Telemental Health to Improve Mental Health Care and Outcomes for Children in Underserved Areas
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 223
- 试验地点
- 2
- 主要终点
- Assess whether using a telemental health service delivery model effects improvement in children diagnosed with ADHD including decreased symptoms of inattention, hyperactivity, opposition and defiance and improved adaptive functioning.
研究概览
简要总结
While telemental health (TMH) programs are increasing nationally to address the inequity of access to psychiatric services, there are few reports of their efficacy, particularly with children. The current proposal will complete the second stage of our program development. In the first stage, we established the feasibility of a TMH service and its acceptability to families and PCPs. In the second stage of program development we will conduct a randomized clinical trial (RCT) that will determine whether it is possible to use technological advances to: 1) improve clinical outcomes for children with ADHD over outcomes achieved in usual PC; and 2) adhere to an EBT protocol implemented through TMH. Future studies will examine whether other types of complicated psychiatric disorders and EBTs are amenable to delivery via TMH.
The overall goal of this study is to determine whether an evidence-based model of care can be faithfully implemented when delivered using TMH to children with ADHD living in rural areas and can improve outcomes over treatment as usual (TAU) in PC. ADHD is an excellent focus for assessment of TMH, as PCPs encounter this disorder frequently, EBT guidelines are available, pharmacotherapy is the core treatment and is easily delivered in PC through videoconferencing, and stabilization may be readily achieved for most youth.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 5 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •is 5.5 - 12 years of age
- •resides at home with parents/relatives
- •has a dx of ADHD (CBCL DSM-oriented elevation or previous diagnosis of ADHD; C-DISC diagnosis)
- •attends school 80% of time or more (including home-schooled children)
- •speaks English or Spanish and parent speaks English or Spanish
排除标准
- •child has a diagnosis of: CD, OCD, psychosis, BPD, Autism, mental retardation, major medical illness
- •resident parent has a drug use problem
结局指标
主要结局
Assess whether using a telemental health service delivery model effects improvement in children diagnosed with ADHD including decreased symptoms of inattention, hyperactivity, opposition and defiance and improved adaptive functioning.
时间窗: baseline, 4-, 10-, 19-, and 25-weeks
次要结局
- Assess whether using a telemental health service delivery model improves the well-being of caregivers of children diagnosed with ADHD.(baseline, 4-, 10-, 19- and 25-weeks)
- Assess the ability of a telemental health service delivery model to improve treatment adherence in families of children with ADHD.(baseline, 4-, 10-, 19- and 25-weeks)
- Assess how reliably an evidence-based treatment protocol for the treatment of children with ADHD can be implemented within a brief telemental health service.(baseline, 4-, 10-, 19-, and 25-weeks)
研究者
Kathleen Myers
Principal Investigator
Seattle Children's Hospital