Patient Generated Goals in Mental Health: Better Outcomes?

NCT03527914 | Completed

• 1 other identifier: 8374
• Study Type: interventional
• Target: 152
• Locations: 1 country
• Sites: 1

Brief Summary

Researchers believe that clinical care can be improved by engaging patients and families directly in planning the care process. Engagement efforts have included asking patients/families to provide information about whether they are getting better. But what does "getting better" mean? The merits of surveys, questionnaires, or rating scales have been widely discussed. Should they be disorder-specific or global? What should the investigators do if patients have difficulty reading or understanding these instruments? Investigators in the United Kingdom have proposed a simple solution: ask the patients and families what their primary goal treatment goal is and track progress together on that goal (Goal-Based Outcomes or GBO). Although there has been some work to suggest that this is helpful, it has never been tested in a controlled way. This study will do a randomized controlled trial to test whether GBO improves clinical care in child and youth mental health. Although the study will use this in child and youth mental health care, if it is successful, it can be tested and applied in any care setting with any type of medical problem. This could change practice at the Children's Hospital of Eastern Ontario (CHEO) and throughout Canada.

Conditions

Mental Health

Keywords

Depression; Psychosis; Personality Disorder; Substance Abuse

Outcome Measures

Primary Outcomes (3)

• Patient/Family Satisfaction

  Measured using the Experience of Service Questionnaire

  Administered at study completion (up to 52 weeks)

• Change in Symptoms

  Measured using the Strengths and Difficulties Questionnaire (SDQ)

  Administered at the first appointment and at study completion (up to 52 weeks)

• Change in Function

  Measured using the Child Global Assessment of Functioning Scale. The total score (on a scale of 0-100) will be used, with a higher score indicating better function

  Administered at the first appointment and at study completion (up to 52 weeks)

Study Arms (2)

Treatment as Usual

ACTIVE COMPARATOR

Patients will receive their standard care at the Outpatient Mental Health Service

Other: Treatment as Usual

Goal Based Outcomes

EXPERIMENTAL

Up to three goals can be tracked during treatment, although patients often decide to just focus on one. Progress on the goal is then quantitatively rated by the patient, with the provider, at every appointment. Adjustments in the care are then made in an iterative process to ensure that the goal will be met.

Other: Goal Based Outcomes

Interventions

Goal Based Outcomes OTHER

Up to three goals can be tracked during treatment, although patients often decide to just focus on one. Progress on the goal is then quantitatively rated by the patient, with the provider, at every appointment. Adjustments in the care are then made in an iterative process to ensure that the goal will be met.

Goal Based Outcomes

Treatment as Usual OTHER

Patients will receive their standard care at the Outpatient Mental Health Service

Treatment as Usual

Eligibility Criteria

• Age: 4 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Children and youth
• Attending outpatient mental health services at CHEO

You may not qualify if:

• Child and youth attending group therapy at CHEO Outpatient Mental Health Services

Sponsors & Collaborators

• Children's Hospital of Eastern Ontario: lead

Study Sites (1)

Children's Hospital of Eastern Ontario

Ottawa, Ontario, K1H 8L1, Canada

Location

MeSH Terms

Conditions

Psychological Well-Being; Depression; Psychotic Disorders; Personality Disorders; Substance-Related Disorders

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Behavioral Symptoms; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Chemically-Induced Disorders

Study Officials

• Kathleen Pajer, MD

  Children's Hospital of Eastern Ontario

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief of Psychiatry

Study Record Dates

• First Submitted: February 18, 2018
• First Posted: May 17, 2018
• Study Start: November 15, 2018
• Primary Completion: May 15, 2022
• Study Completion: May 15, 2022
• Last Updated: March 10, 2023

Record last verified: 2023-03

Locations

CA (1)