Patient Generated Goals in Mental Health: Better Outcomes?

Mental Health Clinical Trial

Official title:

Patient Generated Goals in Mental Health: Better Outcomes?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03527914
• Other study ID #: 8374
• Status: Completed
• Phase: N/A
• Start date: November 15, 2018
• Est. completion date: May 15, 2022

Study information

• Verified date: March 2023
• Source: Children's Hospital of Eastern Ontario
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 152
• Est. completion date: May 15, 2022
• Est. primary completion date: May 15, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 4 Years to 18 Years

Eligibility

Inclusion Criteria:

• Children and youth

• Attending outpatient mental health services at CHEO

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Mental Health

Intervention

Other:
• Goal Based Outcomes
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.
• Treatment as Usual
Patients will receive their standard care at the Outpatient Mental Health Service

Locations

Country	Name	City	State
Canada	Children's Hospital of Eastern Ontario	Ottawa	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital of Eastern Ontario

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient/Family Satisfaction	Measured using the Experience of Service Questionnaire	Administered at study completion (up to 52 weeks)
Primary	Change in Symptoms	Measured using the Strengths and Difficulties Questionnaire (SDQ)	Administered at the first appointment and at study completion (up to 52 weeks)
Primary	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)