Patient Generated Goals in Mental Health: Better Outcomes?

NCT ID: NCT03527914

Last Updated: 2023-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-15

Study Completion Date

2022-05-15

Brief Summary

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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.

Detailed Description

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Conditions

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Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment as Usual

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

Group Type ACTIVE_COMPARATOR

Treatment as Usual

Intervention Type OTHER

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

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.

Group Type EXPERIMENTAL

Goal Based Outcomes

Intervention Type 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.

Interventions

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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.

Intervention Type OTHER

Treatment as Usual

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

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

4 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Children's Hospital of Eastern Ontario

OTHER

Sponsor Role lead

Responsible Party

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Kathleen Pajer

Chief of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kathleen Pajer, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Eastern Ontario

Locations

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Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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8374

Identifier Type: -

Identifier Source: org_study_id

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