An Adaptive Intervention to Increase Engagement to Community-based Care After an ED Admission: For Youth at Risk for Suicide and Self-injurious Behavior
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 186
- 试验地点
- 1
- 主要终点
- Intervention Feasibility
研究概览
简要总结
The goal of this study is to develop a feasible brief, family-based adaptive intervention, via SMART design, for youth with suicidal and non-suicidal self-injurious behavior (SSIB) to increase community-based mental health (MH) care attendance and reduce SSIB risk post emergency department (ED) admission. The intervention will focus to increase understanding on youth MH literacy, MH communication, and MH engagement. Integrating an adaptive intervention via a SMART design in the ED could address subsequent barriers to youth obtaining appropriate level of community-based MH care and therefore reduce ED readmissions.
详细描述
This adaptive intervention allows for two stages of randomization to address treatment non-response. First, youth and caregivers (dyads) will be randomized to receive 1st-stage interventions in the ED, either the digital psychosocial-only condition or the psychosocial with digital health communication via text messages condition. If after two weeks, youth are identified as non-response, then dyads will be re-randomized to 2nd-stage intervention(s) that will include the use of a family navigation model.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 8 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Youth 8 to 17 years
- •Youth presenting to the ED with suicide and self-injurious behavior
- •Youth living at home with at least one legal guardian/caregiver
排除标准
- •Youth presenting to the ED with psychosis, sexual assault, child abuse
- •Youth in police custody,
- •Youth with an active investigation with the department of child and youth services (DCYF)
- •Youth unable to assent due to severity of illness or developmental disabilities,
- •Youth who cannot communicate in English or Spanish,
- •Youth without a caregiver/legal guardian who can provide consent
研究组 & 干预措施
Psychosocial
Digitally delivered psychosocial
干预措施: adaptive intervention (Behavioral)
Psychosocial with text messages
Digitally delivered psychosocial with text messages
干预措施: adaptive intervention (Behavioral)
Psychosocial with text messages and family navigator
Digitally delivered psychosocial with text messages and human family navigator
干预措施: adaptive intervention (Behavioral)
结局指标
主要结局
Intervention Feasibility
时间窗: 3-month & 6-month follow-up assessments
Recruitment rate (% of ppl who agree to be in the study), Study completion (% of ppl who complete entire study)
Child and Adolescent Service Assessment (CASA)
时间窗: 3-month and 6-month follow-up assessments
Youth Attendance to Community-based Mental Health Care. CASA question and caregiver report of youth attendance in behavioral health care/community-based mental health services (yes or no) after discharge from emergency department admission.
Intervention Acceptability
时间窗: 3-month and 6-month follow-up assessments
Client Satisfaction Questionnaire. An 8-item questionnaire that provides (positive \& negative) feedback from user opinion. Higher scores = greater satisfaction with intervention.
次要结局
未报告次要终点