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In this study the programme completion rate was higher than in the Holland et al. study [ 11], but in the Holland et al. study the programme lasted for 8 weeks compared to our 3 week programme.
We have used a self-report version of the programme completion and recovery items and scales and derived a measure of concordance between clinician and patient ratings as a useful measure of progress towards discharge from forensic secure settings.
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The event is suspected to be related to an aspect of the research procedures (eg, wearing the orthotic, undertaking the exercise programme, completion of follow-up questionnaires, participation in feasibility or qualitative substudies, telephone contact), and; It is an unexpected occurrence.
The ratings of the seven items of the DUNDRUM-3 programme completion scale and the six items of the DUNDRUM-4 recovery scale have in common that they are based on motivation theory, cycle of change and engagement.
During the period of observation, the DUNDRUM-3 programme completion and the DUNDRUM-4 recovery scales distinguished which patients later received a conditional discharge.
Patients were assessed using the DUNDRUM-1 triage security scale, the DUNDRUM-3 programme completion scale and the DUNDRUM-4 recovery scale and assessments of risk of violence, self harm and suicide, symptom severity and global function.
The DUNDRUM-3 programme completion and the DUNDRUM-4 recovery scales appear to predict moves to the community from the forensic hospital setting.
Future research will be required to assess whether or not the DUNDRUM-3 programme completion and the DUNDRUM-4 recovery scales can predict those patients who will succeed in the community setting and those patients who will require to be recalled to the forensic hospital setting.
Item to outcome analyses and logistic regression analysis showed that the strongest antecedents of discharge were the GAF and the DUNDRUM-3 programme completion scores.
The intended mechanism of the intervention was: through participation in the e-learning programme, completion of e-learning activities and consultation with the facilitator, managers would change their behaviour towards employees and workplace conditions.
Those who progressed to conditional discharge were those with the lowest (best) scores on the DUNDRUM-3 programme completion and DUNDRUM-4 recovery scales, and also the least differences between clinician ratings and self-ratings.
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