Leaving Care - a Comparison Study of Implementation, Change Mechanisms, and Effects of Transition Services for Youth Leaving Out-of-home Care

Health Behavior Clinical Trial

Official title:

Leaving Care - a Comparison Study of Implementation, Change Mechanisms, and Effects of Transition Services for Youth Leaving Out-of-home Care

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05813197
• Other study ID #: 2021-01352
• Status: Recruiting
• Phase: N/A
• Start date: October 2, 2022
• Est. completion date: December 31, 2025

Study information

• Verified date: April 2023
• Source: Jonkoping University
• Contact: Tina M Olsson, PhD
• Phone: 0046709420371
• Email: tina.olsson[@]ju.se
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this project is to increase understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes.

Description:

The purpose of this project is to increase the empirical understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes. In a pilot project, the investigators developed an intervention in collaboration with municipal social workers, section heads and organizational developers. In another pilot project, the investigators studied whether the content of empirically tested interventions in the USA can be generalized to a Swedish context. These two projects have resulted in a Swedish intervention: My choice - my way! Previous research shows that young people who are placed in social care are a particularly vulnerable group. Swedish social places little attention to what happens to prepare young people for leaving care. There are currently no interventions in Sweden that have empirical support of their effectiveness for this group. The aim of the project is to develop practical and empirical understanding of how interventions for young people placed in societal care in Sweden can be developed and implemented. The project takes place in close collaboration with municipalities and other youth serving organizations. Short-term, long-term and implementation effects are investigated by comparing My choice - my way! with usual services. The comparisons will shed light on practice components and change mechanisms related to outcomes and thus important to take into account in the future development of interventions. The outcomes will shed light on a range of self-reported outcomes, as well as register-based outcomes such as education, employment and crime. The analyses also include health economic outcomes. In addition, the attitudes of social workers and youth and organizational implementation initiatives will be investigated.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 160
• Est. completion date: December 31, 2025
• Est. primary completion date: October 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

• Living in out-of-home care
• 15 years or older

Exclusion Criteria:

• none

Related Conditions & MeSH terms

• Health Behavior
• Help-Seeking Behavior
• Mental Health Wellness 1
• Satisfaction
• Self Efficacy

Intervention

Behavioral:
• My Choice - My Way!
Support intervention for adolescents (15+) in out-of-home care (foster care, group home care, supported living, institutional care, etc). 16-19 sessions with a MCMW coach, 4-8 months, weekly to bi-weekly sessions.
• Usual services
Usual services

Locations

Country	Name	City	State
Sweden	Jönköping University	Jönköping

Sponsors (3)

Lead Sponsor	Collaborator
Jonkoping University	Göteborg University, Lund University

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Client Satisfaction Questionnaire (CSQ-8, T2)	General satisfaction with services	8 months
Primary	Needs Satisfaction and Frustration Scale (NSFS)	Autonomy, relatedness, competence	8 months
Primary	General Self-Efficacy Scale (GSE-10)	Self-efficacy	8 months
Primary	Resilience Scale (RS-14)	Resilience	8 months
Primary	Needs Satisfaction and Frustration Scale (NSFS)	Autonomy, relatedness, competence	17 months
Primary	General Self-Efficacy Scale (GSE-10)	Self-efficacy	17 months
Primary	Resilience Scale (RS-14)	Resilience	17 months
Secondary	General Health Questionnaire (GHQ-12)	Measure of psychological distress	8 months
Secondary	General Help-Seeking Questionnaire (GHSQ)	Intentions, quantity, and quality of help seeking	8 months
Secondary	Social Support Questionnaire (SSQ-6)	Social Support	8 months
Secondary	Daily Routines (DR-18)	Daily Routine	8 months
Secondary	General Health Questionnaire (GHQ-12)	Measure of psychological distress	17 months
Secondary	General Help-Seeking Questionnaire (GHSQ)	Intentions, quantity, and quality of help seeking	17 months
Secondary	Social Support Questionnaire (SSQ-6)	Social Support	17 months
Secondary	Daily Routines (DR-18)	Daily Routine	17 months