Behavioral Problem Clinical Trial
Official title:
Disruptive bEhavior manageMEnt ANd Prevention in Hospitalized Patients Using a behaviORal Intervention Team: Study Protocol for a Pragmatic, Cluster, Cross-over Design
The purpose of the proposed study is to evaluate the impact of a behavioral intervention team (BIT) on 2 adult units: a general medical (8N); a cardiac/medical stepdown (8S) at Vanderbilt University Medical Center (VUMC) with a higher proportion of patients with behavioral health comorbidities.
The BIT will provide a proactive psychiatric team that will screen all patients on admission,
provide consultation to those meeting established criteria, and recommend interventions to
the primary care team for consideration. BIT will also serve to model therapeutics tactics in
communication and goal setting to the clinical staff.
Research Questions for the proposed study:
Considering that behavioral health co-morbidity is common among hospitalized medical
inpatients and is associated with higher costs of care and staff dissatisfaction, we will
ascertain whether the addition of dedicated, trained behavioral intervention team, compared
to nursing staff training on trauma informed care and de-escalation techniques provides:
1. meaningful, measureable improvement in the prevention and management of disruptive
behavior in the healthcare setting at VUMC, and
2. Improvement in staff perceptions of their ability to manage patients exhibiting
disruptive, threatening or acting out behavior
Specifically, using a pragmatic, cluster cross-over trial design where the BIT crosses
between 8N and 8S, we will test the hypothesis that presence of the BIT results in:
1. Improvement in the prevention and management of patients exhibiting disruptive,
threatening or acting out behavior
2. Improvement in staff perceptions of their ability to manage patients exhibiting
disruptive, threatening or acting out behavior
;
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