Guided self-help interventions for psychiatric disorders in children and young people with neurological conditions: a feasibility study assessing symptom improvement on standardised questionnaire measures and a diagnostic screening instrument

Great Ormond Street Hospital for Children NHS Foundation Trust0 sites34 target enrollmentSeptember 25, 2015

ConditionsMental health disorders (anxiety, depression and disruptive behaviour) in children and young people with neurological conditions.Mental and Behavioural Disorders Anxiety

Overview

Phase: 未知
Intervention: Not specified
Conditions: Mental health disorders (anxiety, depression and disruptive behaviour) in children and young people with neurological conditions.
Sponsor: Great Ormond Street Hospital for Children NHS Foundation Trust
Enrollment: 34
Status: Completed
Last Updated: 3 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/29631920 results (added 21/06/2019) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33402326/ results (added 12/01/2021) 2016 Protocol article in https://pubmed.ncbi.nlm.nih.gov/27809925/ (added 23/08/2022)

Registry

who.int

Start Date

September 25, 2015

End Date

October 1, 2017

Last Updated

3 years ago

Study Type

Interventional

Sex

All

Investigators

Sponsor

Great Ormond Street Hospital for Children NHS Foundation Trust

Eligibility Criteria

Inclusion Criteria

•1\. Young people aged 7\-18 years
•2\. With a neurological condition and waiting for/undergoing assessment/treatment at Great Ormond Street Hospital
•3\. Identified by the DAWBA as meeting criteria for impairing common psychiatric symptoms (anxiety, depression or disruptive behaviour)

Exclusion Criteria

•1\. Children/families who do not speak/understand English sufficiently well to access the screening assessments and interventions. This is primarily due to limited funding capacity for interpreters, however should sufficient additional funding be obtained, then we would seek to recruit these families and to hire interpreters to allow equitable access to the intervention.
•2\. Children who have an intellectual disability at a level meaning that they cannot access the screening and/or intervention. This will be determined by clinical judgement, either prior to screening, if the child is already known to GOSH, or at the initial assessment for guided self\-help. This will not be defined by IQ, but by clinical judgement; children will not be excluded because of the presence of an LD per se, but because of being unable to access the materials. People will not be excluded post\-testing on the basis of IQ score. Ability to participate may be different for younger children with relatively low IQs, whose parents complete the materials, compared to older children with the same IQ level who need to complete the materials themselves. If the learning disability is identified during the initial assessment (through clinical judgement), young people will be referred to other more appropriate services, as necessary (with the agreement of the family).
•3\.In phases 2 and 3, children who screen for a severe mental health disorder other than depression, anxiety or disruptive behavioural disorders, or whose screening is otherwise suggestive of risk will be excluded and referred to other services as appropriate. The research team comprises of a number of trained clinicians, who will be well\-placed to liaise with, and refer to, other services. This may include (although is not restricted to) local CAMHS, the GOSH Psychological Medicine Team or paediatric psychology. This procedure will also be followed should it become apparent that there is risk, or a requirement for a higher intensity intervention, during the course of guided self\-help. Consistent with best practice guidance (e.g. Department of Health, 2007\) if the risk is immediate and requires urgent assessment or higher intensity intervention, then children will be referred on as necessary. Liaison will continue until the risk is adequately managed.