Assessing the Feasibility of an Intervention for Youth and Parents Transitioning From Pediatric to Adult Eating Disorder Services: A Mixed Methods Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 2
- 主要终点
- Adolescent Perceptions of the Feasibility of the Intervention
研究概览
简要总结
Teenagers with eating disorders often experience a disruption in care upon turning 18. At this age, they are no longer eligible to receive pediatric treatment but are also not yet set up with the appropriate adult services. There are currently no supports in place to help youth with eating disorders and their families during this transition from child to adult care. In this project, the investigators will be implementing an intervention designed to improve this transition experience; it will include peer support, parent education, a meeting with the child and adult care providers, contact with the family doctor, and a written guide about the transition. Among 10 adolescent-parent pairs leaving McMaster Children's Hospital to adult programs in Hamilton, Ontario, the investigators will assess how feasible the intervention is to implement, how feasible the chosen measures are, participants' experience of the intervention, how many adolescents actually transition to adult care, as well as a few adolescent and parent outcomes, such as how prepared the teen feels or what the parents' needs are.
详细描述
Eating disorders (EDs) are severe psychiatric illnesses that negatively impact the health and quality of life of sufferers and their families. EDs typically begin in adolescence and often progress into adulthood, often requiring youth to transition from pediatric to adult mental health services. However, patients often experience a discontinuity in care due to a lack of coordinated transition between services, which has a significant impact on their health. Although barriers to a smooth transition and solutions to mend the gap have been identified in the literature, there is no stakeholder-informed protocol in Canada to address this issue.
The aim of this project is to develop and test a protocol to support the health services transition from pediatric to adult treatment for adolescents with EDs and their families.
The investigators have prepared a protocol aimed at improving this transition experience using suggestions from the existing literature. The investigators will also invite stakeholders to offer recommendations for its local use. The proposed suite of interventions will be tested in a sample of adolescents who are in treatment at a pediatric ED program based in Hamilton, Ontario during their transition to adult services, along with their parents. The investigators will report upon enrolment and retention rates into adult programs, feasibility indicators of the intervention and research procedures, self-reported readiness to transition, post-transition qualitative interviews with adolescents and parents regarding their experience, and written reflections by all participants regarding each intervention component. The eligibility criteria and outcome measures will be elaborated upon below.
If this study is successful, the investigators will test the feasibility, acceptability, and cost of this protocol across pediatric ED programs in Ontario, and eventually Canada. This innovative protocol has the potential to improve health outcomes for this population, to decrease long-term disability costs associated with EDs, and to improve the quality and success of the mental health service delivery that directly influences the quality of life of Canadian youth and families affected by EDs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 17 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Adolescent Perceptions of the Feasibility of the Intervention
时间窗: Post-Intervention (12 weeks)
The investigators will capture adolescent perceptions of feasibility of the entire intervention in the Post-Intervention Adolescent Interview. The quantitative and qualitative data related to this primary mixed methods outcome (Feasibility of the Intervention) will be integrated together at the data analysis phase.
Parent Perceptions of the Feasibility of the Intervention
时间窗: Post-Intervention (12 weeks)
The investigators will capture parent perceptions of feasibility of the entire intervention in the Post-Intervention Parent Interview. The quantitative and qualitative data related to this primary mixed methods outcome (Feasibility of the Intervention) will be integrated together at the data analysis phase.
Parent Perceptions of the Feasibility of the Each Intervention Component
时间窗: Throughout the participant's intervention period (0 to 12 weeks)
The investigators will capture parent perceptions of feasibility of the entire intervention in the Reflection Entries. The quantitative and qualitative data related to this primary mixed methods outcome (Feasibility of the Intervention) will be integrated together at the data analysis phase.
Type of Intervention Components Completed
时间窗: Post-Intervention (12 weeks)
The investigators will capture which of intervention components were completed as a feasibility indicator of the intervention. This outcome will help to gather an understanding of the feasibility of the intervention. This quantitative outcome will be collected through Qualtrics via the Reflection Entries. The results regarding this outcome will be reported in a descriptive summary at the end of the study and integrated with the other data related to the feasibility of the intervention, both qualitative and quantitative.
Average Duration of Time to Complete the Intervention
时间窗: Post-Intervention (12 weeks)
The investigators will capture how much time it took to complete the entire intervention as a feasibility indicator of the intervention. This outcome will help to gather an understanding of the feasibility of the intervention. This quantitative outcome will be collected through Qualtrics via the Reflection Entries. The results regarding this outcome will be reported in a descriptive summary at the end of the study and integrated with the other data related to the feasibility of the intervention, both qualitative and quantitative.
Average Duration of Time to Complete Each Intervention Component
时间窗: Post-Intervention (12 weeks)
The investigators will capture how much time it took to complete each intervention components as a feasibility indicator of the intervention. This outcome will help to gather an understanding of the feasibility of the intervention. This quantitative outcome will be collected through Qualtrics via the Reflection Entries. The results regarding this outcome will be reported in a descriptive summary at the end of the study and integrated with the other data related to the feasibility of the intervention, both qualitative and quantitative.
Proportion of Intervention Components Completed
时间窗: Post-Intervention (12 weeks)
The investigators will capture the proportion of intervention components that were completed. This outcome will help to gather an understanding of the feasibility of the intervention. This quantitative outcome will be collected through Qualtrics via the Reflection Entries; these are short qualitative journal entries with prompts that each participant is asked to complete after completing each intervention component throughout their 3-month intervention period. The results regarding this outcome will be reported in a descriptive summary at the end of the study and integrated with the other data related to the feasibility of the intervention, both qualitative and quantitative.
Adolescent Perceptions of the Feasibility of the Each Intervention Component
时间窗: Throughout the participant's intervention period (0 to 12 weeks)
The investigators will capture adolescent perceptions of feasibility of the entire intervention in the Reflection Entries. The quantitative and qualitative data related to this primary mixed methods outcome (Feasibility of the Intervention) will be integrated together at the data analysis phase.
次要结局
- Average Duration of Time to Complete Data Collection Measures(10 months after baseline)
- Adolescent Perceptions of the Feasibility of the Research Procedures and Methods(Post-Intervention (12 weeks))
- Parent Experience of the Intervention(Throughout the participant's intervention period (0 to 12 weeks) and at Post-Intervention (12 weeks))
- Parent Perceptions of the Feasibility of the Research Procedures and Methods(Post-Intervention (12 weeks))
- Study Completion Rate(10 months after baseline)
- Adolescent Experience of the Intervention(Throughout the participant's intervention period (0 to 12 weeks) and at Post-Intervention (12 weeks))
- Change in Adolescent's Readiness and Motivation to Change Eating Disorder Symptoms and Behaviours - Eating Disorders Readiness Ruler(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each adolescent's time in the intervention)
- Change in Parent's Perceived Needs as a Carer of an Individual with an Eating Disorder- Carers Needs Assessment Measure(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each parent's time in the intervention)
- Study Interest Rate(10 months after baseline)
- Study Recruitment Rate(10 months after baseline)
- Proportion of Missing Data(10 months after baseline)
- Enrolment and Retention to Adult Care(1 month after the participating adolescent's 18th birthday)
- Change in Adolescent's Level of Readiness for Transition - Transition Readiness Assessment Questionnaire(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each adolescent's time in the intervention)
- Adolescent Demographics(At Baseline (0 weeks) of each adolescent's time in the intervention)
- Change in Adolescent's Range and Severity of Eating Disorder Symptoms - Eating Disorder Examination Questionnaire(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each adolescent's time in the intervention)
- Change in Parent Self-Efficacy and Collaboration with Other Parents - Patient and Carer Collaboration Scale(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each parent's time in the intervention)
- Change in Adolescent's Awareness of their Eating Disorder and Ability to Make Healthcare-Relevant Decisions - Self-Management Skills Assessment Guide (Youth Report)(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each adolescent's time in the intervention)
- Change in Parent's Perceived Burden and Impact of Child's Eating Disorder Symptoms on Their Lives - Eating Disorder Symptom Impact Scale(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each parent's time in the intervention)
- Change in Parent's Perception of their Child's Awareness of their Eating Disorder and Ability to Make Healthcare-Relevant Decisions - Self-Management Skills Assessment Guide (Parent Report)(At Baseline (0 weeks) and Post-Intervention (12 weeks) of each parent's time in the intervention)
- Parent Demographics(At Baseline (0 weeks) of each parent's time in the intervention)
研究者
Jennifer Couturier
Principal Investigator
McMaster University