Adaptation Plan for Culturally Competent Care (PAACI) in the Acute Psychiatric Unit.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- reduction in mechanical restraints
研究概览
简要总结
This observational study aims to design, implement, and evaluate the Adaptation Plan for Culturally Competent Care (PAACI) in the Acute Psychiatric Unit of Parc de Salut Mar, Barcelona. The study focuses on improving healthcare quality for immigrant patients by reducing cultural and linguistic barriers in psychiatric care.
The PAACI program includes educational materials in multiple languages, enhanced collaboration with social services, training for healthcare professionals in cultural competence, and the use of interpretation devices. Key outcomes include reducing mechanical restraints, improving patient adherence to treatment, decreasing hospital readmissions, and increasing outpatient care engagement.
The study will analyze data from immigrant patients admitted to the Acute Psychiatric Unit one year before and after the implementation of PAACI, using various clinical and patient satisfaction indicators. This initiative aims to promote equal and equitable healthcare for diverse populations, potentially serving as a model for other mental health units.
详细描述
This study evaluates the implementation of the Adaptation Plan for Culturally Competent Care (PAACI) in an Acute Psychiatric Unit. The project aims to improve psychiatric care for immigrant patients by addressing cultural and linguistic barriers.
The study follows an observational design, comparing key clinical outcomes before and after the PAACI implementation. It includes measures such as staff training in cultural competence, improved coordination with social and healthcare services, and the introduction of multilingual patient education materials.
The primary focus is on enhancing healthcare equity, reducing the use of mechanical restraints, improving patient adherence to outpatient care, and decreasing hospital readmissions. Findings from this study may inform future adaptations of culturally competent care models in psychiatric settings.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •immigrant patients admitted to the acute psychiatric unit
- •age 18 or older
- •hospitalization during the study period (12 months post-paaci implementation)
排除标准
- •patients with severe cognitive impairment preventing informed consent
- •individuals with acute medical conditions requiring transfer to another service
- •refusal to participate or withdraw consent
结局指标
主要结局
reduction in mechanical restraints
时间窗: 12 months after paaci implementation
this measure evaluates the impact of the paaci program on the total number of mechanical restraints used in immigrant patients admitted to the acute psychiatric unit. data will be compared before and after program implementation.
次要结局
- Hospital Readmission Rate Among Immigrant Patients(12 months after paaci implementation)
- Length of Hospital Stay for Immigrant Patients(12 months after PAACI implementation)
- Patient adherence to outpatient mental health services(12 months after PAACI implementation)
- patient and staff satisfaction levels(12 months after paaci implementation)
研究者
Amira Trabsa
Psychiatrist and coordinator of the psychiatric acute unit.
Hospital del Mar