More Effective Violence Risk Management - eDASA+APP FI

NCT06342531 | Active Not Recruiting DMC

• 1 other identifier: 210324
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The main goal of this study is to evaluate if the Finnish version of eDASA+APP (electronic Dynamic Appraisal of Situational Aggression + Aggression Prevention Protocol), a clinical decision support system (CDSS), has an impact on reducing workplace violence, use of coercive measures and increasing nurses' job satisfaction in adult psychiatric inpatient care.

Conditions

Violence

Keywords

violence risk assessment; DASA; Dynamic Appraisal of Situational Aggression; mental health nursing; EPIC; electronic health records; violence risk management; inpatient psychiatric care; coercive measures; clinical decision support system; CDSS; co-design; nurse-patient collaboration

Outcome Measures

Primary Outcomes (1)

• Workplace violence

  Violence experienced by healthcare staff in the wards, routinely collected data

  Pre-post (3 months)

Secondary Outcomes (2)

• Coercive measures

  Pre-post (3 months)

• Job satisfaction

  Pre-post (3 months)

Study Arms (1)

eDASA+APP FI

EXPERIMENTAL

Nurses in the study wards are using a CDSS 'eDASA+APP FI' in their daily clinical work to aid their short-term violence risk assessment and management, together with a patient if possible, to identify patients at elevated risk for violence in the coming 24 hours and to decrease (or maintain low) the risk with evidence-based, non-invasive nursing interventions.

Behavioral: eDASA+APP FI

Interventions

eDASA+APP FI BEHAVIORAL

A CDSS for nurses to assist in their daily short-term violence risk assessment and management, is integrated into an EPIC-based EHR system.

eDASA+APP FI

Eligibility Criteria

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

You may qualify if:

• adult psychiatric wards

You may not qualify if:

• psychiatric wards specialized only for the care of people with intellectual disabilities, wards providing care for both adults and underaged patients (eating disorder units)

Sponsors & Collaborators

• University of Turku: lead
• Helsinki University Central Hospital: collaborator

Study Sites (1)

HUS University Hospital

Helsinki, Finland

Location

Related Publications (1)

• Griffith JJ, Meyer D, Maguire T, Ogloff JRP, Daffern M. A Clinical Decision Support System to Prevent Aggression and Reduce Restrictive Practices in a Forensic Mental Health Service. Psychiatr Serv. 2021 Aug 1;72(8):885-890. doi: 10.1176/appi.ps.202000315. Epub 2021 May 17.

  PMID: 33993715 BACKGROUND

Study Officials

• Tella Lantta, PhD

  Department of Nursing Science, University of Turku, Finland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Adjunct Professor

Model Details: A pre-post design (quasi-experimental), a cluster design

Study Record Dates

• First Submitted: March 26, 2024
• First Posted: April 2, 2024
• Study Start: June 1, 2024
• Primary Completion: December 1, 2024
• Study Completion (Estimated): December 1, 2026
• Last Updated: April 6, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)