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Interprofessional Training in a Psychiatric Study Unit

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ClinicalTrials.gov Identifier: NCT03070977
Recruitment Status : Completed
First Posted : March 6, 2017
Last Update Posted : April 15, 2019
Sponsor:
Collaborator:
University of Copenhagen
Information provided by (Responsible Party):
Sidse Arnfred, Psychiatric Research Unit, Region Zealand, Denmark

Brief Summary:

Research question and basic idea:

Interprofessional collaboration is a skill that many health professionals need to develop. Interprofessional training offers a way to improve collaboration and patient care. The increasing number of psychiatric patients with complex needs, requires mental healthcare providers to enhance their skills. It necessitates that healthcare professionals collaborate effectively; nevertheless, many have not been trained in an interprofessional environment. Health professionals lack sufficient knowledge of other professional roles and competences to engage in teamwork. Interprofessional training units have been designed to create an optimal learning environment for healthcare students. These training units provide a new environment for learning, where students can learn from each other and develop competence in interprofessional collaboration. This collaboration gives students from several health professions an opportunity to achieve a greater understanding of the overall picture of the patient´s life. The limited data available suggest interprofessional collaboration interventions can improve health-care processes and outcomes; however, better designed studies are needed.

Objective: Therefore, we will investigate whether placement at a psychiatric training unit compared with placement at a standard psychiatric ward improves students' interprofessional skills and patients' health status and satisfaction.


Condition or disease Intervention/treatment Phase
Interdisciplinary Communication Other: Interprofessional clinical training unit Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 430 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Interprofessional Training in a Psychiatric Study Unit
Actual Study Start Date : November 2016
Actual Primary Completion Date : May 2018
Actual Study Completion Date : May 2018

Arm Intervention/treatment
Experimental: Interprofessional study unit
In 2015, Psychiatry in Slagelse established an interprofessional clinical training unit. The aim was to create a new environment for learning, where students could learn from each other and develop competence in interprofessional collaboration. In the training unit there are more students than in the other standard psychiatric wards and several professions are included.
Other: Interprofessional clinical training unit

In 2015, Psychiatry in Slagelse established an interprofessional clinical training unit. The aim was to create a new environment for learning, where students could learn from each other and develop competence in interprofessional collaboration. In the training unit there are more students than in the other standard psychiatric wards and several professions are included.

A facilitator team is responsible for the interprofessional training. In autumn 2016 seven professionals participate in course of facilitating interprofessional collaboration and training. The intervention involved the total staff participation in an initial workshop.

The training unit is based on two educational interventions: Student participation in clinical care teams and interprofessional group tuition sessions.


No Intervention: Standard unit
Students in the control group receive training in standard psychiatric wards.



Primary Outcome Measures :
  1. The effect on students' interprofessional skills. [ Time Frame: Week 9-10 after placement onset ]

    We use the Readiness for Inter Professional Learning Scale (RIPLS): The 29 item questionnaire has four subscales assessing; Teamwork and Collaboration, Negative Professional Identity, Positive Professional Identity, and Roles and Responsibilities.

    Score range from 29 to 145, with higher scores indicating higer level of readiness of interprofessional learning.


  2. Health status [ Time Frame: Three weeks after admission ]
    We use Short Form Health Survey (SF-36) to assess the patients' self-reported health status. On the basis of the questionnaire's 36 items, we calculated two summary scores; the physical component score and the mental component score (PCS and MCS, respectively). Scores range from 0 (zero) to 100, with higher scores indicating better health.

  3. Psychological distress [ Time Frame: Three weeks after admission ]
    We use The Kessler Psychological Distress Scale (K10). Its 10 items measure the experienced level of anxiety and depressive symptoms over the preceding four weeks, with a score range from 10 to 50, higher scores indicating more anxiety and stronger depressive symptoms.


Secondary Outcome Measures :
  1. The effect on students' interprofessional team collaboration Scale [ Time Frame: Week 9-10 after placement onset ]
    We use the Assessment of Interprofessional Team Collaboration Scale (AITCS): Including 37 items distributed on 3 subscales; Partnership/Shared decision making, Cooperation, and Coordination. With a score range from 37 to 185, higher scores indicating higher level of collaboration.

  2. Patient Satisfaction [ Time Frame: Three weeks after admission ]
    We use the Client Satisfaction Questionnaire, 8 item version (CSQ-8). Total scores range from 8 to 32, with higher scores indicating greater satisfaction.



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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Students: Health care students in clinical practice from November 2016 - 30 April 2018.
  • Patients: Inpatients aged 18-65 suffering from psychiatric disorders such as schizophrenia, psychosis, major depression, bipolar disorder, or severe personality disorder, and admitted October 2016 - March 2018, were included.

Exclusion Criteria:

  • Patients: Patients, who did not consent to participation or failed to complete the questionnaire at the beginning of their stay, were excluded from the study. In addition, patients hospitalized for less than a week, were excluded.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03070977


Locations
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Denmark
Psychiatry in Slagelse
Slagelse, Danmark, Denmark, 4200
Sponsors and Collaborators
Psychiatric Research Unit, Region Zealand, Denmark
University of Copenhagen
Investigators
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Principal Investigator: Sidse Arnfred, MD, Dr.med Psychiatric Research Unit, Region Zealand, Denmark

Publications:

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Sidse Arnfred, Clinical Research Associate Professor in Psychiatry, MD MSc PhD DMSc Dep. Of Clinical Medicine, Faculty of Health and Medicine, University of Copenhagen and Psychiatric Department Slagelse, Region Zealand, Denmark., Psychiatric Research Unit, Region Zealand, Denmark
ClinicalTrials.gov Identifier: NCT03070977     History of Changes
Other Study ID Numbers: PRURegionZealand
First Posted: March 6, 2017    Key Record Dates
Last Update Posted: April 15, 2019
Last Verified: April 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Sidse Arnfred, Psychiatric Research Unit, Region Zealand, Denmark:
Interprofessional education
Training unit
Psychiatry
Patient reported outcome