Managing Patient Aggression in Mental Health Services
Violin
The Effectiveness of User-driven Intervention to Manage Patient Aggression in Mental Health Services
1 other identifier
interventional
28
0 countries
N/A
Brief Summary
To compare the effects of an educational intervention to usual practice (no specified staff education) on improving treatment culture and supporting team climate in staff members, which further could reduce the need for the use of coercive methods in psychiatric care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2016
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2016
CompletedFirst Submitted
Initial submission to the registry
March 18, 2016
CompletedFirst Posted
Study publicly available on registry
March 31, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2018
CompletedFebruary 26, 2020
February 1, 2020
2.9 years
March 18, 2016
February 24, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The incidence of seclusion room use.
The incidence of seclusion room use by patients in each unit.
Three years
Secondary Outcomes (7)
Other types of coercive measures
Three years
Service use
Three years
Team climate
18-20 months after beginning of the intervention
Turnover
Three years
The functional capacity of patients
Nine months after beginning of the intervention
- +2 more secondary outcomes
Study Arms (2)
Educational intervention
EXPERIMENTALBeside usual care the intervention will encourage collaborative practices between staff, patients and family members to adopt more human patient-centred approach on the unit. The intervention is designed to impact on treatment culture and thereby treatment practices on the study wards.
Treatment as usual
NO INTERVENTIONWards allocated to comparison wards continue with their usual care. No restrictions on how nursing staff works in these wards, although participation in corresponding projects is not supported.
Interventions
Educational intervention for staff members will encourage collaboration between patients, relatives and staff members. Skills, intellectual resources, motivation and encouragement among staff members to make changes on the unit will be supported. More detailed content of the intervention to be used in each unit will be tailored based on preparatory phase of the study and individual needs of the unit. The educational intervention will be carried out beside usual care.
Eligibility Criteria
You may qualify if:
- Finnish speaking hospital organisations
- at least 1 psychiatric ward
- open 24/7
- are able to use coersive measures (seclusion room, limb restraint, forced medication, physical restraint)
You may not qualify if:
- wards specialised in forensic, psychogeriatric, or child and adolescent care alone
- similar type of project is underway or is planned to start
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Turkulead
- Academy of Finlandcollaborator
- Turku University Hospitalcollaborator
- Harvard Medical School (HMS and HSDM)collaborator
- Harvard School of Public Health (HSPH)collaborator
- Stanford Universitycollaborator
- Sichuan University of China, Chinacollaborator
- University of Nottinghamcollaborator
- World Health Organisation, Philippinescollaborator
- The Hong Kong Polytechnic Universitycollaborator
Related Publications (4)
Valimaki M, Yang M, Normand SL, Lorig KR, Anttila M, Lantta T, Pekurinen V, Adams CE. Study protocol for a cluster randomised controlled trial to assess the effectiveness of user-driven intervention to prevent aggressive events in psychiatric services. BMC Psychiatry. 2017 Apr 4;17(1):123. doi: 10.1186/s12888-017-1266-6.
PMID: 28372555BACKGROUNDValimaki M, Yang M, Vahlberg T, Lantta T, Pekurinen V, Anttila M, Normand SL. Trends in the use of coercive measures in Finnish psychiatric hospitals: a register analysis of the past two decades. BMC Psychiatry. 2019 Jul 26;19(1):230. doi: 10.1186/s12888-019-2200-x.
PMID: 31349787RESULTValimaki M, Lantta T, Anttila M, Vahlberg T, Normand SL, Yang M. An Evidence-Based Educational Intervention for Reducing Coercive Measures in Psychiatric Hospitals: A Randomized Clinical Trial. JAMA Netw Open. 2022 Aug 1;5(8):e2229076. doi: 10.1001/jamanetworkopen.2022.29076.
PMID: 36040740DERIVEDGibbon S, Khalifa NR, Cheung NH, Vollm BA, McCarthy L. Psychological interventions for antisocial personality disorder. Cochrane Database Syst Rev. 2020 Sep 3;9(9):CD007668. doi: 10.1002/14651858.CD007668.pub3.
PMID: 32880104DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Maritta Välimäki, Professor
University of Turku, Hong Kong Polytechnic University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 18, 2016
First Posted
March 31, 2016
Study Start
February 1, 2016
Primary Completion
December 31, 2018
Study Completion
December 31, 2018
Last Updated
February 26, 2020
Record last verified: 2020-02
Data Sharing
- IPD Sharing
- Will not share