PhD-student
Lea Deichmann Nielsen
OPEN Odense Patient data Explorative Network, Odense University Hospital
| Project management | ||
| Project status | Closed | |
| Data collection dates | ||
| Start | 01.03.2015 | |
| End | 30.04.2017 | |
Development of the MR-CRAS and validation of its measurement properties
Short summary
The duration of mechanical restraint is particular prolonged among forensic psychiatric inpatients. Use of a risk assessment instrument during use of coercive measures has shown promising results in reducing the duration. However, no instruments exist for use during mechanical restraint. This project will focus on developing a short-term risk assessment instrument: Mechanical Restraint - Confounding-Risk-Alliance-Score (MR-CRAS), and validate its measurement properties among experts and forensic psychiatric staff.
Rationale
Introduction and purpose: The duration of mechanical restraint (MR), defined for example as the use of a belt attached to a patient (pt) with the aim of restricting their movement, is particularly prolonged among forensic psychiatric inpatients in the Region of Southern Denmark. Research shows that utilization of risk assessment can reduce the duration of coercive measures used on psychiatric inpatients. However, evidence does not seem to exist for the existence and use of a risk assessment instrument during MR of forensic psychiatric inpatients to support decision on whether the pt are ready to be loosened from MR with the aim of reducing the duration. Therefore, this project will focus on developing a short-term risk assessment instrument (MR-CRAS), and validate its measurement properties among experts and forensic psychiatric staff during the use of MR. The project is part of a research program within the Department of Psychiatry in Middelfart aiming to reduce coercion both before, during and after use of coercive measures.
Description of the cohort
Phase 1: Clinical staff from different forensic psychiatric inpatient units, with rich first-hand experience in MR (conceptualization)
Phase 2: A) clinical staff at from different forensic psychiatric inpatient units (face validation) B) Clinical staff from different forensic psychiatric inpatient units, with rich first-hand experience in MR and researcher within forensic psychiatry (content validation), C) Clinical staff at two forensic inpatient units (pilot testing)
Phase 3: Clinical staff from 15 different forensic psychiatric inpatient units (field testing)
Data and biological material
Phase 1: focus group interview data, existing research and a selected sample of risk assessment instruments
Phase 2: Focus group interview data, survey data from experts and MR-CRAS
Phase 3: survey data from MR-CRAS
Collaborating researchers and departments
OPEN Odense Patient data Explorative Network, Odense University Hospital
- Professor and Head Supervisor Lise Hounsgaard, PhD, MScN, RN
Institute of Regional Health Research, Faculty of Health Science, University of Southern Denmark
- Project Supervisor Frederik Alkier Gildberg, Post Doc, PhD, MScN, RN
Institute of Clinical Medicine, University of Copenhagen
- Clinical Professor and Method Supervisor Per Bech, PhD
Publications associated with the project