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OpenTrials
Completed

NCT Number: NCT03527914

Patient Generated Goals in Mental Health: Better Outcomes?

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.

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Key information

Conditions

Mental Health Behavior Behavioral Symptoms Chemically-Induced Disorders Depression Mental Disorders Personal Satisfaction Personality Disorders Psychological Well-Being Psychotic Disorders Schizophrenia Spectrum and Other Psychotic Disorders Substance-Related Disorders

Age range

4 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's Hospital of Eastern Ontario

Ottawa, Ontario, K1H 8L1, Canada

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

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.

Treatment as Usual

Other

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

Primary outcomes

  1. Patient/Family Satisfaction

    Time frame: Administered at study completion (up to 52 weeks)

    Measured using the Experience of Service Questionnaire

  2. Change in Symptoms

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

    Measured using the Strengths and Difficulties Questionnaire (SDQ)

  3. Change in Function

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

    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

Sponsors and collaborators

Lead sponsor

Children's Hospital of Eastern Ontario

Other

Registry information

Important dates

Study start
2018
Primary completion
2022
Study completion
2022
First posted
May 17, 2018
Registry last updated
Mar 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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