UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045879
Receipt number R000052343
Scientific Title The effects of trauma-informed care on improving the treatment of psychiatric inpatient
Date of disclosure of the study information 2021/10/31
Last modified on 2025/06/09 16:22:12

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Basic information

Public title

The effects of trauma-informed care on improving the treatment of psychiatric inpatients

Acronym

TIC-RESCOPE

Scientific Title

The effects of trauma-informed care on improving the treatment of psychiatric inpatient

Scientific Title:Acronym

TIC-RESCOPE

Region

Japan


Condition

Condition

Not applicable

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the effect of trauma-informed care training using video for psychiatric nurses and nursing assistants on improving the treatment of inpatients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Duration and frequency of use of seclusion and mechanical restraint (up to 6 months after intervention)

Key secondary outcomes

For nurses/nursing assistants (pre-intervention, and 3 months after the start of intervention,6 months after the start of intervention)
Japanese Burnout Scale
Kessler Psychological Distress Scale (K6)
Attitude Related trauma-Informed Care Scale 10 (ARTIC-10)

For inpatients
Duration and frequency of use of seclusion and mechanical restraint (up to 12 months after intervention)
Dose of antipsychotics (at admission, at discharge)
Duration of hospitalization

other:
Incident reports


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Intervention group:.
Within twelve weeks, five trauma-informed care video trainings based on the principles of trauma-informed care will be provided.
Module 1) Description of Trauma-informed Care
Module 2) Description of PTSD Symptoms
Module 3) Case studies in view of trauma-informed care
Module 4) Practice of Trauma-informed care
Module 5) The decrease of seclusion and mechanical restraint base on trauma-informed care

Interventions/Control_2

Control group: TAU

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Nurses and Nursing assistant working in psychiatric wards
Patients admitted to the target psychiatric hospital between April 2019 and March 2023.

Key exclusion criteria

Patients admitted to forensic ward

Target sample size

40000


Research contact person

Name of lead principal investigator

1st name Daisuke
Middle name
Last name Nishi

Organization

Graduate School of Medicine, The University of Tokyo

Division name

Department of Mental Health

Zip code

1130033

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

TEL

03-5841-3364

Email

d-nishi@m.u-tokyo.ac.jp


Public contact

Name of contact person

1st name Michi
Middle name
Last name Miyake

Organization

National Institute of Mental Health, National Center of Neurology and Psychiatry

Division name

Department of Public Mental Health Research

Zip code

1878551

Address

4-1-1, Ogawahigashi-cho, Kodaira, Tokyo

TEL

042-341-2711

Homepage URL


Email

rescope@ncnp.go.jp


Sponsor or person

Institute

The University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

National Institute of Mental Health, National Center of Neurology and Psychiatry

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Office for Human Research Studies(OHRS) Graduate School of Medicine and Faculty of Medicine, The University of Tokyo

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 JAPAN

Tel

03-5841-0818

Email

ethics@m.u-tokyo.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

神奈川県立精神医療研究センター(神奈川),岡山県精神科医療センター(岡山),長野県立こころの医療センター駒ヶ根(長野),静岡県立こころの医療センター(静岡),石川県立高松病院(石川),草津病院(広島),未来の風せいわ病院(岩手),曽我病院(神奈川),鈴鹿厚生病院(三重),松原病院(福井),刈谷病院(愛知)


Other administrative information

Date of disclosure of the study information

2021 Year 10 Month 31 Day


Related information

URL releasing protocol

https://www.sciencedirect.com/science/article/pii/S2666142X25000074?via%3Dihub

Publication of results

Published


Result

URL related to results and publications

https://www.sciencedirect.com/science/article/pii/S2666142X25000074?via%3Dihub

Number of participants that the trial has enrolled

9880

Results

Using a difference-in-differences analysis, we interpreted the results to indicate that the intervention led to a statistically significant reduction in average restraint time compared with the control group at 3 months (p = 0.04), 6 months (p = 0.01), and 12 months (p = 0.02). However, no statistically significant reduction was observed in the average seclusion time.

Results date posted

2025 Year 06 Month 09 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients who were admitted to 10 psychiatric hospitals from April 2020 to October 2021, and from February 2022 to January 2023.

Participant flow

Data were collected through a specialized psychiatric monitoring system called RESCOPE, and hospitals that had implemented this system were invited to participate in the study. Hospitals interested in the trauma-informed care video training were allocated to the intervention group, and the rest were assigned to the control group.

Adverse events

No significant Adverse events

Outcome measures

Average seclusion/restraint time per day, calculated by dividing the total seclusion/restraint time for each episode by the total number of inpatient days.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2021 Year 07 Month 01 Day

Date of IRB

2021 Year 09 Month 08 Day

Anticipated trial start date

2021 Year 11 Month 01 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 10 Month 26 Day

Last modified on

2025 Year 06 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052343