DAWBA as a Rapid Online Assessment Tool

NCT03120338 | Completed DMC

• 1 other identifier: 17/NS/0002
• Study Type: interventional
• Target: 71
• Locations: 1 country
• Sites: 1

Brief Summary

The European Union is funding this randomised trial in Scotland as part of the larger eCAP project (http://www.interreg-npa.eu/projects/funded-projects/project/139/). The need for psychiatric services for children and adolescents is usually greater than the services available. As well as this, in many cases, there is confusion as to which service the child or young person should be referred to. The way children and young people arrive at Child and Adolescent Mental Health Services (CAMHS) may therefore be relatively inefficient and families could suffer as a result of this inefficiency. The use of a computerised structured questionnaire such as the Development and Well-being Assessment (DAWBA) offers the opportunity for these difficulties to be addressed, for the avoidance of 'inappropriate referrals' and for more rational use of resources. It is usually administered online through a secure internet portal. At the end of the data collection, a computerised summary is generated from the data given by all the informants and a child/adolescent psychiatrist lists the likely diagnosis or diagnoses in a summary of the case and gives his view about the next steps. This is then made available to the referrer. This community-based study aims to establish whether using the DAWBA in this way helps children and young people with mental health problems. The main objectives are to improve their mental health, reduce waiting times, change referral practice, increase satisfaction in services and improve cost effectiveness. The principal outcome measure will be parent-rated Strengths and Difficulties Questionnaire (SDQ) score 6 months after randomisation. Secondary outcome measures will include teacher and child-rated SDQ at 6 months and waiting times to services. The investigators will also record service use data and family out -of -pocket costs. A random sample of young people, family and referrers will be interviewed to explore satisfaction with service.

Conditions

Mental Health Services

Keywords

Child and Adolescent; Randomised Controlled Trial; Paediatrics; DAWBA; eHealth Services

Outcome Measures

Primary Outcomes (1)

• Parent-rated Strengths and Difficulties Questionnaire

  The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire about 3-16 year olds. It exists in several versions to meet the needs of researchers, clinicians and educationalists.

  Six months post randomisation

Secondary Outcomes (4)

• Child and teacher rated SDQ

  Six months post randomisation

• Waiting times

  Six months post randomisation

• Service use costs

  Six month post randomisation

• Onward referral

  Six month post randomisation

Study Arms (2)

The Development and Wellbeing Assessment

EXPERIMENTAL

The Development and Wellbeing Assessment (DAWBA: http://www.dawba.com/) is a computerised structured instrument for gathering diagnostic data from parents or guardians, teachers and young people themselves. The DAWBA will be administered in addition to care as usual.

Diagnostic Test: The Development and Wellbeing Assessment

Care as Usual

NO INTERVENTION

Care as usual

Interventions

The Development and Wellbeing Assessment DIAGNOSTIC_TEST

The Development and Wellbeing Assessment (DAWBA: http://www.dawba.com/) is a computerised structured instrument for gathering diagnostic data from parents or guardians, teachers and young people themselves.

Also known as: DAWBA

The Development and Wellbeing Assessment

Eligibility Criteria

• Age: 2 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Participants will be children, young people between the ages of 2 and 17 inclusive and their families at the first point at which contact with CAMHS is being considered by a health professional.

Sponsors & Collaborators

• University of Aberdeen: lead
• NHS Highland: collaborator

Study Sites (1)

Centre for Rural Health

Inverness, Highland, IV2 3JH, United Kingdom

Location

Study Officials

• Phil Wilson

  Centre for Rural Health, University of Aberdeen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Single Blind
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 10, 2017
• First Posted: April 19, 2017
• Study Start: April 1, 2017
• Primary Completion: December 31, 2019
• Study Completion: August 31, 2020
• Last Updated: February 23, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will share

Locations

GB (1)