Feasibility of randomized controlled trials on seclusion and mechanical restraint
| Autor: | Tilman Steinert, Jan Bergk, Beate Einsiedler |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Restraint
Physical Research design medicine.medical_specialty Psychological intervention Poison control Violence law.invention Cohort Studies Patient Isolation Randomized controlled trial law Informed consent Intervention (counseling) Humans Medicine Psychiatry Randomized Controlled Trials as Topic Pharmacology Cross-Over Studies Informed Consent business.industry Mental Disorders Clinical study design General Medicine Research Design business Seclusion |
| Zdroj: | Clinical Trials. 5:356-363 |
| ISSN: | 1740-7753 1740-7745 |
| Popis: | Background In psychiatry seclusion and mechanical restraint are most commonly used in the management of violence and self-directed aggression. Both interventions are considered as efficacious and indispensable. Yet, these measures can have deleterious effects on patients. The least restrictive alternative is recommended. Evidence about what kind of intervention is least restrictive is only scarcely available. Up to now, no randomized controlled trial (RCT) on this subject has been conducted.Purpose To describe ethical, methodological and legal problems of RCTs on coercive interventions and to suggest possible solutions.Methods Literature research on possible study designs, ethical considerations and legal regulations was conducted in PubMed.Results Corresponding to the procedures in emergency medicine informed consent can be obtained after the intervention when the patients are capable again. Informed consent refers only to participation in an interview and utilization of data. Randomization can be ethically approved, if exclusion criteria for randomization are defined. A comprehensive cohort study seems to be the most practicable study design. As primary outcome variable an assessment of subjective experiences of the patients' restrictions to human rights. Clinical Trials 2008; 5: 356—363. http://ctjsagepub.com |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|