- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02674932
Character Strengths Intervention Among Psychiatrically Hospitalized Youth
Assessment of a Character Strengths Intervention in Improving Treatment Outcomes Among Psychiatrically Hospitalized Youth
Study Overview
Status
Detailed Description
The primary aim of this study is to investigate whether a character strengths-based intervention results in significant improvements in measures of depression, anxiety, resiliency, optimism, self-perception, and life-satisfaction of psychiatrically hospitalized youth up to three months following admission. Secondary aims are to: (1) examine participants' strengths profile to identify potential correlates between character strengths, psychiatric diagnoses and intervention effectiveness; and (2) determine whether patients who continue to incorporate their strengths into coping skills at follow-up assessments exhibit greater improvement over-time.
Participants will be 210 adolescents aged 12 to 17 years admitted to the Child and Adolescent Psychiatric Inpatient Program and will be randomized into one of the three groups. All participants will complete the Values in Action Inventory of Strengths for Youth (VIA-Youth) Survey on their second hospital day and subsequently receive the signature strengths intervention (experimental group), coping skills with memory aids comparison exercise (positive control group), or coping skills without memory aids (treatment-as-usual control group). Outcome measures will be completed by all participants at baseline (day 1 on unit), post-treatment (day 4 on unit), and 1- and 3-months following admission. The proposed research represents a change in paradigm, as we aim to specifically examine the therapeutic benefit of the positive psychology element of our intervention conducted in the pilot study among youth with severe mental illness.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient on Child and Adolescent Psychiatric Unit
Exclusion Criteria:
- Cognitive disability or severe psychosis preventing understanding of survey measures
- Prior use of VIA-Youth Survey
- Absence of legal guardian to consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Signature Strengths
Patients will complete the Values in Action Youth Survey (VIA-Youth) and will receive a list of his/her top character strengths ("signature strengths").
The patient will then participate in the Identifying and Using Signature Strengths Intervention.
|
The purpose of the intervention is to identify and focus on one's morally valued strengths and utilize them (i.e.
incorporate them into coping skills) to overcome challenges.
The study team member and patient will discuss each top strength and ways to use them as coping skills.
The patient will identify 2-4 coping mechanisms per strength, and will write his/her strengths and self-identified coping skills on index cards.
|
Active Comparator: Coping Skills + Memory Aid
Patients will complete the VIA-Youth but will not receive any results.
The patient will then participate in the Identifying and Writing Down Coping Skills Intervention.
|
The study team member and patient will discuss the importance of having coping skills to deal with stressful and difficult situations.
The patient will then identify at least six coping skills and write them down on index cards.
|
Other: Coping Skills (Treatment as Usual)
Patients will complete the VIA-Youth but will not receive any results.
After completing the VIA-Youth, the study team member and patient will have a treatment-as-usual discussion about coping skills.
(This is equivalent to treatment as usual that is already provided on the psychiatric unit-doctors and nurses on the unit already have this a discussion about coping skills with patients).
|
The study team member and patient will discuss the importance of having coping skills to deal with stressful and difficult situations.
The patient will then identify coping skills that could be helpful (but will not write them down).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in depression symptoms over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Depression will be measured using Patient Health Questionnaire (PHQ) for adolescents, and percent change in depression score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Change in anxiety symptoms over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Anxiety will be measured using the 5-item Screen for Child Anxiety Related Emotional Disorders (SCARED), and percent change in anxiety score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in self-esteem over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Self-esteem will be measured using the Rosenberg Self-Esteem Scale (SES), and percent change in self-esteem score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Change in self-efficacy over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Self-efficacy will be measured using the General Self-Efficacy Scale (GSE), and percent change in self-efficacy score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Change in resiliency over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Resiliency will be measured using the 10-item Connor Davidson Resiliency Scale (CD-RISC-10), and percent change in resiliency score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Change in life-satisfaction over time compared to baseline
Time Frame: baseline, 3 days, 1 month, 3 months
|
Life satisfaction will be measured using the Brief Multidimensional Students' Life Satisfaction Scale - PTPB version (BMSLSS-PTPB), and percent change in life satisfaction score will be compared across the 3 arms.
|
baseline, 3 days, 1 month, 3 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Paresh D Patel, MD, PhD, Department of Psychiatry, University of Michigan
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HUM00107976
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Mental Disorders
-
Kansas State UniversityAugusta University; Dartmouth College; University of CincinnatiEnrolling by invitationMental Disorders, Severe | Mental Illness PersistentUnited States
-
VA Boston Healthcare SystemUS Department of Veterans AffairsCompletedMental Health DisordersUnited States
-
Virginia Commonwealth UniversityCompletedMental Health DisordersUnited States
-
Johns Hopkins UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedMental Health DisordersCongo
-
Norwegian University of Science and TechnologySt. Olavs HospitalCompletedMental Health DisordersNorway
-
York UniversityCanadian Institutes of Health Research (CIHR); North York General HospitalCompletedMental Health DisordersCanada
-
University of ManchesterEuropean Research CouncilRecruitingMental Disorders, SevereUnited Kingdom
-
Fundació Institut de Recerca de l'Hospital de la...Active, not recruitingMental Disorders, SevereSpain
-
University of North Carolina, Chapel HillU.S. Department of JusticeCompletedMental Disorders, SevereUnited States
-
Liga Romana pentru Sanatate MintalaPsychiatric Hospital for Chronic Patients Siret, Suceava, RomaniaUnknown
Clinical Trials on Identifying and Using Signature Strengths
-
Kessler FoundationRecruitingTBI (Traumatic Brain Injury)United States
-
VA Connecticut Healthcare SystemUS Department of Veterans AffairsCompleted
-
University Hospital, GrenobleCompleted
-
Children's Hospital of PhiladelphiaJohn Templeton FoundationCompletedCommunication | Parent-Child Relations | Parenting | Adolescent BehaviorUnited States
-
Oslo University HospitalVestre Viken Hospital Trust; University Hospital of North Norway; University...Recruiting
-
Tokat Gaziosmanpasa UniversityRecruiting
-
University Hospital, MontpellierUnknown
-
Assiut UniversityNot yet recruiting
-
VA Office of Research and DevelopmentVA Boston Healthcare SystemCompletedIntimate Partner Violence | Self-efficacyUnited States