Impact of Psychological Therapies on Emergency Medical Patients

NCT05303870 | Completed DMC

• 1 other identifier: 20/024
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

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.

Conditions

Mental Health Disorder; Mental Disorder; Mental Health Wellness 1

Outcome Measures

Primary Outcomes (1)

• Number of participants with moderate or severe anxiety

  How many participants enrol in to the study, that are eligible to participate.

  Up to 6 months

Secondary Outcomes (1)

• IAPT views

  Up to 6 months

Study Arms (1)

IAPT

EXPERIMENTAL

Other: Improving access to psychological therapies (IAPT)

Interventions

Improving access to psychological therapies (IAPT) OTHER

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: 1. 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. 2. Appropriately trained and supervised workforce. 3. Routine outcome monitoring.

IAPT

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• East Suffolk and North Essex NHS Foundation Trust: lead
• University of Essex: collaborator

Study Sites (1)

East Suffolk and North Essex NHS Foundation Trust

Ipswich, IP4 5PD, United Kingdom

Location

MeSH Terms

Conditions

Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 21, 2022
• First Posted: March 31, 2022
• Study Start: October 10, 2021
• Primary Completion: March 27, 2022
• Study Completion: March 27, 2022
• Last Updated: July 27, 2022

Record last verified: 2022-07

Locations

GB (1)