ImprovE Y1 - Exploring shared decision making in coercive care
Research type
Research Study
Full title
Exploring shared decision making practices during involuntary hospital care
IRAS ID
197537
Contact name
Domenico Giacco
Contact email
Sponsor organisation
East London NHS Foundation Trust
Duration of Study in the UK
0 years, 6 months, 1 days
Research summary
The aim of this research is to understand the characteristics of mentally ill patients who are involuntarily admitted to hospital in different sites in England and to explore what are the barriers to shared decision making in hospital and what can be done to enhance clinical decision making practices.
We will carry out:
- An analysis of routinely collected data on involuntary admissions.
We will obtain and data on involuntary admissions from February 2015 to January 2016 in all the Trusts and services participating in the main trial (East London, North London, Luton and Bedfordshire, Somerset, Sheffield). We will assess how many patients will have an age between 18 and 65, what is their diagnostic group and whether they have a sufficient command of English. To do this, we will contact data analysis teams in the mental health Trusts in order to access anonymised data on all involuntarily hospitalised patients as a whole (not on the individual patients).
- Focus groups with patients and clinicians
We will organise 3 to 6 focus groups with clinicians and 3 to 6 focus groups with patients. The number of focus groups organised will depend on the attendance of the first three focus groups and on whether we feel we have obtained enough material to have an insight of what patient and clinicians think are the main decisions that are discussed in hospital and the barriers and facilitators to shared decision making. Clinicians will be psychiatrists, nurses and clinical psychologists. Patients will be selected among those who were involuntarily admitted in hospital in East London NHS Foundation Trust less than one year before the day of the focus group. The data will be recorded and transcribed and the main themes reported by clinicians and patients will be identified. This is validated analytical procedure, named “thematic analysis”.REC name
London - London Bridge Research Ethics Committee
REC reference
16/LO/0384
Date of REC Opinion
24 Mar 2016
REC opinion
Further Information Favourable Opinion