Evaluation of child-centered basic psychosocial care in the outpatient sector
- Conditions
- Self-efficacyQuality of life
- Registration Number
- DRKS00016636
- Lead Sponsor
- Stiftung See You
- Brief Summary
KID-PROTEKT is a child-centred psychosocial healthcare intervention which aims at improving the identification of psychosocial needs and navigation in the outpatient gynaecologic and paediatric setting. In this cluster randomized-controlled trail we examined the effect of KID-PROTEKT on the referrals (to support services) in comparison to the regular gynaecologic and paediatric outpatient healthcare . A variant based on the qualification of the healthcare providers (qualified treatment, QT) and a variant with social worker (supported treatment, ST) were compared to the regular healthcare (treatment as usual, TAU). Twenty-four gynaecologic and paediatric practices were randomized to one of three study arms. Therefore 8,458 pregnant women and families recruited in one of these practices were enrolled in the study. Participating patients reported on average 1.73 (SD = 1.34) psychosocial risks. In total 522 patients were linked to a support service. Compared to TAU, the probability of a referral was significantly higher in QT (OR = 10.70) and ST (OR = 11.28). Also, a higher number of psychosocial risks were linked to a referral (OR = 2.72). These findings support the importance of a psychosocial assessment in the gynaecologic and paediatric setting.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 440
The target population are pregnant women and those with infants in their first year of life (0-12 months) who are at particular psychosocial distress. Contact with the target population is established in the context of prenatal care in gynecological practices as well as in the context of early detection examinations in pediatric practices.
Language not
German, English, French, Russian, Fasi, Arabic, Spanish
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The effectiveness and efficiency of the new forms of care are examined as primary outcome measures in the context of the following question: Which form of care is best in gynecological or pediatric practices, ie. H. most effective and efficient, suitable for the transfer of patients with special stress situations into the youth welfare system? For this purpose, in all three conditions, the exposure rate is recorded by means of a self-developed stress screening, the transfer rate by means of the documentation questionnaires of the medical practices and the utilization rate by means of the parent information in the telephone interviews. The endpoint is reached by the case conclusion in the doctor's office or the telephone interview with the parents 2 months after forwarding.
- Secondary Outcome Measures
Name Time Method