Disruptive bEhavior manageMEnt ANd Prevention in Hospitalized Patients Using a behaviORal Intervention Team

NCT03777241 | Completed

• 1 other identifier: 182229
• Study Type: interventional
• Target: 3,800
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the proposed study is to evaluate the impact of a behavioral intervention team (BIT) on 2 adult units: a general medical (8N); a cardiac/medical stepdown (8S) at Vanderbilt University Medical Center (VUMC) with a higher proportion of patients with behavioral health comorbidities.

Conditions

Behavioral Problem

Outcome Measures

Primary Outcomes (3)

• Percent of violence control measures utilized

  By extracting medications, restraints, and sitters ordered from the electronic health records

  6 months

• Percent of patient injurious behaviors reported

  By extracting reports of biting, kicking, throwing, etc. from the electronic medical record

  6 months

• Percent change in nurse comfort and confidence in their ability to manage patients exhibiting disruptive, threatening or acting out behavior

  By administering surveys to participants

  1 year

Secondary Outcomes (2)

• Rate of unit nursing staff retention

  1 year

• Patient length of stay

  6 months

Study Arms (2)

Behavioral Intervention Team

ACTIVE COMPARATOR

The participants in this arm will receive the Behavioral Intervention Team.

Behavioral: Behavioral Intervention Team

Standard of Care

ACTIVE COMPARATOR

The participants in this arm will receive the standard of care.

Behavioral: Standard of care

Interventions

Behavioral Intervention Team BEHAVIORAL

Multidisciplinary team to assist with actively identifying and managing mental illness and substance abuse disorders at their earliest possible time during hospitalization.

Behavioral Intervention Team

Standard of care BEHAVIORAL

Participants in this group will receive standard of care.

Standard of Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients admitted to two adult medical surgical units (8N/8S) at Vanderbilt University Medical Center during the study period.
• All clinical nurses and staff on 8N/8S employed during the study period.

You may not qualify if:

• Patients admitted to the floor before the BIT team has begun the crossover period on the unit.

Sponsors & Collaborators

• Vanderbilt University: lead
• Vanderbilt University Medical Center: collaborator

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37212, United States

Location

Related Publications (2)

• Hasselblad M, Morrison J, Kleinpell R, Buie R, Ariosto D, Hardiman E, Osborn SW, Nwosu SK, Lindsell C. Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. BMJ Open Qual. 2022 Feb;11(1):e001315. doi: 10.1136/bmjoq-2020-001315.

  PMID: 35131740 DERIVED

• Morrison J, Hasselblad M, Kleinpell R, Buie R, Ariosto D, Hardiman E, Osborn SW, Lindsell CJ; Vanderbilt Learning Healthcare System Investigators, Vanderbilt University. The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial. Trials. 2020 May 24;21(1):417. doi: 10.1186/s13063-020-04278-2.

  PMID: 32448331 DERIVED

MeSH Terms

Conditions

Problem Behavior

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Child Behavior

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Ruth Kleinpell, PhD, RN

  Vanderbilt University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: December 14, 2018
• First Posted: December 17, 2018
• Study Start: March 1, 2019
• Primary Completion: February 9, 2020
• Study Completion: May 11, 2020
• Last Updated: September 9, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ANALYTIC CODE
• Time Frame: Immediately following publication. No end date.
• Access Criteria: Proposals should be directed to the PI via the Learning Healthcare System platform secondary data use application

Locations

US (1)