Developing Text-based Support for Parents of Suicidal Adolescents After Emergency Department Visits: A Multi-component Intervention Pilot
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 240
- 试验地点
- 1
- 主要终点
- Participant Dyads Who Completed Follow-up Assessments
研究概览
简要总结
The researchers seek to develop a text message intervention for caregivers of adolescents at elevated suicide risk following discharge from emergency department (ED) care.
详细描述
Participants in the trial included 120 youth-parent dyads (120 youths and 120 parents). As the ultimate focus of the intervention is on improving youth outcomes, participant-related descriptives are provided for youth participants, except where noted specifically to be parent-related data.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
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
- 否
入选标准
- •Parent eligibility:
- •Inclusion Criteria:
- •Parent of eligible teen
排除标准
- •Not owning a cell phone with text messaging capability.
- •Teen eligibility:
- •Inclusion Criteria:
- •Recent suicidal ideation (within last 2 weeks) and/or suicide attempt within the last month.
- •Exclusion Criteria:
- •Youth with severe cognitive impairment or altered mental status (e.g., psychosis, manic state)
- •Youth with severe aggression/agitation
- •No availability of a legal guardian
研究组 & 干预措施
Control (standard care)
A-F texting component
The A-F texting component will include content consistent with best-practice recommendations for parents to buffer youth against suicide risk.
干预措施: A-F texting component (Behavioral)
A-F texting plus P-F texting component
A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization.
干预措施: A-F texting component (Behavioral)
A-F texting plus P-F texting component
A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization.
干预措施: P-F texting component (Behavioral)
结局指标
主要结局
Participant Dyads Who Completed Follow-up Assessments
时间窗: Up to 12 weeks
Data was used to determine retention rate among the participant dyads. We report on follow up completion for both adolescent and caregiver members of the dyad.
Participating Parents' Satisfaction With the Intervention (Texting Arms Only)
时间窗: Up to 6 weeks
Measured using the Modified Client Satisfaction Questionnaire (CSQ), which was a 2-question survey. Each question had a range of 1-4. Adult participants were asked to rate both their overall satisfaction (1 meaning not satisfied to 4 meaning highly satisfied), and the likelihood that they would recommend their particular assigned intervention to a friend (1 meaning highly unlikely to 4 meaning highly likely).
Percentage of Participants Randomized to the Intervention Who Remained Active (Texting Arms Only)
时间窗: Up to 6 weeks
Results represent parent participants who did not request stopping the intervention (i.e., did not request to stop receiving messages).
Percentage of Eligible Youth-Parent Dyads Who Agree to Participate in the Study,
时间窗: At the time of youth Emergency Department visit
Data represent participant dyads who were eligible and approached about study participation, and who agreed to take part in the study.
Number of and Reasons for Active Withdrawals
时间窗: Up to 12 weeks
Parent participant request to withdraw from the study. Study intention was to collect the number of and reasons for withdrawals, but the sole withdrawal did not provide a reason.
次要结局
未报告次要终点
研究者
Ewa Czyz
Assistant Professor, Department of Psychiatry, University of Michigan
University of Michigan