Developing Text-based Support for Parents of Adolescents After an Emergency Department Visit

Not Applicable

Completed

• Conditions: Suicide
• Interventions: Behavioral: A-F texting component; Behavioral: P-F texting component

• Registration Number: NCT05058664
• Lead Sponsor: University of Michigan

Brief Summary

The researchers seek to develop a text message intervention for caregivers of adolescents at elevated suicide risk following discharge from emergency department (ED) care.

Detailed Description

Participants in the trial included 120 youth-parent dyads (120 youths and 120 parents). As the ultimate focus of the intervention is on improving youth outcomes, participant-related descriptives are provided for youth participants, except where noted specifically to be parent-related data.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-09-16
• Study First Submitted QC: 2021-09-16
• Study First Posted: 2021-09-28
• Study Start: 2021-11-08
• Primary Completion: 2022-09-26
• Study Completion: 2022-09-26
• Results First Submitted: 2024-02-02
• Status Verified: 2024-04
• Results First Submitted QC: 2024-04-18
• Last Update Submitted: 2024-04-18
• Results First Posted: 2024-05-16
• Last Update Posted: 2024-05-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 240

Inclusion Criteria

• Parent of eligible teen

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Exclusion Criteria

• Not owning a cell phone with text messaging capability.

Teen eligibility:

Inclusion Criteria:

• Recent suicidal ideation (within last 2 weeks) and/or suicide attempt within the last month.

Exclusion Criteria:

• Youth with severe cognitive impairment or altered mental status (e.g., psychosis, manic state)
• Youth with severe aggression/agitation
• No availability of a legal guardian

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
A-F texting plus P-F texting component	A-F texting component	A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization.
A-F texting component	A-F texting component	The A-F texting component will include content consistent with best-practice recommendations for parents to buffer youth against suicide risk.
A-F texting plus P-F texting component	P-F texting component	A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization.

Primary Outcome Measures

Name	Time	Method
Participant Dyads Who Completed Follow-up Assessments	Up to 12 weeks	Data was used to determine retention rate among the participant dyads. We report on follow up completion for both adolescent and caregiver members of the dyad.
Participating Parents' Satisfaction With the Intervention (Texting Arms Only)	Up to 6 weeks	Measured using the Modified Client Satisfaction Questionnaire (CSQ), which was a 2-question survey. Each question had a range of 1-4. Adult participants were asked to rate both their overall satisfaction (1 meaning not satisfied to 4 meaning highly satisfied), and the likelihood that they would recommend their particular assigned intervention to a friend (1 meaning highly unlikely to 4 meaning highly likely).
Percentage of Participants Randomized to the Intervention Who Remained Active (Texting Arms Only)	Up to 6 weeks	Results represent parent participants who did not request stopping the intervention (i.e., did not request to stop receiving messages).
Percentage of Eligible Youth-Parent Dyads Who Agree to Participate in the Study,	At the time of youth Emergency Department visit	Data represent participant dyads who were eligible and approached about study participation, and who agreed to take part in the study.
Number of and Reasons for Active Withdrawals	Up to 12 weeks	Parent participant request to withdraw from the study. Study intention was to collect the number of and reasons for withdrawals, but the sole withdrawal did not provide a reason.

Trial Locations

Locations (1)

The University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States