Qualitative Evaluation of Therapeutic Alliance in Adolescent Psychiatry (EVAADO)
Qualitative Evaluation of Therapeutic Alliance in Adolescent Psychiatry: Crossing Perspectives of Adolescents, Parents and Physicians
Context: Psychiatric disorders (anorexia nervosa, depression, anxiety based school refusal) are a major public health concern in adolescence. Their treatment is a challenge for the families, the health care system and society. The treatment is complex and non-standardized. In clinical practice, the relational dimension between the stakeholders is recognized by all. Nevertheless no study has ever crossed their perspectives about therapeutic alliance in adolescent psychiatry.
Objective: to explore, within a qualitative approach, how a therapeutic alliance is established in three different clinical situations according to the adolescents, their parents and their physicians by crossing their perspectives.
Methods: This is a national (France) multi-center qualitative study based on 180 semi-structured interviews. Participants (purposively selected until data saturation) came from three different sub-samples: (i) adolescents with anorexia nervosa (N =20) plus their parents (N=20) and their physicians (N=20), (ii) adolescents with depressions (N=20) plus their parents (N=20) and their physicians (N=20), and (iii) adolescents with anxiety-based school refusal (N=20) plus their parents (N=20) and their physicians (N=20). Data are collected through open ended semi structured interviews and independently analyzed with NVivo V.11 software by three researchers according to the principles of Interpretative Phenomenological Analysis.
Studie Overzicht
Toestand
Conditie
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studiecontact
- Naam: Jordan Sibeoni, MD
- Telefoonnummer: +33 134232598
- E-mail: jordan.sibeoni@ch-argenteuil.fr
Studie Contact Back-up
- Naam: CRC CRC
- E-mail: crc@ch-argenteuil.fr
Studie Locaties
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Argenteuil, Frankrijk, 95100
- Werving
- CHVictorDupouy
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Contact:
- CRC CRC
- E-mail: crc@ch-argenteuil.fr
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Contact:
- Jordan Sibeoni, MD
- Telefoonnummer: +33 13423259
- E-mail: jordan.sibeoni@ch-argenteuil.fr
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Rouen, Frankrijk, 76000
- Werving
- CHU Rouen
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Contact:
- Marc-Antoine Podlipski, MD
- E-mail: M-A.podlipski@chu-rouen.fr
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
adolescents, boys and girls, aged 12 to 18 years, speaking fluent French, with (i) anorexia nervosa according to DSM 5 criteria (ii) depressive disorders (dysthymia, depressive episode) according to DSM 5 criteria (iii) anxiety-based school refusal according to four criteria:
refusal to attend school (to operationalize this first criterion, adolescents were included if they had not attended school at all for at least one month before starting treatment); (2) presence of a DSM-5 anxiety disorder (except obsessive-compulsive or post-traumatic stress disorders) with emotional upset at the prospect of attending school; (3) absence of a DSM-5 conduct disorder; and (4) parental knowledge of the adolescent's whereabouts during the period of non-attendance.
that led to treatment that had begun at least six months earlier and clinically determined to be well enough to participate in a research interview.
- receiving treatment for at least 6 months
- one parent at least agrees to participate
Exclusion Criteria:
- acute symptoms and serious somatic and/or psychiatric co-morbidities
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Observatiemodellen: Ander
- Tijdsperspectieven: Prospectief
Cohorten en interventies
Groep / Cohort |
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Anorexia nervosa
adolescents with anorexia nervosa (N=20 ?), their parents (N=20), their physicians (N=20)
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Anxiety based school refusal
adolescents with anxiety based school refusal (N=20 ?), their parents (N=20), their physicians (N=20)
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Depression
adolescents with depression (N=20 ?), their parents (N=20), their physicians (N=20)
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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to describe the facilitators of therapeutic alliance within adolescent psychiatry using a qualitative approach
Tijdsspanne: 2 years
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qualitative methodology using verbal data analysis of semi-structured interviex
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2 years
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Anne Revah-Levy, MD PhD, Paris Diderot University
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 20140600001072
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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