Using a Digital Mental Health Application in the Adolescent's Care Pathway.
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- The quality of the interaction between the user and the application assessed by AttrakDiff 2.
Study Overview
Brief Summary
Clinical experience has shown that adolescents have great difficulties in getting to mental health care centers. The investigators want to find a specific way to follow up with the adolescent public. This study sets up a digital mental health application offering a tele-consultation space, a chat space with mental health professionals, a forum space, a news and therapeutic education space. The objective of the study is to evaluate the acceptance of the digital tool by the adolescent between 11 and 18 years old. To do this, the investigators determine the number of connections to the tool during the 6 months of support.
Detailed Description
The purpose of the CPP application is the creation of an innovative psychiatric device combining a digital application of mental health for adolescents with a mobile team, anchored within the I03 pole of the Public Health Establishment of Ville-Evrard.
This Together digital application includes a space for news, chat, peer-to-peer forum and video consultation. We propose an action-research protocol because this project was born of questions related to the terrain raising the problem of the difficulty of access to the care of adolescents in the territory of Pole 93I03.
Action research is aimed at adolescents aged 11 to 18, whose medical, paramedical and school partners have observed mental suffering (ill-being, inappropriate behaviour, dropping out of school) but who are not or no longer enrolled in mental care. It aims to use a digital application backed by a mobile team to improve access to the mental health care system for adolescents.
The research issue would be formalized in these terms: would the Together mental health application, combined with a mobile team, allow access to a path of care for the adolescent?
HYPOTHESIS We hypothesize that adolescents will accept the digital tool, using it regularly and that this will ultimately facilitate access to mental care.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 11 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged 11 - 18 years old
- •Observation of mental suffering (ill-being, inappropriate behaviour, dropping out of school) following a medical, psychological or educational interview in the school, medical, paramedical, personal setting by a practitioner trained for this type of observation.
- •Have access to the Internet via smartphone and have a sufficient mastery of the tool (spoken and read French).
- •First-time arrivals on the sector who does not want management or dropout of care.
- •Not to be or no longer to be followed therapeutically by a psychologist or psychiatrist in the liberal or inter-sector.
- •Informed consent of the patient.
Exclusion Criteria
- •Disabling Motor Disorders (Cerebral Motor Disability).
- •Heavy deficiency.
- •Infant psychosis with strong relationship problems. .
- •Withdrawal of care without degradation of the psychic state. .
- •Is not in the pole 93I03 ( EPS Ville-Evrard).
Arms & Interventions
test group
Following the inclusion interview, adolescents has access to the Together application.
During the duration of the support, he will have access to the news, chat and forum.
Teenager have 8 working days to appropriate the application. For 1 month, the chat can be used without any other means of communication. A chat is limited to 20-30 minutes, after that, a teleconsultation can be offer. At the end of the 1 month, teleconsultations or a home visit are possible (30 to 45 minutes). They are done between 1 to 4 sessions in the month. Following the orientation, the psychologists take over the visio for the next 2 months, up to 2 to 4 interviews per month. Teleconsultation appointments are made on the calendar of the application by the professional after obtaining advice from teenagers.
At the beginning of the 5th month of care, the professionals set up a mixed distance/presential care with the youth. They propose home visits, individual or group interviews on site.
Intervention: Together (Other)
Outcomes
Primary Outcomes
The quality of the interaction between the user and the application assessed by AttrakDiff 2.
Time Frame: Month 3 and Month 6
The Investigators use AttrakDiff 2, a validated self-assessment scale (Hassenzahl, Burmester and Kollet, 2003). It is consists in 28 items. Each item has 2 contrasting words (semantic differentiators), separated by a 7-point scale. The scale is divided into 7 pairs of words evaluating respectively: pragmatic aspects, the overall attractiveness of the interactive system, hedonic aspects - divided into two subscales: identification and stimulation. The purpose of this measure is to assess the global quality of the interaction between the user and the application.
The number of connections to the application during the 6 months of support.
Time Frame: Day 0 to Month 6
The data tool will collect and count the number of connections on the application, the number of chat, video, phone call and like given to the news. The software CORTEXTE (digital patient record), will count the number of acts performed with the young person.
Secondary Outcomes
- Score of Patient satisfaction Questionnaire (CSQ) to assess patient satisfaction.(Month 6)
- Behavioral disorders assessed by the score of Strengths and Difficulties Questionnaire(SDQ).(Day 0, month 3, month 6, month 12)
- The level of impulsivity assessed by the score of Impulsivity scale " UPPS Impulsive Behavior Scale ".(Day 0, month 3, month 6, month 12)
- SDQ follow-up questionnaire(Month 3 and Month 6)
- Score of Self-esteem measurement scale (EMESA) to assess the adolescent's self-esteem.(Day 0, month 3, month 6, month 12)
- The level of therapeutic alliance assessed by the score of Therapeutic Alliance Questionnaire (CALPAS-T)(Month 3 and Month 6)
- Semi-structured interviews(Day 0, Month 3 and Month 6)
- Score of the DEP-ADO questionnaire to determine the addictions.(Day 0, month 3, month 6, month 12)
Investigators
Dominique JANUEL
Head of clinical research unit
Centre hospitalier de Ville-Evrard, France