Information:
Facility Name
East Suffolk and North Essex NHS Foundation Trust
City
Ipswich
ZIP/Postal Code
IP4 5PD
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Impact of Psychological Therapies on Emergency Medical Patients
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