{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:09:48Z","timestamp":1773248988191,"version":"3.50.1"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec id=\"S2056472421009686_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Intra-hospital transmission of coronavirus disease 2019 (COVID-19) is a major concern. Psychiatric in-patient units pose unique challenges for the prevention of transmission. \u2018COVID-triage\u2019 wards with strict infection control procedures have been implemented to prevent the spread of infection, but little is known about the extent to which psychiatric in-patients adhere to these procedures.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009686_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To examine patient adherence with infection control measures on a novel \u2018COVID-triage\u2019 psychiatric in-patient ward in London, England.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009686_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>This was an observational study of adherence with infection control measures. The proportion of patients who were adherent with infection control measures was calculated. The association of adherence with demographic and clinical factors was examined.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009686_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The majority of patients (<jats:italic>n<\/jats:italic> = 138\/176, 78.4%) were not adherent with infection control measures. However, adherence did improve when patients who were non-adherent were given direct instructions by staff during clinical contact. Patients with diagnoses of psychotic disorders, personality disorders and substance use disorders were less likely to be adherent than those without these diagnoses.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421009686_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Psychiatric in-patients show poor adherence with infection control measures. Proactive engagement by staff is key to improving patients\u2019 adherence. Urgent efforts are needed to identify and implement other effective methods of improving adherence in acute settings.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2021.968","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T03:21:20Z","timestamp":1626232880000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Patient adherence with infection control measures on a novel \u2018COVID-19 triage\u2019 psychiatric in-patient ward"],"prefix":"10.1192","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8486-4903","authenticated-orcid":false,"given":"Ryan","family":"Williams","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8792-4051","authenticated-orcid":false,"given":"John","family":"Tweed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Rebolledo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Khalid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josephine","family":"Agyeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Pinto da Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"S2056472421009686_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2020.04.016"},{"key":"S2056472421009686_ref23","volume-title":"COVID-19: Secondary and specialist mental health settings","year":"2020"},{"key":"S2056472421009686_ref13","doi-asserted-by":"publisher","DOI":"10.7150\/ijbs.45072"},{"key":"S2056472421009686_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.03.012"},{"key":"S2056472421009686_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s12264-020-00476-9"},{"key":"S2056472421009686_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2005.07.014"},{"key":"S2056472421009686_ref20","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.126"},{"key":"S2056472421009686_ref31","doi-asserted-by":"publisher","DOI":"10.1586\/14737175.2013.811976"},{"key":"S2056472421009686_ref4","volume-title":"Health Building Guidance: Adult Acute Mental Health Units","year":"2013"},{"key":"S2056472421009686_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/10826080802495237"},{"key":"S2056472421009686_ref36","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2020.1825892"},{"key":"S2056472421009686_ref38","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.15922.2"},{"key":"S2056472421009686_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2007.01095.x"},{"key":"S2056472421009686_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"S2056472421009686_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312107"},{"key":"S2056472421009686_ref9","volume-title":"Disparities in the Risk and Outcomes of COVID-19","year":"2020"},{"key":"S2056472421009686_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.1737"},{"key":"S2056472421009686_ref15","volume-title":"Notice on Strengthening the Treatment and Management of Patients with Severe Mental Disorders During the Outbreak of Novel Coronavirus Pneumonia","year":"2020"},{"key":"S2056472421009686_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2020-106613"},{"key":"S2056472421009686_ref24","volume-title":"IBM SPSS Statistics for Windows, Version 27","year":"2020"},{"key":"S2056472421009686_ref16","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.167"},{"key":"S2056472421009686_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113069"},{"key":"S2056472421009686_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12474"},{"key":"S2056472421009686_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.07.004"},{"key":"S2056472421009686_ref37","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1484"},{"key":"S2056472421009686_ref39","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.171.3.238"},{"key":"S2056472421009686_ref40","volume-title":"Hands. 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