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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

3800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2020-05-11

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Translational Research to Inform Interventions for Challenging Behavior

NCT04842500

Behavior and Behavior Mechanisms

COMPLETED NA

Pilot Study of a Brief Intervention for Medically Hospitalized Suicide Attempt Survivors

NCT02414763

Suicide Attempt

COMPLETED PHASE1

Patient and Provider Outcomes of E-Learning Training in Collaborative Assessment and Management of Suicidality

NCT00905827

Suicide

COMPLETED NA

At-risk Intervention and Mentoring Evaluation

NCT02174224

Violence

COMPLETED NA

Optimizing Behavioral Health Homes for Adults With Serious Mental Illness

NCT02318797

Chronic Disease Mental Health Behavioral Health +4 more

COMPLETED NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The BIT will provide a proactive psychiatric team that will screen all patients on admission, provide consultation to those meeting established criteria, and recommend interventions to the primary care team for consideration. BIT will also serve to model therapeutics tactics in communication and goal setting to the clinical staff.

Research Questions for the proposed study:

Considering that behavioral health co-morbidity is common among hospitalized medical inpatients and is associated with higher costs of care and staff dissatisfaction, we will ascertain whether the addition of dedicated, trained behavioral intervention team, compared to nursing staff training on trauma informed care and de-escalation techniques provides:

1. meaningful, measureable improvement in the prevention and management of disruptive behavior in the healthcare setting at VUMC, and
2. Improvement in staff perceptions of their ability to manage patients exhibiting disruptive, threatening or acting out behavior

Specifically, using a pragmatic, cluster cross-over trial design where the BIT crosses between 8N and 8S, we will test the hypothesis that presence of the BIT results in:

1. Improvement in the prevention and management of patients exhibiting disruptive, threatening or acting out behavior
2. Improvement in staff perceptions of their ability to manage patients exhibiting disruptive, threatening or acting out behavior

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Behavioral Problem

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Behavioral Intervention Team

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

Group Type ACTIVE_COMPARATOR

Behavioral Intervention Team

Intervention Type BEHAVIORAL

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

Standard of Care

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

Group Type ACTIVE_COMPARATOR

Standard of care

Intervention Type BEHAVIORAL

Participants in this group will receive standard of care.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Behavioral Intervention Team

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

Intervention Type BEHAVIORAL

Standard of care

Participants in this group will receive standard of care.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 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.