Occupational Therapy for Young People Who Self-harm: A Qualitative Study to Understand the Experiences of Children, Their Carers and Healthcare Professionals
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- What was the participants experience of receiving or delivering an occupational therapy informed intervention?
研究概览
简要总结
The goal of this qualitative observational study is to explore the experiences of children and their carers, receiving occupational therapy for self-harm and the experiences of health professionals delivering these interventions. The child cohort within the study will have a history of self-harm and have been under the care of Children and Adolescent Mental Health Services.
The main questions it aims to answer are:
- What are the experiences of children and their carers who have received occupational therapy interventions as either a standalone, or adjunct, treatment for self-harm, whilst under the care of Tier 4 CAMHS service.
- What are the experiences of healthcare professionals delivering occupational therapy interventions working within a T4 CAMHS service.
- To understand the participants views on whether occupational therapy interventions are a viable and effective approach to address self-harm amongst young people.
Participants will be asked to complete a questionnaire and take part in a single semi-structured interview. 25% of participants may be asked to take part in a further in depth semi-structured interview.
详细描述
Study design:
This study will take a qualitative approach, utilising a reflexive thematic analysis for data collection, coding and description of themes to provide a contextualised understanding of the experiences of the participants to achieve the aims of the study. It will involve a questionnaire, semi-structured interviews and possibly a further semi-structured interview for some participants in order to gain a further data and a deeper understanding.
Participant recruitment:
The participants will be purposefully selected by the chief investigator, with reference to the inclusion / exclusion criteria. Participant data will be sought from locally held healthcare records. Access to these records will be sought post NHS Ethics and University Ethics approval, and via the local NHS healthcare provider, with their agreement.
The young people and their carers will be invited to join the study by letter, one letter per pair if they live in the same household. The letter will contain a participant information sheet, containing a broad outline of the study. The letter will also contain a QR code which will take them to an online site outlining further details of the study and should they wish to take part in the study, a consent form to be signed by the carer only.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 13 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- •Young people
- •They are currently under the care of the Tier 4 CAMHS team or the Enhanced Support and Liaison CAMHS team.
- •They are considered to be acutely mentally or physically unwell at the time of enrolment to the study, to the degree that it may impair their ability to consent to, or engage fully in, the study.
- •They are currently the subject of an active Section 47 enquiry (MCA) or a safeguarding enquiry (s42 Children Act).
- •They are considered to be in active addiction to either alcohol or licit / illicit substances.
- •They are unable to give verbal and written consent to enrol onto the study and are judged by their carer and the study lead to lack capacity (over 16, as defined by the MCA) OR to not be Gillick competent (under 16) in order to agree to take part in the study.
- •They were estranged or were not involved in the care of their child whilst said child was under the Tier 4 CAMHS team so they are unable to give their view of any occupational therapy informed intervention during that time. or their own experiences of caring for a child whilst they received an occupational therapy informed intervention.
- •They are considered to be in active addiction to either alcohol or licit / illicit substances to the degree that it impairs their capacity to agree to take part in the study or to the degree that they are able to safely or appropriately engage in the study.
- •They are currently the subject of an active Section 47 enquiry (MCA) or a safeguarding enquiry (s42 Children Act).
- •They are subject to any form of restriction regarding contact with their child due to the outcome of a Section 47 enquiry (MCA) or a safeguarding enquiry (s42 Children Act), and / or their involvement with the study would breach any restrictions placed upon them due to these factors, or within this context they would compromise the safety of a child should they be enrolled onto the study.
- •Professionals
- •They have not worked for a Tier 4 CAMHS service in the last 12 months.
- •If they work for a non-T4 CAMHS service at the point of enrolment to the study they are not currently working with a young person involved in the study.
结局指标
主要结局
What was the participants experience of receiving or delivering an occupational therapy informed intervention?
时间窗: 1 week
Metric used: semi-structured interviews
Did the participants feel the occupational therapy informed interventions were effective in supporting young people who self-harm or effective in reducing self-harm?
时间窗: 1 week
Metric used: semi-structured interviews
次要结局
未报告次要终点