Universität zu Köln

Steinert, Tilman, Bechdolf, Andreas, Mahler, Lieselotte, Muche, Rainer, Baumgardt, Johanna, Buehling-Schindowski, Felix, Cole, Celline, Kampmann, Marie, Sauter, Dorothea, Vandamme, Angelika, Weinmann, Stefan and Hirsch, Sophie (2020). Implementation of Guidelines on Prevention of Coercion and Violence (PreVCo) in Psychiatry: Study Protocol of a Randomized Controlled Trial (RCT). Front. Psychiatry, 11. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-0640

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Abstract

Background Coercive measures are among the most controversial interventions in psychiatry. There is a large discrepancy between the sheer number of high-quality guidelines and the small number of scientifically accompanied initiatives to promote and evaluate their implementation into clinical routine. In Germany, an expert group developed guidelines to provide evidence- and consensus-based recommendations on how to deal with violence and coercion in psychiatry. Methods The study presented examines whether coercive measures on psychiatric wards can be reduced by means of an operationalized implementation of the guidelines Prevention of coercion: prevention and therapy of aggressive behavior in adults. Out of a set of 12 interventions offered, wards are free to choose three interventions they want to implement. The primary outcome is the number of coercive measures per bed and month/year. Secondary outcomes are cumulative duration of coercive measures per bed and month/year. The most important control variable is the number of aggressive incidents. We plan to recruit 52 wards in Germany. Wards treating both voluntary and compulsorily admitted patients will be included. A 1:1 stratified randomized controlled trial will be conducted stratified by the amount of coercive measures and implemented aspects of the guidelines. In addition to the control group analysis, a waiting list design allows a pre-post analysis for all participating wards of the waiting list group. A parallel qualitative study will examine factors related to successful implementation and to successful reduction of coercion as well as relevant barriers. Discussion We are planning a nationwide study on the implementation of evidence- and consensus-based guidelines in psychiatric hospitals. This study intends to promote the transfer of expert knowledge as well as results from clinical trials into clinical routine with the potential to change supply structures in mental health sector.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Steinert, Tilman UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Mahler, Lieselotte UNSPECIFIED UNSPECIFIED UNSPECIFIED Muche, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumgardt, Johanna UNSPECIFIED UNSPECIFIED UNSPECIFIED Buehling-Schindowski, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Cole, Celline UNSPECIFIED UNSPECIFIED UNSPECIFIED Kampmann, Marie UNSPECIFIED UNSPECIFIED UNSPECIFIED Sauter, Dorothea UNSPECIFIED UNSPECIFIED UNSPECIFIED Vandamme, Angelika UNSPECIFIED UNSPECIFIED UNSPECIFIED Weinmann, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Hirsch, Sophie UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-319066
DOI:	10.3389/fpsyt.2020.579176
Journal or Publication Title:	Front. Psychiatry
Volume:	11
Date:	2020
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	1664-0640
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SECLUSION; RESTRAINT; CARE; HOSPITALS; WARDS Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31906