Synergy in Mental Health Care: Strengthening Collaborations in a Shared Care System for Child and Adolescent Psychiatry (DSPPea34).
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization
研究概览
简要总结
DSPPea34 (Shared Care Program for Children and Adolescents) is an experimental health program designed to provide rapid, guided care orientation for youth aged 6-18 when a first-line psychological follow-up is considered by a general practitioner or pediatrician. The program links hospital-based services and community providers by offering prompt contact and assessment by a registered nurse and/or psychiatrist, with structured feedback to the referring physician.
Primary objective: To identify facilitators that support the engagement of all professionals involved in the care pathway of children and adolescents with psychological difficulties. Facilitators will be mapped across five stages of the pathway: (1) intake, (2) assessment, (3) orientation/referral, (4) inter-partner collaboration, and (5) discharge from the program. Results will be used to refine DSPPea34 specifications to inform broader implementation.
Methods and study population (primary objective): A Delphi survey will be conducted with stakeholders directly interacting with families and youth within DSPPea34 (e.g., general practitioners (GP), pediatricians, program clinicians) as well as with program users.
Secondary objectives and data sources: To describe (i) the sociodemographic and clinical characteristics of youth using DSPPea34 services and (ii) their care trajectories using quantitative methods. Data will be extracted from DSPPea34 records via the SPICO coordination file (the tool used to facilitate exchanges between the GP/pediatrician, DSPPea34, and the psychologist in charge of follow-up) and complemented by soliciting longitudinal outcome information from the referring physician based on DSPPea34 follow-up.
Findings from this mixed-methods evaluation are expected to guide the optimization and potential scale-up of the DSPPea34 model.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •the professionals directly in contact with families or young people within the framework of DSPPea34 as well as users of DSPPea34
排除标准
- 未提供
研究组 & 干预措施
the professionals directly in contact with families and young people within the framework of DSPPea3
干预措施: structured online questionnaire (Other)
users of the DSPPea34
干预措施: descriptive analysis of patient characteristics and their care pathways, based on electronic medical records (Other)
users of the DSPPea34
干预措施: structured online questionnaire (Other)
结局指标
主要结局
Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization
时间窗: 3 months
These facilitators will be identified at different stages: 1) addressing, 2) evaluation, 3) orientation, 4) collaboration between partners, 5) exit from the device and will allow to evolve the specifications of DSPPea in view of its generalization. Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each proposal. Free-text fields allow participants to provide comments and suggested rewording. Iterative Adaptation Across Rounds: Based on prior-round results, items may be revised, added, or removed. Refinements aim to improve clarity and relevance, while preserving traceability of changes. Consensus Rule (Stopping/Exclusion Criterion for Items): If an item achieves ≥70% agreement (to retain or to remove the proposal) with concordant votes in both Round 1 and Round 2, the proposal is considered
次要结局
- Number of Psychiatric Clinical Interviews within DSPPea34(At program entry (intake) to program completion (from 1 month to 12 months))
- Number of Joint City-Hospital Follow-Ups(At program entry (intake) to program completion (from 1 month to 12 months))
- Number of Follow-Ups Coordinated by Primary Care(At program entry (intake) to program completion (from 1 month to 12 months))
- Youth Status at Program Exit(At program entry (intake) to program completion (from 1 month to 12 months))
- Clinical Characterization at Baseline(At program entry (Baseline))
- Reason for referral to the program(Baseline)
- Number of Requests and Referrals (DSPPea34 vs. Outside DSPPea34)(Baseline)