Developing Text-based Support for Parents of Suicidal Adolescents After Emergency Department Visits: A Multi-component Intervention Pilot
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Michigan
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- Participant Dyads Who Completed Follow-up Assessments
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 13 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Parent eligibility:
- •Inclusion Criteria:
- •Parent of eligible teen
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
Arms & Interventions
Control (standard care)
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.
Intervention: A-F texting component (Behavioral)
A-F texting plus 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.
Intervention: A-F texting component (Behavioral)
A-F texting plus 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.
Intervention: P-F texting component (Behavioral)
Outcomes
Primary Outcomes
Participant Dyads Who Completed Follow-up Assessments
Time Frame: 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)
Time Frame: 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)
Time Frame: 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,
Time Frame: 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
Time Frame: 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.
Secondary Outcomes
No secondary outcomes reported
Investigators
Ewa Czyz
Assistant Professor, Department of Psychiatry, University of Michigan
University of Michigan