Impact of the Preventive Emotions Management Questionnaire on the Rates of Isolation and Mechanical Restraint Measures in the Psychiatric Admission Unit (PACT)

This observational study assesses whether the use of the QPGE has an impact on the rates of isolation and mechanical restraint in adult psychiatric admission units. It is supplemented by a qualitative survey that will collect the experience of caregivers using the QPGE.

Study Overview

• Status: Completed
• Conditions: Psychiatric Disorder
• Intervention / Treatment: Other: Questionnaire

Detailed Description

The use of isolation and mechanical restraint in psychiatry has deleterious consequences for the patient. Caregivers also testify to their dissatisfaction with using these methods. The Coping Agreement Questionnaire (CAQ) is a form presented to the patient admitted to a psychiatric unit in the United States that has shown a significant effect on the reduction of coercive measures. It has been translated into French under the name Questionnaire Préventif de la Gestion des Emotions (QPGE). In France, the Haute Autorité de Santé has been recommending this type of tool since 2016 in the form of shared prevention plans to better prevent moments of violence.

The main objective is to assess whether the use of a shared prevention plan based on the Preventive Emotions Management Questionnaire (QPGE) can reduce the rates of isolation measures and mechanical restraint in hospitalized people. in a sectoral admission unit receiving patients in care without consent.

• Study Type: Observational
• Enrollment (Actual): 416

Contacts and Locations

Study Locations

• France
  • Gironde
    • Bordeaux, Gironde, France, 33000
      • Centre Hospitalier Charles Perrens

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Non-Probability Sample

Study Population

People with psychiatric disorders and hospitalized in a sectoral admission unit receiving patients in care without consent

Description

Inclusion Criteria:

• Have been hospitalized in psychiatric admission unit with an entry date between January 1, 2020 and December 31, 2020
• Be at least 18 years old at the time of hospitalization
• Master the French language in order to have benefited from the QPGE and the satisfaction questionnaire

Exclusion Criteria:

• Being the subject of an isolation and/or restraint measure, decided in another unit before, during the transfer to the study places
• To have objected to the use of data collected during hospitalization following the information in the welcome booklet

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Only
• Time Perspectives: Retrospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Epidemiology; The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year.

Other: Questionnaire; The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year. The impact of the QPGE on the satisfaction scores will be systematically evaluated by a self-questionnaire for patients at the end of hospitalization. The QPGE is administered by a nurse during the reception interview of the patient in the unit.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Rate of isolation measures.(%)	Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period	up to 1 year
Rate of restraint measures.(%)	Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period	up to 1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
Rate of isolation measures not associated with an episode of mechanical restraint (%)	up to 1 year
Duration of isolation measures not associated with an episode of mechanical restraint. (hours)	up to 1 year
Rate of mechanical restraint measures (%)	up to 1 year
Duration of mechanical restraint measures (hours)	up to 1 year
User satisfaction score at the end of hospitalization	up to 1 year

Collaborators and Investigators

• Sponsor: Centre Hospitalier Charles Perrens, Bordeaux
• Investigators: Study Director: Vincent BILLE, Advanced Practice Nurse

Publications and helpful links

General Publications

• Bowers L, Alexander J, Bilgin H, Botha M, Dack C, James K, Jarrett M, Jeffery D, Nijman H, Owiti JA, Papadopoulos C, Ross J, Wright S, Stewart D. Safewards: the empirical basis of the model and a critical appraisal. J Psychiatr Ment Health Nurs. 2014 May;21(4):354-64. doi: 10.1111/jpm.12085. Epub 2014 Jan 24.
• Beghi M, Peroni F, Gabola P, Rossetti A, Cornaggia CM. Prevalence and risk factors for the use of restraint in psychiatry: a systematic review. Riv Psichiatr. 2013 Jan-Feb;48(1):10-22. doi: 10.1708/1228.13611.
• Riahi S, Thomson G, Duxbury J. An integrative review exploring decision-making factors influencing mental health nurses in the use of restraint. J Psychiatr Ment Health Nurs. 2016 Mar;23(2):116-28. doi: 10.1111/jpm.12285. Epub 2016 Jan 26.
• Bowers L, Allan T, Simpson A, Nijman H, Warren J. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. Int J Soc Psychiatry. 2007 Jan;53(1):75-84. doi: 10.1177/0020764007075011.

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2022
• Primary Completion (Actual): December 31, 2023
• Study Completion (Actual): December 31, 2023

Study Registration Dates

• First Submitted: March 14, 2022
• First Submitted That Met QC Criteria: March 23, 2022
• First Posted (Actual): April 1, 2022

Study Record Updates

• Last Update Posted (Actual): June 18, 2024
• Last Update Submitted That Met QC Criteria: June 17, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: Prevention; Isolation; Psychiatric Disorder; Mechanical restraint
• Additional Relevant MeSH Terms: Behavioral Symptoms; Problem Behavior; Mental Disorders
• Other Study ID Numbers: 2021-A03039-32

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