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NCT Number: NCT05303870

Impact of Psychological Therapies on Emergency Medical Patients

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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Key information

Conditions

Mental Health Disorder Mental Disorder Mental Disorders Mental Health Wellness 1

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

East Suffolk and North Essex NHS Foundation Trust

Ipswich, IP4 5PD, United Kingdom

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Improving access to psychological therapies (IAPT)

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:

  • 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.
  • Appropriately trained and supervised workforce.
  • Routine outcome monitoring.

Primary outcomes

  1. Number of participants with moderate or severe anxiety

    Time frame: Up to 6 months

    How many participants enrol in to the study, that are eligible to participate.

Secondary outcomes

  1. IAPT views

    Time frame: Up to 6 months

    Thematic analysis of in depth interviews on staff and patients regarding the IAPT intervention.

Sponsors and collaborators

Lead sponsor

East Suffolk and North Essex NHS Foundation Trust

Other

Collaborators

  • University of Essex

Registry information

Official study title

Exploring the Transferability of Improving Access to Psychological Therapies (IAPT) to a General Hospital Emergency Inpatient Ward

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Mar 31, 2022
Registry last updated
Jul 27, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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