Counselling parents in Youth Mental Health Care: A design for structured communication of diagnosis and treatment options

ISRCTN ISRCTN38536761
DOI https://doi.org/10.1186/ISRCTN38536761
Secondary identifying numbers NL 21931.096.07 (CCMO the Netherlands)
Submission date
03/03/2011
Registration date
11/05/2011
Last edited
08/05/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr George Westermann
Scientific

Dr. H. van der Hoffplein 1
Sittard-Geleen
6162 BG
Netherlands

Phone +31 (0)88 459 0340
Email g.westermann@orbisconcern.nl

Study information

Study designInterventional multicentre randomised single-blind controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the conatct details below to request a patient information sheet
Scientific titleStructured Shared Decision Making in Youth Mental Health Care to lower decisional conflict of parents and to promote acceptance of recommended treatment for their child compared with counselling as usual
Study acronymSSDM-YMHC
Study objectivesThe use of a structured counselling procedure lowers decisional conflict and promotes acceptance of recommended treatment compared with counselling as usual
Ethics approval(s)Approved by the accredited Medical Research Ethics Committee Atrium-Orbis-Zuyd, Heerlen, The Netherlands on March 12 2008 (ref: METC nr: 08-T-18 CCMO nr: NL 21931.096.08)
Health condition(s) or problem(s) studiedCounselling parents on child psychiatric disorders
InterventionCounselling in dialogue (CD): a systematic counselling procedure using dialogue as communication style and visualisation as communication and information processing aid.

Parents of 78 children (up to12 years) were randomised into an intervention group (n = 43) receiving CD and a control group (n = 35) receiving CU. In a before-and-after design decisional conflict was measured using the Decisional Conflict Scale (DCS) for parents and the Provider Decision Process Assessment Instrument for therapists (PDPAI).
In the period May 2008-August 2009 all parents of children (up to 12 years) referred to two centres for general youth mental health care in the south of the Netherlands were asked to participate in the study. The parents of 131 children were assessed for eligibility. the parents of 110 children could be included. Parents of 94 children (85%) were randomised and the data of 81 cases (45 CD and 36 CU) could be analysed. Therapists (N = 20) were matched in pairs of two with regard to the following characteristics: the centre they work, their specialism, age, gender, country of birth, years of experience with counselling and therapy, and coping style with regard to decisional conflict. Subsequently they were randomised to be trained and to use CD or to proceed in their usually way of counselling (CU). Parents were randomly allocated to the therapists.

Randomisation for baseline assessment and demographic characteristics of the parents, and clinical features of the children was performed. Therapists were trained child and adolescent psychiatrists, psychologists, educationists, or mental health workers.

Parents and clinicians filled out questionnaires before the counseling, immediately after counselling, and one week after counseling. One month after all counseling sessions CD therapists filled out an evaluation questionnaire to rate their experiences with CD. If both parents attended counselling, both were asked to each fill out the questionnaires.

Joint/secondary sponsor details: St. Child and adolescent psychiatry in perspective
(St. Kinder- en jeugdpsychiatrie in Perspectief)
email: I.Demmendaal@erasmusmc.nl
Intervention typeOther
Primary outcome measure1. Decisional conflict in parents using the decisional conflict scale
2. Decisional conflict in therapists using the provider decision process assessment instrument

Measured before the counselling, immediately after counselling, and one week after counselling.
Secondary outcome measures1. Qualitative aspects, judged by all participants
2. The possibilities to apply and implement counselling in dialogue
Overall study start date01/05/2008
Completion date31/07/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants80
Key inclusion criteriaAll parents (men and women) of children (age < 12 year) referred to the participating therapists of two youth mental health care centres who received counselling from May 2008 till August 2009
Key exclusion criteriaEmergency references and parents of children, aged 12 year or older
Date of first enrolment01/05/2008
Date of final enrolment31/07/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Dr. H. van der Hoffplein 1
Sittard-Geleen
6162 BG
Netherlands

Sponsor information

RIGG Hills and the Meuse (RIGG Heuvelland & Maasvallei) (Netherlands)
Hospital/treatment centre

Akerstraat 8
Maastricht
6221 CL
Netherlands

Funders

Funder type

Hospital/treatment centre

RIGG Hills and the Meuse (RIGG Heuvelland & Maasvallei) (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/01/2013 Yes No