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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Impact of the Preventive Emotions Management Questionnaire on the Rates of Isolation and Mechanical Restraint Measures in the Psychiatric Admission Unit

Conditions
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Psychiatric Disorder

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Epidemiology<br>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<br>* 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.<br>|

What is the study measuring?
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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 | Measure Description | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Psychiatric Disorder, Prevention, Mechanical restraint, Isolation