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The effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care.


- candidate number15663
- NTR NumberNTR4234
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR4-nov-2013
- Secondary IDs80-82470-98-006-08 (ZonMw) ECG2012-1304-031 (Radboud University Nijmegen)
- Public TitleThe effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care.
- Scientific TitleThe effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care.
- ACRONYM-
- hypothesisRoutine Outcome Monitoring (ROM) refers to regular measurements of clients’ progress in clinical practice, aiming to evaluate and (if necessary) adapt treatment. Clients fill out questionnaires and clinicians receive feedback about the results. Studies concerning feedback in youth mental health care are extremely scarce. The effects of feedback, the importance of specific aspects of feedback and the mechanisms behind the effects of feedback are unknown. The aim of our study is to investigate several potential effective components of feedback from ROM in youth mental health care in the Netherlands. We compare three different feedback conditions. We expect that in the second and third feedback condition symptoms of children and adolescents decrease more, symptoms of children and adolescents decrease faster, quality of life of children and adolescents increases more and children, adolescents and parents are more satisfied at the end of treatment than in the first feedback condition (feedback as usual). Besides that, we expect that in the second and third feedback condition treatments are shorter and contain fewer sessions. Also, we expect that in the second and third feedback condition children, adolescents and parents drop out of treatment less often. Furthermore, we expect the largest effects of feedback in the third feedback condition. Additionally, we expect that feedback is most effective when children, adolescents and parents are not on track (NOT), that is not progressing well through treatment.
- Healt Condition(s) or Problem(s) studiedRandomized controlled trial, Monitoring, Feedback, Children, Adolescents, Parents, Quality of life, Satisfaction, Treatment duration, Routine Outcome Monitoring (ROM), Mental health care, Clinical support tools, Treatment support measure (TSM), Case consultation, Symptom severity, Number of sessions, Dropout, Not on track (NOT)
- Inclusion criteriaThe study takes place in all outpatient youth departments (in Arnhem, Ede, Nijmegen and Tiel) of a large mental health care institution in the eastern part of The Netherlands. All families with children and adolescents between 4 and 17 years that are referred to these youth departments receive information about the study. If the child is between 4 and 11 years old, then parents are approached to participate in the study. If the child or adolescent is between 12 and 17 years old, then the child or adolescent is approached to participate in the study. We will include children and adolescents with all kinds of mental health problems (e.g developmental disorders, anxiety disorders and mood disorders) and all kinds of treatment (e.g individual treatment and group treatment, cognitive-behavioral treatment and solution-focused treatment, frequent or irregular treatment) in the study. The children, adolescents and parents that agree to participate sign an informed consent form.
- Exclusion criteriaThe only exclusion criterion is insufficient understanding of the Dutch language by the child, adolescent or parents.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jan-2014
- planned closingdate31-dec-2014
- Target number of participants432
- InterventionsWe will examine three different forms of feedback from ROM in youth mental health care through a three-arm parallel group randomized controlled trial. Randomization will be stratified by age of the child or adolescent (4-11 and 12-17 years old) and department (Arnhem, Ede, Nijmegen and Tiel). All children, adolescents and parents fill out questionnaires at the start of treatment, one and a half months after the start of treatment, each three months during treatment and at the end of treatment. Children, adolescents and parents in the second and third feedback condition fill out an additional questionnaire regarding possible obstacles to a good outcome that the client may be facing. Clinicians receive feedback about the results and have to discuss this feedback with their clients during treatment. In condition 1, clinicians receive basic feedback regarding symptoms and quality of life of the client (feedback as usual/control condition). In condition 2, the feedback of condition 1 is extended with feedback about the results of the additional questionnaire and with practical suggestions to improve treatment (youth clinical support tools). In condition 3, the feedback of condition 2 is discussed with colleagues on the basis of a standardized format for case consultation.
- Primary outcomeOur primary outcome is symptom severity and will be measured with the Dutch version of the Strengths and Difficulties Questionnaire (SDQ).
- Secondary outcome1) Quality of life : measured with the KIDSCREEN-27 parent version and the KIDSCREEN-52 child-adolescent version.
2) Satisfaction with treatment: measured with the Jeugdthermometer child version and the Jeugdthermometer parent versions about the treatment of the child and about the parenting skills training.
3) Number of sessions: will be counted for each client.
4) Length of treatment: will be registered in days for each client.
5) Dropout: will be calculated as the percentage of clients that abandon treatment (registered as unilateral decision to end treatment) in each feedback group.

We will also examine the role of being not on track (not responding to treatment).
- Timepoints1) At the start of treatment (baseline assessment)
2) One and a half months after the start of treatment
3) Each three months during treatment
4) At the end of treatment
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIESMsc. A.M.S. Sonsbeek, van
- CONTACT for SCIENTIFIC QUERIESProf. dr. G.J.M. Hutschemaekers
- Sponsor/Initiator Radboud University Medical Center Nijmegen, Pro Persona Jeugd Arnhem, Pro Persona Jeugd Nijmegen, Pro Persona Jeugd Ede, Pro Persona Jeugd Tiel
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryThe aim of our study is to investigate several potential effective components of feedback from ROM in youth mental health care in the Netherlands. We will examine three different forms of feedback through a three-arm parallel group randomized controlled trial. 432 children and adolescents (age 4 to 17 years) and their parents, who are referred to mental health care institution Pro Persona, will be randomly assigned to the feedback conditions. Randomization will be stratified by age of the child or adolescent (4-11 and 12-17 years old) and department (Arnhem, Ede, Nijmegen and Tiel). All participants fill out questionnaires at the start of treatment, one and a half months after the start of treatment, each three months during treatment and at the end of treatment. Participants in the second and third feedback condition fill out an additional questionnaire regarding possible obstacles to a good outcome. In condition 1, clinicians receive basic feedback regarding symptoms and quality of life (control condition). In condition 2, the feedback of condition 1 is extended with feedback about the results of the additional questionnaire and with practical suggestions (youth clinical support tools). In condition 3, the feedback of condition 2 is discussed with colleagues on the basis of a standardized format for case consultation. The primary outcome is symptom severity and secondary outcomes are quality of life, satisfaction with treatment, number of sessions, length of treatment and dropout. We will also examine the role of being not on track (not responding to treatment).
- Main changes (audit trail)
- RECORD4-nov-2013 - 19-nov-2013


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