This trial will assess the safety, feasibility, acceptability, usability and agreement with validated scales of an automated mood monitoring App (TrueBlue), in adult, perinatal participants (recruited between 12 weeks of pregnancy and 12 weeks post-partum), recruited across multiple sites in Nottinghamshire, United Kingdom (UK). An initial within-study pilot phase will assess key aspects of the study including recruitment rate, usability issues and a detailed understanding of any device related adverse events; prior to full recruitment of a total 125 participants over a total 14-month period.

Start Date01 Oct 2024

Sponsor / Collaborator

Nottinghamshire Healthcare NHS Foundation Trust

[+2]

ISRCTN10285713

/ RecruitingNot Applicable

Neuropsychological Evaluation and Rehabilitation in Multiple Sclerosis (NEuRoMS): A mixed methods pragmatic multicentre Randomised Controlled Trial (RCT) with nested health economic and process evaluations and an implementation study (Phase 3: Work Packages 4 and 5)

Start Date01 Jun 2024

Sponsor / Collaborator

Nottinghamshire Healthcare NHS Foundation Trust

100 Clinical Results associated with Nottinghamshire Healthcare NHS Foundation Trust

0 Patents (Medical) associated with Nottinghamshire Healthcare NHS Foundation Trust

322

Literatures (Medical) associated with Nottinghamshire Healthcare NHS Foundation Trust

01 May 2025·BJPsych Open

A systematic environmental intervention, nidotherapy, given to whole communities: protocol for a randomised stepped-wedge trial

Article

Author: Kendall, Tim ; Ahmad, Abdullah ; Yang, Min ; Tyrer, Peter ; King, Jacob ; Crawford, Mike ; Mullins, Elizabeth ; Xing, Yangang ; Frisira, Eleni ; Duggan, Conor ; Barrett, Barbara ; Parish, Richard ; Daley, David ; Caan, Woody

BackgroundEnvironmental changes can be positive in mental illness. Systematic, planned and guided environmental change in all its aspects is called nidotherapy. It has shown some benefit but has not been extended to whole communities.AimsA cluster-randomised step-wedge trial is planned in six village communities in Nottinghamshire, England, covering an adult population of 400.MethodAdults in six villages will be offered a full personal environmental assessment followed by agreed change in different 3-month periods over the course of 1 year. All six villages have populations between 51 and 100 residents and are similar demographically. Assessments of mental health, personality status, social function, quality of life and environment satisfaction will be made. After the initial baseline period of 3 months, two villages will be randomised to nidotherapy for 3 months, a further two at 6 months and the last two at 9 months.ResultsThe primary outcome will be change in social function; secondary outcomes include health-related quality of life, anxiety and depressive symptoms, personality status, costs of nidotherapy and life satisfaction. Adverse events will also be recorded. The analysis will be carried out using a multimodal statistical approach examining (a) the change in scores of the primary outcome (social function); (b) change in scores of all secondary outcomes, including costs; and (c) changes in environmental satisfaction.ConclusionsThe findings of this study should help to determine whether nidotherapy has a place in the early detection and treatment of mental pathology.

04 Mar 2025·Reflective Practice

Rapid review of facilitating reflective practice groups with staff in adult inpatient mental health settings

Author: Galway, Róisín ; Beryl, Rachel ; Mackay, Kirstie-Louise ; Wilkinson, Dawn ; Siddall, Yasmin ; Leah, Kirsty ; White, James P. ; Mistry, Dipti ; Seagrief, James ; Beason, Simone ; Gaynor, Billie

01 Mar 2025·BJPsych Open

Impact of young people’s admissions to adult mental health wards in England: national qualitative study

Article

Author: Holland, Josephine ; Fung, Nicole ; Burn, Anne-Marie ; Hopkin, Elinor ; Roe, James ; Sayal, Kapil ; Dubicka, Bernadka ; Tuomainen, Helena ; Wild, Lorna ; James, Anthony ; Fisher, Michelle ; Wagner, Adam ; Ford, Tamsin ; Morriss, Richard ; Nazir, Saeed

BackgroundNational policy in England recommends that young people be admitted to mental health wards that are age-appropriate. Despite this, young people continue to be admitted to adult wards.AimsTo explore the impact of young people’s admissions to adult wards, from the perspectives of young people, parents/carers and mental health professionals working in adult services.MethodSemi-structured interviews were conducted with 29 participants to explore experiences of receiving and delivering care in adult mental health wards. Participants were four young people (aged 16–17 years), four parents/carers and 21 mental health professionals from adult mental health services in England. Data were analysed using framework analysis.ResultsYoung people’s admissions to adult wards tend to occur out of hours, at a time of crisis and when no suitable adolescent bed is available. Admissions were conceptualised as a short-term safety measure rather than for any therapeutic input. Concerns were raised about safeguarding, limited treatment options and a lack of education provision for young people on adult wards. However, exceptionally, for older adolescents, an adult ward might be clinically or socially appropriate. Recommendations to reduce adult ward admissions included better integration of adolescent and adult services, having more flexible policies and increasing community provision.ConclusionsOur findings emphasise the importance of young people being admitted to age-appropriate in-patient facilities. Earlier intervention and increased provision of specialist care in the community could prevent young people’s admissions to adult wards.

100 Deals associated with Nottinghamshire Healthcare NHS Foundation Trust

100 Translational Medicine associated with Nottinghamshire Healthcare NHS Foundation Trust

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