Patient Generated Goals in Mental Health: Better Outcomes?

Not Applicable

Completed

• Conditions: Mental Health
• Interventions: Other: Treatment as Usual; Other: Goal Based Outcomes

• Registration Number: NCT03527914
• Lead Sponsor: Children's Hospital of Eastern Ontario

Brief Summary

Researchers believe that clinical care can be improved by engaging patients and families directly in planning the care process. Engagement efforts have included asking patients/families to provide information about whether they are getting better. But what does "getting better" mean? The merits of surveys, questionnaires, or rating scales have been widely discussed. Should they be disorder-specific or global? What should the investigators do if patients have difficulty reading or understanding these instruments? Investigators in the United Kingdom have proposed a simple solution: ask the patients and families what their primary goal treatment goal is and track progress together on that goal (Goal-Based Outcomes or GBO). Although there has been some work to suggest that this is helpful, it has never been tested in a controlled way. This study will do a randomized controlled trial to test whether GBO improves clinical care in child and youth mental health. Although the study will use this in child and youth mental health care, if it is successful, it can be tested and applied in any care setting with any type of medical problem. This could change practice at the Children's Hospital of Eastern Ontario (CHEO) and throughout Canada.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-02-18
• Study First Submitted QC: 2018-05-16
• Study First Posted: 2018-05-17
• Study Start: 2018-11-15
• Primary Completion: 2022-05-15
• Study Completion: 2022-05-15
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-09
• Last Update Posted: 2023-03-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 152

Inclusion Criteria

• Children and youth
• Attending outpatient mental health services at CHEO

Exclusion Criteria

-Child and youth attending group therapy at CHEO Outpatient Mental Health Services

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treatment as Usual	Treatment as Usual	Patients will receive their standard care at the Outpatient Mental Health Service
Goal Based Outcomes	Goal Based Outcomes	Up to three goals can be tracked during treatment, although patients often decide to just focus on one. Progress on the goal is then quantitatively rated by the patient, with the provider, at every appointment. Adjustments in the care are then made in an iterative process to ensure that the goal will be met.

Primary Outcome Measures

Name	Time	Method
Change in Function	Administered at the first appointment and at study completion (up to 52 weeks)	Measured using the Child Global Assessment of Functioning Scale. The total score (on a scale of 0-100) will be used, with a higher score indicating better function
Patient/Family Satisfaction	Administered at study completion (up to 52 weeks)	Measured using the Experience of Service Questionnaire
Change in Symptoms	Administered at the first appointment and at study completion (up to 52 weeks)	Measured using the Strengths and Difficulties Questionnaire (SDQ)

Trial Locations

Locations (1)

Children's Hospital of Eastern Ontario; 🇨🇦 Ottawa, Ontario, Canada