- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05615324
SAFIR Family Talk - Investigating the Effect of The Family Talk Intervention
The Randomized Clinical Trial SAFIR FAMILY TALK: a Short Family-based Early Intervention vs. Service as Usual for Children of Parents With Mental Illness in the Capital Region of Denmark
The goal of this clinical trial is to test the effect of the Family Talk Preventive Intervention compared to service as usual for families where a parent has mental illness. Participants are the parent with a mental illness receiving treatment from a secondary mental health service within the last two years from inclusion, their youngest child aged 7-17 years and the other parent of this child. The main questions it aims to answer are:
Is Family Talk superior to service as usual regarding improving?
- The child's level of functioning
- The parent's sense of competence
- Family functioning Participants will undergo interviews and fill out questionnaires. Half will be randomized to Family Talk and receive a manualized, family-based intervention of approximately 8 conversations with a trained, Family Talk interventionist. The other half will be randomized to service as usual which is normally two conversations with a professional in the mental health sector. The researchers will compare the two groups on child's level of functioning, parental sense of competence and family functioning.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Children of parents with mental illness are at increased risk for mental illness themselves and therefore interventions aimed at mitigating this risk are important. The Family Talk Preventive Intervention was developed by William Beardslee in the 1980's for families with parental depression but has been widely used to treat families with other mental health conditions as well. Nevertheless, only few high-quality clinical trials exist, and the results are inconclusive.
The objective of this clinical trial is to test the effect of Family Talk Preventive Intervention compared to service as usual for families where a parent has mental illness and receiving treatment from a secondary mental health service within the last two years from inclusion. Participants are the parent with a mental illness, their youngest child aged 7-17 years and the other parent of this child. The hypothesis is that Family Talk will be superior to service as usual in improving the child's level of functioning, the parent's sense of competence and family functioning at 4 moths follow-up.
Participants will undergo interviews and fill out questionnaires at baseline, four- and twelve months follow-up assessments. Half of the families will be randomized to Family Talk and receive a manualized, family-based intervention of approximately 8 conversations with a trained, Family Talk interventionist. The other half will be randomized to service as usual which is normally two conversations with a professional in the mental health sector. The researchers will compare the two groups on child's level of functioning, parental sense of competence and family functioning and other measures including child's quality of life, communication in the family and parental personal recovery.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Lisbeth J Mikkelsen, Msc
- Phone Number: +45 21367762
- Email: lisbeth.juhl.mikkelsen@regionh.dk
Study Contact Backup
- Name: Anne Ranning, PhD
- Phone Number: +45 30267320
- Email: anne.ranning@regionh.dk
Study Locations
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Hellerup, Denmark, 2900
- Recruiting
- Mental Health Services in the Capital Region
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Contact:
- Lisbeth J Mikkelsen, Msc
- Phone Number: +4521367762
- Email: lisbeth.juhl.mikkelsen@regionh.dk
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Contact:
- Anne Ranning, PhD
- Phone Number: +4530267320
- Email: anne.ranning@regionh.dk
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- At least one parent must have been in contact with the secondary health care system due to a mental health condition within the last two years before inclusion.
- The parent should have at least one child aged 7-17 years at the time of inclusion.
- The other parent of this child may or may not have a mental health condition.
Exclusion Criteria:
- Not speaking Danish or English.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Family Talk
families will receive a manualized, family-based intervention Family Talk of approximately 8 sessions with a trained, Family Talk interventionist.
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This is a clinician facilitated, psychoeducational preventive intervention that includes on average 8 sessions designed to improve family communication and understanding of parental mental illness, improve interpersonal relationships, and promote child resilience and utilization of social support.
An important tool throughout the intervention is the logbook which the clinician uses for taking notes with each family.
The logbook prescribes the planned topics to be covered in each session and the contents of the sessions are noted in the logbook by the clinicians.
Other Names:
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No Intervention: Service as usual
Families in this arm will not receive any intervention from the research team but they may receive other services.
It is likely that many will receive two sessions of talk intervention concerning parental mental health and child well-being from professionals in the mental health sector where the parent is treated.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Children's Global Assessment Scale (CGAS)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A clinician rated measurement to asses general functioning in children.
Information is obtained from both the child and the parents.
Scale from 1-100.
High score indicates better the functioning.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Family Assessment Device (FAD) (Parent-rated)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 60 item parent report questionnaire assessing each individual's perception of his or her family functioning.
The FAD is based on a comprehensive sociological theory about different functions of a family.
Scale from 1-4.
Low score represents better outcome.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Parental Sense of Competency (PSOC)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 16 item parent report questionnaire assessing overall parenting sense of competence.
Each item rated on a 6-point Likert scale.
A higher total score indicates a higher parenting sense of competency.
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Assessment at baseline, 4 months and 12 months after baseline.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Beck's Youth Inventories (BYI-II)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 99 item self report measure consisting of 5 subscales to assess symptoms of Depression, Anxiety, Anger, Disruptive behaviour and Self-concept in children.
Higher scores are associated with negative affect.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Parent-Child Communication (Child-rated)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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Questionnaire assessing communication between the child and the mentally ill parent.
A 10 item questionnaire for children ages 8-12 and a 19 item questionnaire for children ages 13-17.
Each item rated on a 6-point Likert scale.
A higher score indicates better communication.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Response to parents' mood
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 4-questions multiple-choice questionnaire administered to the child assessing the child's reaction to the parents' mood.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in parental recovery (Brief INSPIRE-O)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 5 item self-report questionnaire completed by the parents assessing personal recovery.
Each item rated on a score from 0-100.
A higher score indicates better recovery.
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Assessment at baseline, 4 months and 12 months after baseline.
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Child-rated Strengths and Difficulties Questionnaire (SDQ)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 25 item self-report questionnaire assessing developmental, behavioural and emotional problems completed by children aged 11-17.
Items are rated on a three-point Likert scale (0= not true, 1= somewhat true, 2= certainly true).
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Parent-rated Strengths and Difficulties Questionnaire (SDQ)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 25 item questionnaire assessing developmental, behavioural and emotional problems in children completed by the Primary-Caregiver as a respondent.
Items are rated on a three-point Likert scale (0= not true, 1= somewhat true, 2= certainly true).
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in children's Quality of Life (Kidsscreen-27)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 27 item self-report questionnaire assessing health related Quality of Life completed by the child.
Each item is rated on a 5-point Likert scale.
A higher score indicates a better quality of life.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Child and Youth Resilience Measurement (CYRM)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 12 item self-report questionnaire assessing resiliency in children across a number of areas including personal skills, peer support, social skills, physical and psychological caregiving, educational and cultural.
Items are rated on a 3- or 5-point Likert scale.
Higher scores indicating greater resiliency.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Guilt and Shame Questionnaire (GSQ-AMPI)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 10 item self-report questionnaire completed by the child assessing feelings of guilt and shame in children of parents with mental illness.
Items are rated on a 5-point Likert scale.
Higher scores indicate higher feelings of guilt or shame.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Personal and Social Performance (PSP)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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An interviewer-rated scale assessing the Parents personal and social functioning over four domains such as social activities, relationships, self-care and aggressive behavior.
The PSP provides a global score on a scale from 1-100, with lower scores indicating lower social functioning.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Global Assessment of Functioning (GAF-S)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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An interviewer-rated scale assessing the Parents Level of Psychiatric Symptoms.
GAF-S provides a score from 1-100, with higher scores indicating better outcome.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Parent-Child Communication (Parent-rated)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 19 or 20 item questionnaire completed by the parents assessing communication between the parent and the child.
Each item rated on a 5-point Likert scale.
A higher score indicates better communication.
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Assessment at baseline, 4 months and 12 months after baseline.
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Family Talk Evaluation Questionnaire (Child-rated)
Time Frame: Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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A 9 item self report questionnaire only administered to children from the SAFIR Family Talk Intervention group to assess their experience of the intervention.
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Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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Family Talk Evaluation Questionnaire (Parent-rated)
Time Frame: Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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A 68 item self report questionnaire only administered to parents from the SAFIR Family Talk Intervention group.
The questionnaire assess the parents experience of the intervention across a number of areas including the therapeutic alliance, client satisfaction and negative effects of the intervention.
Each item rated on a 5-point Likert scale.
A higher score indicates better outcome.
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Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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Working Alliance Inventory (WAI)
Time Frame: Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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A 12 item questionnaire only administered to parents from the SAFIR Family Talk Intervention group to assess key aspects of the therapeutic alliance.
Each item are rated on a 7-point Likert scale.
A higher score indicates better outcome.
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Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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Client Satisfaction Questionnaire (CSQ-8)
Time Frame: Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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A 8 item questionnaire only administered to parents from the SAFIR Family Talk Intervention group to assess the parents' experiences with different objectives in the intervention.
Each item is rated on a 4-point Likert scale.
A higher score indicates greater satisfaction.
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Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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Negative effects of the intervention assessed with the Negative Effects Questionnaire (NeQ)
Time Frame: Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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A 21 item questionnaire only administered to parents from the SAFIR Family Talk Intervention group to investigate negative effects of the intervention.
Each item is answered by "yes" or "no", where "yes" indicates better outcome.
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Assessment at 4 months after baseline where the families have completed the SAFIR Family Talk Intervention.
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Change in child's number of days absent from school
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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Number of days the child was absent from school within the last 3 months.
Low number represent better outcome.
Information will be obtained from registry and parents' report.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Family Assessment Device (FAD) (Children self-report)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 60 item self-report only administered to children ages 12-17 assessing family functioning.
Scale from 1-4.
Low score represents better outcome.
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Assessment at baseline, 4 months and 12 months after baseline.
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Change in Children of Parents with Mental Illness Questionnaire (COPMI-Q)
Time Frame: Assessment at baseline, 4 months and 12 months after baseline.
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A 16 item questionnaire assessing the child's concerns regarding the mentally ill parent and thoughts on mental illness.
Each item is rated on a 3-point Likert scale.
A higher score indicates a more positive outcome.
|
Assessment at baseline, 4 months and 12 months after baseline.
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Collaborators and Investigators
Investigators
- Principal Investigator: Anne Ranning, PhD, Mental Health Services in The Capital Region of Denmark
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- 127849
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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