Leaving Care - a Comparison Study of Implementation, Change Mechanisms, and Effects of Transition Services for Youth Leaving Out-of-home Care

The purpose of this project is to increase understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes.

Study Overview

• Status: Recruiting
• Conditions: Mental Health Wellness 1; Health Behavior; Satisfaction; Self Efficacy; Help-Seeking Behavior; Frustration
• Intervention / Treatment: Behavioral: My Choice - My Way!; Behavioral: Usual services

Detailed Description

The purpose of this project is to increase the empirical understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes. In a pilot project, the investigators developed an intervention in collaboration with municipal social workers, section heads and organizational developers. In another pilot project, the investigators studied whether the content of empirically tested interventions in the USA can be generalized to a Swedish context. These two projects have resulted in a Swedish intervention: My choice - my way! Previous research shows that young people who are placed in social care are a particularly vulnerable group. Swedish social places little attention to what happens to prepare young people for leaving care. There are currently no interventions in Sweden that have empirical support of their effectiveness for this group. The aim of the project is to develop practical and empirical understanding of how interventions for young people placed in societal care in Sweden can be developed and implemented. The project takes place in close collaboration with municipalities and other youth serving organizations. Short-term, long-term and implementation effects are investigated by comparing My choice - my way! with usual services. The comparisons will shed light on practice components and change mechanisms related to outcomes and thus important to take into account in the future development of interventions. The outcomes will shed light on a range of self-reported outcomes, as well as register-based outcomes such as education, employment and crime. The analyses also include health economic outcomes. In addition, the attitudes of social workers and youth and organizational implementation initiatives will be investigated.

• Study Type: Interventional
• Enrollment (Anticipated): 160
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Tina M Olsson, PhD; Phone Number: 0046709420371; Email: tina.olsson@ju.se

Study Locations

• Sweden
  • Jönköping, Sweden
    • Recruiting
    • Jonkoping University
    • Contact: Tina M Olsson, PhD; Phone Number: 0046709420371; Email: tina.olsson@ju.se

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Living in out-of-home care
• 15 years or older

Exclusion Criteria:

• none

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; This group will receive the test intervention My Choice-My Way!	Behavioral: My Choice - My Way!; Support intervention for adolescents (15+) in out-of-home care (foster care, group home care, supported living, institutional care, etc). 16-19 sessions with a MCMW coach, 4-8 months, weekly to bi-weekly sessions.
Active Comparator: Control; This group will receive usual services	Behavioral: Usual services; Usual services

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Needs Satisfaction and Frustration Scale (NSFS)	Autonomy, relatedness, competence	8 months
General Self-Efficacy Scale (GSE-10)	Self-efficacy	8 months
Resilience Scale (RS-14)	Resilience	8 months
Needs Satisfaction and Frustration Scale (NSFS)	Autonomy, relatedness, competence	17 months
General Self-Efficacy Scale (GSE-10)	Self-efficacy	17 months
Resilience Scale (RS-14)	Resilience	17 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
General Health Questionnaire (GHQ-12)	Measure of psychological distress	8 months
General Help-Seeking Questionnaire (GHSQ)	Intentions, quantity, and quality of help seeking	8 months
Social Support Questionnaire (SSQ-6)	Social Support	8 months
Daily Routines (DR-18)	Daily Routine	8 months
General Health Questionnaire (GHQ-12)	Measure of psychological distress	17 months
General Help-Seeking Questionnaire (GHSQ)	Intentions, quantity, and quality of help seeking	17 months
Social Support Questionnaire (SSQ-6)	Social Support	17 months
Daily Routines (DR-18)	Daily Routine	17 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Client Satisfaction Questionnaire (CSQ-8, T2)	General satisfaction with services	8 months

Collaborators and Investigators

• Sponsor: Jonkoping University
• Collaborators: Lund University; Göteborg University
• Investigators: Principal Investigator: Tina M Olsson, PhD, Jonkoping University

Study record dates

Study Major Dates

• Study Start (Actual): October 2, 2022
• Primary Completion (Anticipated): October 30, 2024
• Study Completion (Anticipated): December 31, 2025

Study Registration Dates

• First Submitted: March 21, 2023
• First Submitted That Met QC Criteria: April 1, 2023
• First Posted (Actual): April 14, 2023

Study Record Updates

• Last Update Posted (Actual): April 14, 2023
• Last Update Submitted That Met QC Criteria: April 1, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: 2021-01352

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: no plan as of yet

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No