Activity PRN: Establishing Meaningful Occupation as and When Required Across Acute Inpatient Mental Health and Psychiatric Intensive Care Units

NCT06905184 | Completed DMC

• 1 other identifier: Activity PRN
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Design A quasi-experimental mixed methods design research study will be conducted within: Pippin Ward, a 10 bed Female PICU within Cygnet Appletree (data collected January - June 2022). Haywood Ward, a 16 Male Acute within Cygnet Kewstoke. Nash Ward, a 12 bed Male PICU within Cygnet Kewstoke. Sandford Ward, a 16 bed Female Acute within Cygnet Kewstoke. Juniper Ward, a 17 bed Male Acute within Cygnet Churchill. Castle Ward, a 12 bed Female PICU within Cygnet Godden Green. Oakwood ward, a 15 bed Female Acute within Cygnet Godden Green. The study will measure the change in provision of meaningful activity types, and frequency of participation within meaningful activities, as a result of the intervention, 'Activity PRN', on participating wards within Cygnet Healthcare Ltd. Activity PRN, is an approach that uses occupational therapy approaches to facilitate meaningful activities as and when required. A 'prn activity' is any personally meaningful activity which can be facilitated as and when required, and is not a timetabled activity or session. To show the effect of the intervention, a three month control period, pre-intervention, will measure the number of meaningful activity types provided, facilitated on an 'ad-hoc' basis, and participation frequency. A two week period will follow, in which ward based staff will receive training to implement Activity PRN. A further three month intervention period will measure the number of prn activity types provided, and the participation frequency of prn activities, as a result of delivering Activity PRN. It is hoped that about 60 patients will consent to receive the intervention.

Conditions

Activity Engagement

Keywords

Activity PRN; Occupational Therapy; Cygnet Healthcare; Mental Health; PICU; Acute

Outcome Measures

Primary Outcomes (2)

• PRN Activities

  An increase in provision of 'as when required' (prn) activities across all services monitored.

  6 months

• Participation rate

  An increase in participation frequency of 'prn activities', compared to 'ad hoc' meaningful activities pre-intervention.

  6 months

Study Arms (1)

Patient Group

EXPERIMENTAL

Individuals aged 18-65 years, admitted to a Psychiatric Intensive Care Unit or Acute Mental Health Unit, who receive the intervention Activity PRN.

Behavioral: Activity PRN

Interventions

Activity PRN BEHAVIORAL

An Activity PRN plan will be delivered to consenting patients, as described above. The intervention will be communicated to them as a new approach that 'supports the individual to engage in personalised meaningful activities, which they can engage in as and when required'. Activity Resources are organised within a suitable, accessible location according with the patient's risk management and support plan. Dependent on the plan, resources may be kept on their person, in their bedroom, in a communal area, or in a locked or unlocked accessible cupboard. Ward staff will facilitate prn activities on an 'as and when required' basis. This can occur when: 1) a patient requests an activity from their card, 2) the patient appears disengaged, or 3) staff deem that the patient may benefit from participation in an activity for the purpose of engagement or distraction.

Patient Group

Eligibility Criteria

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

You may qualify if:

• Male or Female 18-65 Any ethnicity Any socio economic grouping Must be admitted to hospital for any primary diagnosis of a mental health condition Location as per units referred to in the study setting

You may not qualify if:

• Excluded participants are those who do not give informed consent, or cannot give informed consent by review of the Multi-Disciplinary Team within participating wards.

Sponsors & Collaborators

• Cygnet Healthcare: lead

Study Sites (1)

Cygnet Maidstone Hospital

Maidstone, Kent, ME14 5FY, United Kingdom

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Occupational Therapy

Model Details: Treatment: One or more interventions are being evaluated for treating a disease, syndrome, or condition.

Study Record Dates

• First Submitted: March 25, 2025
• First Posted: April 1, 2025
• Study Start: July 1, 2024
• Primary Completion: February 19, 2025
• Study Completion: March 25, 2025
• Last Updated: April 1, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)