Youth and family members make meaningful contributions to a randomized-controlled trial: YouthCan IMPACT

Joanna Henderson, Lynn Courey, Jacqueline Relihan, Karleigh Darnay, Peter Szatmari, Kristin Cleverley, Amy Cheung, Lisa D Hawke, Joanna Henderson, Lynn Courey, Jacqueline Relihan, Karleigh Darnay, Peter Szatmari, Kristin Cleverley, Amy Cheung, Lisa D Hawke

Abstract

Background: There are growing calls to engage service users in research about issues relevant to them. Youth and family members can make meaningful contributions to research projects, improving quality and relevance. However, more information is needed on the contributions that youth and family members can make to various study designs.

Objective: This paper describes the contributions that youth and family members have made to a multi-site pragmatic randomized-controlled trial, YouthCan IMPACT, and the way project-based engagement learnings accelerated change at the institutional level and beyond.

Results: Youth and family members were full members of the project team, including the project's core governance and working groups. They contributed to project leadership, as funding co-applicants and as equal members of the governance team. They were also engaged in study design. Youth defined the primary outcome measure and contributed to decisions on all secondary measures. The service pathway was co-designed with youth and family members; for example, they guided the inclusion of peer support and a family member intervention as core service components. Study implementation contributions included ensuring a youth- and family-friendly research process and training research staff on working with youth and family members. Knowledge translation activities have included youth and family members as co-presenters and manuscript co-authors. The learnings from this trial have been leveraged to expand youth and family engagement at the institution and beyond.

Conclusions: Youth and family members make substantial contributions to complex research projects, including randomized-controlled trials, thereby improving project design, study implementation, associated interventions, and knowledge translation.

Keywords: engagement; family members; patient-oriented research; randomized-controlled trial; youth.

Conflict of interest statement

The authors declare no conflict of interest.

© 2021 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.

Figures

FIGURE 1
FIGURE 1
Youth‐generated values underpinning the YouthCan IMPACT project

References

    1. Banner, D. , Bains, M. , Carroll, S. , Kandola, D. K. , Rolfe, D. E. , Wong, C. , & Graham, I. D. (2019). Patient and public engagement in integrated knowledge translation research: Are we there yet? Research Involvement and Engagement, 5, 8. 10.1186/s40900-019-0139-1
    1. Bannon, W. M. , & McKay, M. M. (2005). Are barriers to service and parental preference match for service related to urban child mental health service use? Families in Society, 86(1), 30–34. 10.1606/1044-3894.1874
    1. Bell, E. (2015). Young persons in research: A call for the engagement of youth in mental health research. American Journal of Bioethics, 15(11), 28–30. 10.1080/15265161.2015.1088977
    1. Bombard, Y. , Baker, G. R. , Orlando, E. , Fancott, C. , Bhatia, P. , Casalino, S. , Onate, K. , Denis, J. L. , & Pomey, M.‐P. (2018). Engaging patients to improve quality of care: A systematic review. Implementation Science, 13(1), 98. 10.1186/s13012-018-0784-z
    1. Canadian Institutes of Health Research . (2015). Strategy for patient‐oriented research capacity development framework. Retrieved from
    1. Cleverley, K. , Bennett, K. J. , Brennenstuhl, S. , Cheung, A. , Henderson, J. , Korczak, D. J. , Kurdyak, P. , Levinson, A. , Pignatiello, A. , Stinson, J. , Voineskos, A. N. , & Szatmari, P. (2020). Longitudinal Youth in Transition Study (LYiTS): Protocol for a multicentre prospective cohort study of youth transitioning out of child and adolescent mental health services at age 18. BMJ Open, 10(2), e035744. 10.1136/bmjopen-2019-035744
    1. Cleverley, K. , Lenters, L. , & McCann, E. (2020). “Objectively terrifying”: A qualitative study of youth's experiences of transitions out of child and adolescent mental health services at age 18. BMC Psychiatry, 20(1), 147. 10.1186/s12888-020-02516-0
    1. Cleverley, K. , O'Brien, D. , Relihan, J. & Courey, L. YouthCan IMPACT: A service pathway for youth with mental health and addiction challenges providing youth with rapid access to services in their communities.
    1. Cleverley, K. & Rong, J. (2018). Engaging youth in the co‐design of an instructional video for an online Delphi survey to prioritize core components of child to adult mental health care transitions. Paper presented at the 31st Annual Research & Policy Conference on Child, Adolescent, and Young Adult Behavioral Health, Tampa, Florida.
    1. Courey, L. , Hyndman, D. , Sheasgreen, C. , & McCay, E. (2021). What we know—and want to know—about family connections: A review from the perspective of lived experience. Current Opinion in Psychology, 37, 44–48. 10.1016/j.copsyc.2020.07.029
    1. Courtney, D. B. , Bennett, K. , Henderson, J. , Darnay, K. , Battaglia, M. , Strauss, J. , Watson, P. , & Szatmari, P. (2020). A way through the woods: Development of an integrated care pathway for adolescents with depression. Early Intervention in Psychiatry, 14(4), 486–494. 10.1111/eip.12918
    1. Courtney, D. B. , Cheung, A. , Henderson, J. , Bennett, K. , Battaglia, M. , Strauss, J. , Mitchell, R. , Wang, K. , & Szatmari, P. (2019). Effectiveness of an integrated care pathway for adolescents with depression: A pilot clinical trial protocol. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 28(3), 115–133.
    1. Darnay, K. , Hawke, L. D. , Chaim, G. , Henderson, J. L. & The INNOVATE Research Team (2019). INNOVATE Research: Youth engagement guidebook for researchers. Retrieved from
    1. Domecq, J. P. , Prutsky, G. , Elraiyah, T. , Wang, Z. , Nabhan, M. , Shippee, N. , Brito, J. P. , Boehmer, K. , Hasan, R. , Firwana, B. , Erwin, P. , Eton, D. , Sloan, J. , Montori, V. , Asi, N. , Dabrh, A. M. , & Murad, M. H. (2014). Patient engagement in research: A systematic review. BMC Health Services Research, 14, 89. 10.1186/1472-6963-14-89
    1. Faithfull, S. , Brophy, L. , Pennell, K. , & Simmons, M. B. (2019). Barriers and enablers to meaningful youth participation in mental health research: Qualitative interviews with youth mental health researchers. Journal of Mental Health, 28(1), 56–63. 10.1080/09638237.2018.1521926
    1. Forsythe, L. P. , Carman, K. L. , Szydlowski, V. , Fayish, L. , Davidson, L. , Hickam, D. H. , Hall, C. , Bhat, G. , Neu, D. , Stewart, L. , Jalowsky, M. , Aronson, N. , & Anyanwu, C. U. (2019). Patient engagement in research: Early findings from the Patient‐Centered Outcomes Research Institute. Health Affairs (Millwood), 38(3), 359–367. 10.1377/hlthaff.2018.05067
    1. Gagliardi, A. R. , Kothari, A. , & Graham, I. D. (2017). Research agenda for integrated knowledge translation (IKT) in healthcare: What we know and do not yet know. Journal of Epidemiology and Community Health, 71(2), 105–106. 10.1136/jech-2016-207743
    1. Hawke, L. D. , Barbic, S. P. , Voineskos, A. , Szatmari, P. , Cleverley, K. , Hayes, E. , Relihan, J. , Daley, M. , Courtney, D. , Cheung, A. , Darnay, K. , & Henderson, J. (2020). Impacts of COVID‐19 on youth mental health, substance use, and well‐being: A rapid survey of clinical and community samples. Canadian Journal of Psychiatry, 65(10), 701–709. 10.1177/0706743720940562
    1. Hawke, L. D. , Darnay, K. , Brown, M. , Iyer, S. , Ben‐David, S. , Khaleghi‐Moghaddam, M. , Relihan, J. , Barbic, S. , Lachance, L. , Mathias, S. , Halsall, T. , Kidd, S. A. , Soklaridis, S. , & Henderson, J. (2020). INNOVATE research: Impact of a workshop to develop researcher capacity to engage youth in research. Health Expect, 23, 1441–1449. 10.1111/hex.13123
    1. Hawke, L. D. , Darnay, K. , Relihan, J. , Khaleghi‐Moghaddam, M. , Barbic, S. , Lachance, L. , Ben‐David, S. , Brown, M. , Iyer, S. , Chaim, G. , Soklaridis, S. , Kidd, S. A. , Halsall, T. , Mathias, S. , & Henderson, J. (2020). Enhancing researcher capacity to engage youth in research: Researchers' engagement experiences, barriers and capacity development priorities. Health Expectations, 23(3), 584–592. 10.1111/hex.13032
    1. Hawke, L. D. , Hayes, E. , Iyer, S. , Killackey, E. , Chinnery, G. , Gariépy, G. , Thabane, L. , Darnay, K. , Alagaratnam, A. , Tucker‐Kilfoil, S. , Moxness, K. , Hachimi‐Idrissi, N. , Winkelmann, I. , & Henderson, J. (2020). Youth‐oriented outcomes of education, employment and training interventions for upcoming youth: Protocol for a discrete choice experiment. Early Intervention in Psychiatry., 15, 942–948. 10.1111/eip.13039
    1. Hawke, L. D. , Mehra, K. , Settipani, C. , Relihan, J. , Darnay, K. , Chaim, G. , & Henderson, J. (2019). What makes mental health and substance use services youth friendly? A scoping review of literature. BMC Health Services Research, 19(1), 257. 10.1186/s12913-019-4066-5
    1. Hawke, L. D. , Relihan, J. , Miller, J. , McCann, E. , Rong, J. , Darnay, K. , Docherty, S. , Chaim, G. , & Henderson, J. L. (2018). Engaging youth in research planning, design and execution: Practical recommendations for researchers. Health Expectations, 21(6), 944–949. 10.1111/hex.12795
    1. Heffernan, O. S. , Herzog, T. M. , Schiralli, J. E. , Hawke, L. D. , Chaim, G. , & Henderson, J. L. (2017). Implementation of a youth‐adult partnership model in youth mental health systems research: Challenges and successes. Health Expectations, 20(6), 1183–1188. 10.1111/hex.12554
    1. Henderson, J. , Cheung, A. , Cleverley, K. , Chaim, G. , Moretti, M. E. , de Oliveira, C. , Hawke, L. D. , Willan, A. R. , O'Brien, D. , Heffernan, O. , Herzog, T. , Courey, L. , McDonald, H. , Grant, E. , & Szatmari, P. (2017). Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: Protocol for a pragmatic randomised controlled trial. BMJ Open, 7(2), e014080. 10.1136/bmjopen-2016-014080
    1. Henderson, J. , Hawke, L. D. , & Relihan, J. (2018). Youth engagement in the YouthCan IMPACT trial. CMAJ, 190, S10–S12. 10.1503/cmaj.180328
    1. Hoffman, P. D. , Fruzzetti, A. E. , Buteau, E. , Neiditch, E. R. , Penney, D. , Bruce, M. L. , Hellman, F. , & Struening, E. (2005). Family connections: A program for relatives of persons with borderline personality disorder. Family Process, 44(2), 217–225. 10.1111/j.1545-5300.2005.00055.x
    1. INVOLVE . (2012). Briefing notes for researchers: Involving the public in NHS, public health and social care research . Retrieved from
    1. Iwasaki, Y. , Springett, J. , Dashora, P. , McLaughlin, A.‐M. , McHugh, T.‐L. , & Youth, Y. E. G. T. (2014). Youth‐guided youth engagement: Participatory action research (PAR) with high‐risk, marginalized youth. Child & Youth Services, 35(4), 316–342. 10.1080/0145935X.2014.962132
    1. Kirshner, B. , O'Donoghue, J. , & McLaughlin, M. (2005). Youth‐adult research collaborations: Bringing youth voice to the research process. In Mahoney J. L., Larson R. W., & Eccles J. S. (Eds.), Organized activities as contexts of development extracurricular activities, after‐school and community programs (pp. 131–156). Lawrence Erlbaum Associates.
    1. Krause, K. R. , Courtney, D. B. , Chan, B. W. C. , Bonato, S. , Aitken, M. , Relihan, J. , Prebeg, M. , Darnay, K. , Hawke, L. D. , Watson, P. , & Szatmari, P. (2021). Problem‐solving training as an active ingredient of treatment for Youth depression: A scoping review and meta‐analysis. BMC Psychiatry, 21, 397. 10.31234/
    1. Laurance, J. , Henderson, S. , Howitt, P. J. , Matar, M. , Al Kuwari, H. , Edgman‐Levitan, S. , & Darzi, A. (2014). Patient engagement: Four case studies that highlight the potential for improved health outcomes and reduced costs. Health Affairs (Millwood), 33(9), 1627–1634. 10.1377/hlthaff.2014.0375
    1. Logan, D. E. , & King, C. A. (2001). Parental facilitation of adolescent mental health service utilization: A conceptual and empirical review. Clinical Psychology: Science and Practice, 8(3), 319–333. 10.1093/clipsy.8.3.319
    1. Nguyen, T. , Palisano, R. J. , & Graham, I. (2019). Perspectives and experiences with engaging youth and families in research. Physical & Occupational Therapy in Pediatrics, 39(3), 310–323. 10.1080/01942638.2018.1496966
    1. Ontario Centre of Excellence for Child and Youth Mental Health . (2016). Walking the talk: A toolkit for engaging youth in mental health. Retrieved from
    1. Patient‐Centered Outcomes Research Institute . (2018). The value of engagement. Retrieved from
    1. Sarah, F. , Robin, S. C. , Leila, S. , Cheryl, H. , Jennifer, T.‐G. , & Lori, P. (2016). Youth creating disaster recovery and resilience: A multi‐site arts‐based youth engagement research project. Children, Youth and Environments, 26(1), 148–163. 10.7721/chilyoutenvi.26.1.0148
    1. Sheikhan, N. Y. , Hawke, L. D. , Cleverley, K. , Darnay, K. , Courey, L. , Szatmari, P. , Cheung, A. , & Henderson, J. (2021). ‘It reshaped how I will do research’: A qualitative exploration of team members' experiences with youth and family engagement in a randomized controlled trial. Health Expectations, 24(2), 589–600. 10.1111/hex.13206
    1. Syan, A. , Lam, J. Y.‐Y. , Huang, C. G. L. , Smith, M. S. M. , Darnay, K. , Hawke, L. D. , & Henderson, J. (2021). The wellness quest: A health literacy and self‐advocacy tool developed by youth for youth mental health. Health Expectations, 24, 659–669. 10.1111/hex.13214
    1. The YouthCan IMPACT team . (2017). YouthCan IMPACT Website. Retrieved from
    1. Wiljer, D. , Shi, J. , Lo, B. , Sanches, M. , Hollenberg, E. , Johnson, A. , Abi‐Jaoudé, A. , Chaim, G. , Cleverley, K. , Henderson, J. , Isaranuwatchai, W. , Levinson, A. , Robb, J. , Wong, H. W. , & Voineskos, A. (2020). Effects of a mobile and web app (thought spot) on mental health help‐seeking among college and university students: Randomized controlled trial. Journal of Medical Internet Research, 22(10), e20790. 10.2196/20790
    1. Youth Wellness Hubs Ontario . (2020). Youth Wellness Hubs Ontario. Retrieved from

Source: PubMed

3
Předplatit