Impact of Psychological Therapies on Emergency Medical Patients

Not Applicable

Completed

• Conditions: Mental Disorder; Mental Health Disorder; Mental Health Wellness 1
• Interventions: Other: Improving access to psychological therapies (IAPT)

• Registration Number: NCT05303870
• Lead Sponsor: East Suffolk and North Essex NHS Foundation Trust

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-10-10
• Study First Submitted: 2022-02-21
• Study First Submitted QC: 2022-03-21
• Primary Completion: 2022-03-27
• Study Completion: 2022-03-27
• Study First Posted: 2022-03-31
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-26
• Last Update Posted: 2022-07-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
IAPT	Improving access to psychological therapies (IAPT)	-

Primary Outcome Measures

Name	Time	Method
Number of participants with moderate or severe anxiety	Up to 6 months	How many participants enrol in to the study, that are eligible to participate.

Secondary Outcome Measures

Name	Time	Method
IAPT views	Up to 6 months	Thematic analysis of in depth interviews on staff and patients regarding the IAPT intervention.

Trial Locations

Locations (1)

East Suffolk and North Essex NHS Foundation Trust; 🇬🇧 Ipswich, United Kingdom