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van CCT (UK)

van CCT (UK)

(Cost)Effectiveness of the CPA Talking-with-children-intervention.

- candidate number14006
- NTR NumberNTR3728
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR19-nov-2012
- Secondary IDs15700.2012 ZonMw
- Public Title(Cost)Effectiveness of the CPA Talking-with-children-intervention.
- Scientific Title(Cost)Effectiveness of the CPA Talking-with-children-intervention.
- hypothesisWe hypothesize that the CPA Talking-with-children-intervention will have a beneficial effect on the mental health and quality of life of maltreated children.

We expect that children who participate in the CPA investigation (CPA Talking-with-children-intervention) will benefit from talking about their situation resulting in better mental health and quality of life outcomes. For example because more detailed information on the (abusive) family situation can be collected and better tailored care can be provided.
- Healt Condition(s) or Problem(s) studiedChild abuse, Quality of life, Service use, Mental health
- Inclusion criteria1. Minimum age: 6;
2. Maximum age: 17;
3. Expected time of residence in the Netherlands is at least one year, and there are no plans to leave the country;
4. Meeting the 'classical' definition of child maltreatment (including physical or emotional abuse, sexual abuse, physical or emotional neglect);
5. One child per family. In case a report includes more than one child, the child with the highest concern will be asked to participate;
6. Sufficient verbal and cognitive capacities to participate in a study which requires an oral interview.
- Exclusion criteriaParticipants not meeting the aforementioned criteria.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-feb-2012
- planned closingdate1-mei-2014
- Target number of participants328
- InterventionsCPA Talking-with-children-intervention:
Children are interviewed by a CPA employee as part of the CPA investigation following the suspected child maltreatment report. The aim of this interview is to collect information on:
1. Suspected child maltreatment experiences;
2. Existence of any family problems;
3. Child's need for help or protection;
4. Willingness to accept help or protection.
The duration of the interview will depent on the needs of the child.

In the control group only adults are part of the CPA investigation.
In the experimental group information from the child interview (CPA Talking-with-children-intervention) is used in addition to the usual adult reports. It is expected that children that take part in the CPA investigation will have less mental health problems and a higher quality of life.
- Primary outcome1. Mental health;
2. Quality of life;
3. Service use.

Questionnaires will be used to measure the abovementioned primary outcomes.
- Secondary outcome1. Perceived stress;
2. Perceived social support;
3. Coping.

Questionnaires will be used to measure the abovementioned secondary outcomes.

A registration form was developed to collect information on background variables including gender, age, ethnical background, education level, current living situation, financial situation, neighborhood characteristics.
- TimepointsParent-child dyads will be asked to complete a questionnaire twice: 6 months and 1 year after the CPA report.
- Trial web siteN/A
- statusinclusion stopped: follow-up
- Sponsor/Initiator Trimbos-institute - Netherlands Institute of Mental Health and Addiction, CAPHRI, The Research Institute of the University Maastricht and University Hospital Maastricht (AZM)
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryLike most Western countries, in the Netherlands a system has been developed through which suspected cases of child maltreatment can be reported to a Child Protection Agency (CPA). Such a report can be crucial when investigation shows that a child has indeed been abused and steps can be taken to end abuse and provide necessary care for child and family. This study examines an innovative approach in which maltreated children (6 years and older) participate as informants in the CPA investigation (CPA Talking-with-children-intervention). Before only adults surrounding the child (e.g. parents, teachers, general practitioner) were used as informants to substantiate the report of suspected child maltreatment. We expect that children who participate in the CPA investigation will benefit from talking about their situation. We therefore examine the effect of the CPA Talking-with-children-intervention on the mental health and quality of life of maltreated children (6-16 years old). In addition an economic evaluation will be performed to examine whether the CPA Talking-with-children-intervention is beneficial in terms of costs and utilities.
The research questions will be examined using a quasi-experimental design in which 90 parent-child dyads complete a questionnaire twice (6 months and 1 year after the CPA report). The control group consists of parent-child dyads in which only adults were used as informants during the CPA investigation. The experimental group consists of parent-child dyads in which children were interviewed using the CPA Talking-with-children-intervention in addition to adults as informants.
- Main changes (audit trail)
- RECORD19-nov-2012 - 16-dec-2012

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