A Feasibility Trial of Power Up
6. december 2016 opdateret af: University College, London
A Feasibility Trial of Power Up: A Smartphone App to Support Young People to Make Shared Decisions in Therapy
There is an increasing demand for digital tools to empower young people with mental health difficulties (NHS England, 2015). Digital information, advice and mood tracking tools are increasingly being used to support child mental health. Evidence suggests that young people want to be active participants in their care and involved in decisions about their treatment. However, there is a lack of digital shared decision making tools available to support young people in Child and Adolescent Mental Health Services (CAMHS). This study aims to develop Power Up, a smartphone app to empower young people in CAMHS to make their voice heard and to participate more in decisions around their care.
The project will involve two phases:
- Development Phase -Developing Power Up according to the views and ideas expressed by young people, their parents/ carers, and clinicians in Patient and Public Involvement (PPI) sessions. -Conducting interviews and focus groups with 10 young people in CAMHS, 10 parents/ carers and 10 clinicians to review the acceptability of the content and format of Power Up.
- Feasibility testing Phase -Conducting a feasibility trial with 120 young people with emotional difficulties, aged 11-19 years, from three London CAMHS. 60 young people will receive treatment as usual and 60 will use Power Up alongside treatment as usual. Participant's ratings of empowerment, activation, and symptoms will be measured soon after their referral to the service. The same measures plus shared decision making questionnaires will be administered three months later.
The findings will inform the planning of a prospective cluster controlled trial. More broadly this trial will contribute an understanding of the feasibility and acceptability of developing and implementing a shared decision making app into CAMHS.
Studieoversigt
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
120
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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London, Det Forenede Kongerige, E1 5NF
- Rekruttering
- East London NHS Foundation Trust
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Kontakt:
- Percy Aggett
- Telefonnummer: 2400 020 7426 2375
- E-mail: Percy.Aggett@elft.nhs.uk
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London, Det Forenede Kongerige, IG11 7LZ
- Rekruttering
- North East London NHS Foundation Trust
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Kontakt:
- Vivienne Okoh
- Telefonnummer: 53261 0300 555 1035
- E-mail: Vivienne.Okoh@nelft.nhs.uk
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London, Det Forenede Kongerige, NW3 5BA
- Rekruttering
- The Tavistock and Portman NHS Foundation Trust
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Kontakt:
- Emilios Lemoniatis
- Telefonnummer: 020 8938 2429
- E-mail: ELemoniatis@tavi-port.nhs.uk
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Ledende efterforsker:
- Emilios Lemoniatis
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
11 år til 19 år (Barn, Voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Recently been referred to CAMHS (pre - first appointment)
- Presenting with emotional difficulties
- Clinician will have confirmed that the young person does not have any vulnerability which would make taking part in the study inappropriate to their context
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Control Phase (No Power Up)
60 young people will receive CAMHS treatment as usual.
Measures of empowerment, activation, and symptoms will be completed by participants soon after their referral to the service.
The same measures plus shared decision making questionnaires will be administered three months later.
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|
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Eksperimentel: Intervention Phase (Power Up)
60 young people use Power Up alongside CAMHS treatment as usual.
Measures of empowerment, activation, and symptoms will be completed by participants soon after their referral to the service.
The same measures plus shared decision making questionnaires and a Power Up feedback form will be administered three months later.
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Smartphone phone app
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Shared Decision Making Questionnaire - 9 (SDM Q-9)
Tidsramme: 3 months
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This will be completed by young people at time two (three months into therapy).
The SDM Q-9 is a nine item patient reported shared decision making questionnaire.
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3 months
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CollaboRATE
Tidsramme: 3 months
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This will be completed by young people at time two (three months into therapy).
CollaboRATE is a three item patient reported shared decision making measure.
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3 months
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Experience of Service Questionnaire (ESQ)
Tidsramme: 3 months
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Four items from this questionnaire will be completed by young people at time two (three months into therapy) as a proxy measure of shared decision making.
The ESQ is a self-completion questionnaire that assesses children and young people's views of services with respect to accessibility, humanity of care, organisation of care and environment.
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3 months
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Dyadic OPTION scale
Tidsramme: 3 months
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This will be completed by clinicians at time two (three months into therapy).
The Dyadic OPTION scale is a 12- item instrument to measure the extent to which patients have been involved in shared decision making from the viewpoint of the clinician.
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3 months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Patient Activation Measure - Mental Health (PAM - MH)
Tidsramme: 3 months
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The PAM - MH will be completed by young people at time one (beginning of therapy) and time two (three months into therapy).
The PAM - MH is a patient reported tool for measuring engagement in mental healthcare.
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3 months
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Strengths and Difficulties questionnaire (SDQ)
Tidsramme: 3 months
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The SDQ will be completed by young people at time one (beginning of therapy) and time two (three months into therapy).
The SDQ is a self-report behavioural screening questionnaire for children and adolescents measuring symptoms and functioning.
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3 months
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Youth Efficacy / Empowerment Scale - Mental Health (YES - MH)
Tidsramme: 3 months
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The YES -MH will be completed by young people at time one (beginning of therapy) and time two (three months into therapy).
The YES - MH assesses youth perceptions of efficacy with respect to managing their own mental health condition ('Self'), managing their own services and supports ('Service'), and using their experience and knowledge to help peers and improve service systems ('System').
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3 months
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Client Receipt of Services Inventory (CSRI) - Children's Version.
Tidsramme: 3 months
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The CSRI will be completed by parents at time one (beginning of therapy) and time two (three months into therapy).
The CSRI provides information on service utilisation, as reported by the main carer of the child in the family.
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3 months
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Did Not Attends (DNAs)
Tidsramme: 3 months
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Number of young person DNAs will be reported by the clinician.
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3 months
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Number of sessions attended
Tidsramme: 3 months
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The number of sessions attended by the young person will be reported by the clinician.
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3 months
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Type of therapy / intervention received
Tidsramme: 3 months
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The type of therapy / intervention received by the young person will be reported by the clinician.
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3 months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Miranda Wolpert, Professor, UCL & Anaa Freud National Centre for Children and Families
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. september 2016
Primær færdiggørelse (Forventet)
1. august 2017
Studieafslutning (Forventet)
1. september 2017
Datoer for studieregistrering
Først indsendt
12. oktober 2016
Først indsendt, der opfyldte QC-kriterier
6. december 2016
Først opslået (Skøn)
9. december 2016
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
9. december 2016
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
6. december 2016
Sidst verificeret
1. oktober 2016
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 16/0087
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Ingen
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