Impact of Psychological Therapies on Emergency Medical Patients

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-10

Study Completion Date

2022-03-27

Brief Summary

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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.

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Detailed Description

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Conditions

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Mental Health Disorder Mental Disorder Mental Health Wellness 1

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IAPT

Group Type EXPERIMENTAL

Improving access to psychological therapies (IAPT)

Intervention Type 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.

Interventions

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Improving access to psychological therapies (IAPT)

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes