Interprofessional Training in a Psychiatric Study Unit

NCT03070977 | Completed

• 1 other identifier: PRURegionZealand
• Study Type: interventional
• Target: 430
• Locations: 1 country
• Sites: 1

Brief Summary

Research question and basic idea: Interprofessional collaboration is a skill that many health professionals need to develop. Interprofessional training offers a way to improve collaboration and patient care. The increasing number of psychiatric patients with complex needs, requires mental healthcare providers to enhance their skills. It necessitates that healthcare professionals collaborate effectively; nevertheless, many have not been trained in an interprofessional environment. Health professionals lack sufficient knowledge of other professional roles and competences to engage in teamwork. Interprofessional training units have been designed to create an optimal learning environment for healthcare students. These training units provide a new environment for learning, where students can learn from each other and develop competence in interprofessional collaboration. This collaboration gives students from several health professions an opportunity to achieve a greater understanding of the overall picture of the patient´s life. The limited data available suggest interprofessional collaboration interventions can improve health-care processes and outcomes; however, better designed studies are needed. Objective: Therefore, we will investigate whether placement at a psychiatric training unit compared with placement at a standard psychiatric ward improves students' interprofessional skills and patients' health status and satisfaction.

Conditions

Interdisciplinary Communication

Keywords

Interprofessional education; Training unit; Psychiatry; Patient reported outcome

Outcome Measures

Primary Outcomes (3)

• The effect on students' interprofessional skills.

  We use the Readiness for Inter Professional Learning Scale (RIPLS): The 29 item questionnaire has four subscales assessing; Teamwork and Collaboration, Negative Professional Identity, Positive Professional Identity, and Roles and Responsibilities. Score range from 29 to 145, with higher scores indicating higer level of readiness of interprofessional learning.

  Week 9-10 after placement onset

• Health status

  We use Short Form Health Survey (SF-36) to assess the patients' self-reported health status. On the basis of the questionnaire's 36 items, we calculated two summary scores; the physical component score and the mental component score (PCS and MCS, respectively). Scores range from 0 (zero) to 100, with higher scores indicating better health.

  Three weeks after admission

• Psychological distress

  We use The Kessler Psychological Distress Scale (K10). Its 10 items measure the experienced level of anxiety and depressive symptoms over the preceding four weeks, with a score range from 10 to 50, higher scores indicating more anxiety and stronger depressive symptoms.

  Three weeks after admission

Secondary Outcomes (2)

• The effect on students' interprofessional team collaboration Scale

  Week 9-10 after placement onset

• Patient Satisfaction

  Three weeks after admission

Study Arms (2)

Interprofessional study unit

EXPERIMENTAL

In 2015, Psychiatry in Slagelse established an interprofessional clinical training unit. The aim was to create a new environment for learning, where students could learn from each other and develop competence in interprofessional collaboration. In the training unit there are more students than in the other standard psychiatric wards and several professions are included.

Other: Interprofessional clinical training unit

Standard unit

NO INTERVENTION

Students in the control group receive training in standard psychiatric wards.

Interventions

Interprofessional clinical training unit OTHER

In 2015, Psychiatry in Slagelse established an interprofessional clinical training unit. The aim was to create a new environment for learning, where students could learn from each other and develop competence in interprofessional collaboration. In the training unit there are more students than in the other standard psychiatric wards and several professions are included. A facilitator team is responsible for the interprofessional training. In autumn 2016 seven professionals participate in course of facilitating interprofessional collaboration and training. The intervention involved the total staff participation in an initial workshop. The training unit is based on two educational interventions: Student participation in clinical care teams and interprofessional group tuition sessions.

Interprofessional study unit

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Students: Health care students in clinical practice from November 2016 - 30 April 2018.
• Patients: Inpatients aged 18-65 suffering from psychiatric disorders such as schizophrenia, psychosis, major depression, bipolar disorder, or severe personality disorder, and admitted October 2016 - March 2018, were included.

You may not qualify if:

• Patients: Patients, who did not consent to participation or failed to complete the questionnaire at the beginning of their stay, were excluded from the study. In addition, patients hospitalized for less than a week, were excluded.

Sponsors & Collaborators

• Psychiatric Research Unit, Region Zealand, Denmark: lead
• University of Copenhagen: collaborator

Study Sites (1)

Psychiatry in Slagelse

Slagelse, Danmark, 4200, Denmark

Location

Related Publications (15)

• Reeves S. A systematic review of the effects of interprofessional education on staff involved in the care of adults with mental health problems. J Psychiatr Ment Health Nurs. 2001 Dec;8(6):533-42. doi: 10.1046/j.1351-0126.2001.00420.x.

  PMID: 11842481 BACKGROUND

• Pauze E, Reeves S. Examining the effects of interprofessional education on mental health providers: Findings from an updated systematic review. J Ment Health. 2010 Jun;19(3):258-71. doi: 10.3109/09638230903469244.

  PMID: 20441490 BACKGROUND

• Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev. 2013 Mar 28;2013(3):CD002213. doi: 10.1002/14651858.CD002213.pub3.

  PMID: 23543515 BACKGROUND

• Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072. doi: 10.1002/14651858.CD000072.

  PMID: 10796485 BACKGROUND

• Reeves S, Zwarenstein M, Goldman J, Barr H, Freeth D, Hammick M, Koppel I. Interprofessional education: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD002213. doi: 10.1002/14651858.CD002213.pub2.

  PMID: 18254002 BACKGROUND

• Hammick M, Freeth D, Koppel I, Reeves S, Barr H. A best evidence systematic review of interprofessional education: BEME Guide no. 9. Med Teach. 2007 Oct;29(8):735-51. doi: 10.1080/01421590701682576.

  PMID: 18236271 BACKGROUND

• Young AS, Chinman M, Forquer SL, Knight EL, Vogel H, Miller A, Rowe M, Mintz J. Use of a consumer-led intervention to improve provider competencies. Psychiatr Serv. 2005 Aug;56(8):967-75. doi: 10.1176/appi.ps.56.8.967.

  PMID: 16088014 BACKGROUND

• Priest HM, Roberts P, Dent H, Blincoe C, Lawton D, Armstrong C. Interprofessional education and working in mental health: in search of the evidence base. J Nurs Manag. 2008 May;16(4):474-85. doi: 10.1111/j.1365-2834.2008.00867.x.

  PMID: 18405264 BACKGROUND

• Ponzer S, Hylin U, Kusoffsky A, Lauffs M, Lonka K, Mattiasson AC, Nordstrom G. Interprofessional training in the context of clinical practice: goals and students' perceptions on clinical education wards. Med Educ. 2004 Jul;38(7):727-36. doi: 10.1111/j.1365-2929.2004.01848.x.

  PMID: 15200397 BACKGROUND

• Reeves S, Freeth D, McCrorie P, Perry D. 'It teaches you what to expect in future . . . ': interprofessional learning on a training ward for medical, nursing, occupational therapy and physiotherapy students. Med Educ. 2002 Apr;36(4):337-44. doi: 10.1046/j.1365-2923.2002.01169.x.

  PMID: 11940174 BACKGROUND

• Jacobsen F, Fink AM, Marcussen V, Larsen K, Hansen TB. Interprofessional undergraduate clinical learning: results from a three year project in a Danish Interprofessional Training Unit. J Interprof Care. 2009 Jan;23(1):30-40. doi: 10.1080/13561820802490909.

  PMID: 19142781 BACKGROUND

• Hylin U, Nyholm H, Mattiasson AC, Ponzer S. Interprofessional training in clinical practice on a training ward for healthcare students: a two-year follow-up. J Interprof Care. 2007 Jun;21(3):277-88. doi: 10.1080/13561820601095800.

  PMID: 17487706 BACKGROUND

• Coster S, Norman I, Murrells T, Kitchen S, Meerabeau E, Sooboodoo E, d'Avray L. Interprofessional attitudes amongst undergraduate students in the health professions: a longitudinal questionnaire survey. Int J Nurs Stud. 2008 Nov;45(11):1667-81. doi: 10.1016/j.ijnurstu.2008.02.008. Epub 2008 Apr 18.

  PMID: 18423644 BACKGROUND

• Marcussen M, Norgaard B, Borgnakke K, Arnfred S. Improved patient-reported outcomes after interprofessional training in mental health: a nonrandomized intervention study. BMC Psychiatry. 2020 May 14;20(1):236. doi: 10.1186/s12888-020-02616-x.

  PMID: 32410668 DERIVED

• Marcussen M, Norgaard B, Borgnakke K, Arnfred S. Interprofessional clinical training in mental health improves students' readiness for interprofessional collaboration: a non-randomized intervention study. BMC Med Educ. 2019 Jan 18;19(1):27. doi: 10.1186/s12909-019-1465-6.

  PMID: 30658648 DERIVED

Study Officials

• Sidse Arnfred, MD, Dr.med

  Psychiatric Research Unit, Region Zealand, Denmark

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Research Associate Professor in Psychiatry, MD MSc PhD DMSc Dep. Of Clinical Medicine, Faculty of Health and Medicine, University of Copenhagen and Psychiatric Department Slagelse, Region Zealand, Denmark.

Study Record Dates

• First Submitted: January 21, 2017
• First Posted: March 6, 2017
• Study Start: November 1, 2016
• Primary Completion: May 1, 2018
• Study Completion: May 1, 2018
• Last Updated: April 16, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)