Evidence map›Paper›PMID 39474389›Full record

Trial reportWorld journal of psychiatry2024

Tree: Reducing the use of restrictive practices on psychiatric wards through virtual reality immersive technology training.

Peter Phiri, Laura Pemberton, Yang Liu, Xiaojie Yang, Joe Salmon, Isabel Boulter, Sana Sajid, Jackie Clarke, Andy McMillan, Jian Qing Shi and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in World journal of psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Peter PhiriDepartment of Research & Innovation, Southern Health National Health Service Foundation Trust, Southampton SO30 3JB, United Kingdom. peter.phiri@southernhealth.nhs.uk.
Laura PembertonDepartment of Research & Innovation, Southern Health National Health Service Foundation Trust, Southampton SO30 3JB, United Kingdom.
Yang LiuDepartment of Statistics and Data Science, Southern University of Science and Technology, Shenzhen 518055, Guangdong Province, China.
Xiaojie YangSchool of Statistics and Mathematics, Yunnan University of Finance and Economics, Kunming 650221, Yunnan Province, China.
Joe SalmonDepartment of Research & Innovation, Southern Health National Health Service Foundation Trust, Southampton SO30 3JB, United Kingdom.
Isabel BoulterVirti Healthcare, Keynsham, Bristol BS31 1SN, United Kingdom.
Sana SajidDepartment of Research & Innovation, Southern Health National Health Service Foundation Trust, Southampton SO30 3JB, United Kingdom.
Jackie ClarkeNeuromodulation Centre, Southern Health National Health Service Foundation Trust, Southampton SO14 0YG, United Kingdom.
Andy McMillanNational Health Service Talking Therapies, Southern Health National Health Service Foundation Trust, Southampton SO50 9FH, United Kingdom.
Jian Qing ShiDepartment of Statistics and Data Science, Southern University of Science and Technology, Shenzhen 518055, Guangdong Province, China.
Gayathri DelanerolleDepartment of Research & Innovation, Southern Health National Health Service Foundation Trust, Southampton SO30 3JB, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRestrictive practices (RPs) are defined by measures linked to physical and chemical restraints to reduce the movement or control behaviours during any emergency. Seclusion is an equal part of RPs intended to isolate and reduce the sensory stimulation to safeguard the patient and those within the vicinity. Using interventions by way of virtual reality (VR) could assist with reducing the need for RPs as it could help reduce anxiety or agitation by way of placing users into realistic and immersive environments. This could also aid staff to and change current RPs.

aimTo assess the feasibility and effectiveness of using a VR platform to provide reduction in RP training.

methodsA randomised controlled feasibility study, accompanied by evaluations at 1 month and 6 months, was conducted within inpatient psychiatric wards at Southern Health National Health Service Foundation Trust, United Kingdom. Virti VR scenarios were used on VR headsets to provide training on reducing RPs in 3 inpatient psychiatric wards. Outcome measures included general self-efficacy scale, generalised anxiety disorder assessment 7 (GAD-7), Burnout Assessment Tool 12, the Everyday Discrimination Scale, and the Compassionate Engagement and Action Scale.

resultsFindings revealed statistically significant differences between the VR and treatment as usual groups, in the Everyday Discrimination Scale items Q8 and Q9:

conclusionOngoing advancement of VR technology enables the possibility of creating scenarios and simulations tailored to healthcare environments that empower staff by providing more comprehensive and effective training for handling situations.

Indexed as

Covert medicationHealth professions trainingInpatient wardsIsolationProcedural restrictionsRapid tranquilisationRestraintRestrictive practicesVirtual reality

Identifiers

PMID39474389
PMCPMC11514555

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.