Counselling parents in Youth Mental Health Care: A design for structured communication of diagnosis and treatment options
ISRCTN | ISRCTN38536761 |
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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
Scientific
Dr. H. van der Hoffplein 1
Sittard-Geleen
6162 BG
Netherlands
Phone | +31 (0)88 459 0340 |
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g.westermann@orbisconcern.nl |
Study information
Study design | Interventional multicentre randomised single-blind controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the conatct details below to request a patient information sheet |
Scientific title | Structured 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 acronym | SSDM-YMHC |
Study objectives | The 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) studied | Counselling parents on child psychiatric disorders |
Intervention | Counselling 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 type | Other |
Primary outcome measure | 1. 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 measures | 1. Qualitative aspects, judged by all participants 2. The possibilities to apply and implement counselling in dialogue |
Overall study start date | 01/05/2008 |
Completion date | 31/07/2009 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Both |
Target number of participants | 80 |
Key inclusion criteria | All 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 criteria | Emergency references and parents of children, aged 12 year or older |
Date of first enrolment | 01/05/2008 |
Date of final enrolment | 31/07/2009 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Dr. H. van der Hoffplein 1
Sittard-Geleen
6162 BG
Netherlands
6162 BG
Netherlands
Sponsor information
RIGG Hills and the Meuse (RIGG Heuvelland & Maasvallei) (Netherlands)
Hospital/treatment centre
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 | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 01/01/2013 | Yes | No |