Evaluation of the "Platform Model" for Staffing in Psychiatric and Psychosomatic Clinics (EPPIK)

Evaluation of the Suitability of the "Platform Model" as an Instrument for Staffing in Psychiatric and Psychosomatic Clinics (EPPIK) - Subproject Psychosomatics

This study aims to evaluate the so-called platform model and its suitability to determine staffing in hospitals for psychosomatic medicine and psychotherapy.

Study Overview

• Status: Recruiting
• Conditions: Psychosomatic Medicine
• Intervention / Treatment: Other: no intervention, purely observational

Detailed Description

The aim of the study is to test the suitability of a structural model (so-called platform model) developed by a working group of various scientific societies and professional associations for staffing in psychosomatic medicine and psychotherapy. For this purpose, in three steps (1.) the four treatment clusters developed in the platform model will be quantified and empirically validated on the basis of the therapeutic services provided in health care practice; (2.) the current staffing for the four treatment clusters will be described ("as-is analysis"); and (3.) prototypical therapy plans will be developed as a basis for estimating the target staffing requirements. On this basis, a target staffing estimate will be made for all professional groups.

For the study, a total of 80 psychosomatic clinics from Germany will be randomly selected, belonging in equal parts to the groups of psychosomatic university clinics, psychosomatic specialist hospitals, and psychosomatic departments in somatic or in psychiatric hospitals. In addition, 20 day clinics are included. In these clinics, the structural framework conditions including staffing will be surveyed and the routine documentation of therapy units will be evaluated by cluster analysis in order to empirically validate the presumed treatment clusters and to describe the necessary staffing requirements.

The empirical examination and validation of the platform model, including the four assumed treatment clusters, has the potential to positively influence care practice in the long term by adjusting staffing levels in psychosomatic clinics to actual care requirements.

• Study Type: Observational
• Enrollment (Anticipated): 5961

Contacts and Locations

• Study Contact: Name: Simone U Jennissen, PhD; Phone Number: 004962215634620; Email: simone.jennissen@med.uni-heidelberg.de

Study Locations

• Germany
  • Baden-Württemberg
    • Heidelberg, Baden-Württemberg, Germany, 69120
      • Recruiting
      • Simone University Jennissen
      • Contact: Simone U Jennissen, PhD; Phone Number: +4962215634620; Email: simone.jennissen@med.uni-heidelberg.de
      • Contact: Hans-Christoph Friederich, Prof.

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

nationwide German population of psychosomatic specialist clinics and departments at University hospitals, general hospitals, or psychiatric hospitals

Description

Inclusion Criteria for Clinics:

• belong to the predefined nationwide population of psychosomatic specialist clinics and departments
• randomly selected for inclusion in the study,
• the clinic management (head physician or comparable) agrees to participation in the study
• possibility of electronic recording of the qualified therapy units for all treating professional groups.

Inclusion Criteria for Patients:

• patient treated in one of the selected clinics on the corresponding ward or day clinic
• at least 18 years old

Exclusion Criteria:

• none

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

Number of groups / cohorts

4

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Departments for Psychosomatic Medicine at University Clinics; no study interventions, observational group	Other: no intervention, purely observational; There will be no interventions. The study is purely observational and investigates differences in naturally occuring treatments at these four types of departments for Psychosomatic Medicine.
Clinics specialized in Psychosomatic Medicine; no study interventions, observational group	Other: no intervention, purely observational; There will be no interventions. The study is purely observational and investigates differences in naturally occuring treatments at these four types of departments for Psychosomatic Medicine.
Departments for Psychosomatic Medicine at general hospitals; no study interventions, observational group	Other: no intervention, purely observational; There will be no interventions. The study is purely observational and investigates differences in naturally occuring treatments at these four types of departments for Psychosomatic Medicine.
Departments for Psychosomatic Medicine at psychiatric hospitals; no study interventions, observational group	Other: no intervention, purely observational; There will be no interventions. The study is purely observational and investigates differences in naturally occuring treatments at these four types of departments for Psychosomatic Medicine.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week one of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week two of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week three of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week four of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week five of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week six of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week seven of treatment: assessment of administered treatment units
Administered Treatments	units of psychotherapeutic treatment administered to each patient by physicians, psychologists, nurses, art therapists, social workers, and physiotherapists	Week eight of treatment: assessment of administered treatment units

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
HONOS - Health of the Nation Outcome Scales	measure of severity of mental illness	administered once per patient at week one of treatment

Collaborators and Investigators

• Sponsor: University Hospital Heidelberg
• Collaborators: Deutsches Krankenhausinstitut; DGPPN; DGKJP; DGPM; Forum für Gesundheitswirtschaft gGmbH

Study record dates

Study Major Dates

• Study Start (Actual): June 11, 2021
• Primary Completion (Anticipated): May 31, 2023
• Study Completion (Anticipated): December 31, 2023

Study Registration Dates

• First Submitted: January 31, 2022
• First Submitted That Met QC Criteria: February 10, 2022
• First Posted (Actual): February 15, 2022

Study Record Updates

• Last Update Posted (Actual): February 15, 2022
• Last Update Submitted That Met QC Criteria: February 10, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: EPPIK

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No