Children of Mentally Ill Parents-Network - CHIMPS-NET

NCT ID: NCT04369625

Last Updated: 2022-11-14

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

858 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2023-12-31

Brief Summary

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In order to identify psychological stress in children and adolescents of mentally ill parents as early as possible, four special intervention programs (CHIMPS-therapy, CHIMPS-Prevention-single, CHIMPS-MFT-group, iCHIMPS) have been developed. These four intervention programs are based on the initial medical situation, indication and need of the families. Thereby, an individually tailored counseling service will be provided. With this current project, the four counseling approaches will be tested at 19 study sites in 12 federal states in Germany. Moreover, the interventions long-term efficacy will be evaluated.

Detailed Description

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The central objectives of the study at hand are the implementation, evaluation and transfer of three evidence-based innovative forms of care (CHIMPS-Therapy, CHIMPS-MFT-Group, CHIMPS-Prevention-Single) for children and adolescents (aged 3 to 18 years) with mentally ill parents at the 19 participating study cites in 12 federal states of Germany. In addition, iCHIMPS, an online intervention based on the CHIMPS concept for the whole family, will be developed.

The four innovative forms of care include diagnostic, prevention and - if needed - therapy in order to treat psychological symptoms of children and adolescents as early as possible. Thereby, chronification will be prevented and the cycle of transgenerational transmissions of psychiatric disorders will be broken. Each of the four interventions will be evaluated in a separate prospective, randomized-controlled trial (RCT); overall, four randomized-controlled trials will be performed. Each of the four control groups receives treatment as usual (TAU). Each of the four studies will include two groups: one intervention group (IG) and one control group (KG), i.e. CHIMPS-T vs. KG (TAU), CHIMPS-MFT-group vs. KG (TAU), CHIMPs-P vs. KG (TAU), iCHIMPS vs. KG (TAU). Central psychosocial outcomes will be assessed at four time points (t1, t2, t3, t4) at baseline as well as after six, 12 and 18 months. Due to a longer development period, iCHIMPS will have three times of measurement over a period of nine months (baseline, post-intervention after 2 months as well as six-months-followup) within the project term. Outcomes will be assessed from the perspectives of the mentally ill parent, the partner (if available), every child and adolescent (0 - 9 years only external assessment; from 10 years of age additional self-assessment) and the professionals. A special characteristic of the study at hand is the comprehensive accompanying evaluation of medical biometry, health economics and qualitative evaluation.

In addition, various sub-projects for systematic implementation will be conducted:

optimization of pathway to care, knowledge and skills of professionals, development of a screening instrument and external quality assurance. In order to evaluate the effect of these three implementation strategies, an implementation study with a cluster-randomized trial was designed. Nineteen clinical centers are taking part in the implementation study. Nine of the nineteen clinical centers will receive the support of one of the three implementation strategies, the other ten clinical centers make up the control group and do not get a specific implementation support. The allocation is randomized. With three questionnaires in the investigator's implementation study we want to identify factors hindering or promoting implementation processes.

Conditions

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Mental Health Issue

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Each of the four interventions will be evaluated in a separate prospective, randomized-controlled trial (RCT); overall, four randomized-controlled trials will be performed. Each of the four control groups receive treatment as usual (TAU). Each of the four studies will include two groups: one intervention group (IG) and one control group (TAU), i.e. CHIMPS-T vs. KG (TAU), CHIMPS-MFT-group vs. KG (TAU), CHIMPs-P vs. KG (TAU), iCHIMPS vs. KG (TAU).
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Investigators
Assessors are blind regarding the randomization (group affiliation) of the families.

Study Groups

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CHIMPS-T

(Children of mentally ill parents) is a family-oriented lowfrequency brief therapy for diagnosis and treatment of mental disorders in children and adolescents. CHIMPS-T is based on a theory model, needs analyses and the pioneering studies of Williams Beardslee. The CHIMPS approach was tested, evaluated and manualized in an initial project (2007-2011).

Group Type EXPERIMENTAL

CHIMPS-T

Intervention Type BEHAVIORAL

CHIMPS-T (Children of mentally ill parents) is a family-oriented lowfrequency brief therapy for diagnosis and treatment of mental disorders in children and adolescents.

CHIMPS-P

CHIMPS-P is a family-oriented prevention for children and adolescents without signs of mental disorders in the initial screening. These families will receive the 3 family sessions from the modular CHIMPS intervention. The sessions will be carried out by a social worker (based on the Finnish model "Let's talk about children (Solantaus), but in a family setting "Let's talk WITH children").

Group Type EXPERIMENTAL

CHIMPS-P

Intervention Type BEHAVIORAL

CHIMPS-P is a family-oriented prevention for children and adolescents without signs of mental disorders in the initial screening. These families will receive the 3 family sessions from the modular CHIMPS intervention.

The CHIMPS-MFT-group

The CHIMPS-MFT-group is a prevention with a multi-family setting based on the CHIMPS approach. The multi-family intervention comprises 8 sessions for children and adolescents without psychiatric disorders and their families: preliminary talk, one additional session with the family (if needed), multifamily group with three to six other families, concluding session.

Group Type EXPERIMENTAL

CHIMPS-MFT-group

Intervention Type BEHAVIORAL

The CHIMPS-MFT-group is a prevention with a multi-family setting based on the CHIMPS approach. The multi-family intervention comprises 8 sessions for children and adolescents without psychiatric disorders and their families.

iCHIMPS

iCHIMPS is an online intervention. In terms of content, iCHIMPS is based on the CHIMPS program as well as on other evidence-based interventions of the study group. iCHIMPS will also be comprised of one module for children and adolescents as well as one module for parents; moreover; modules for the family system will be included. Overall, 8 consecutive online modules as well as elective modules will be included. These modules (e.g., dealing with difficult situations, emotion regulation, taboos and shame, self-worth) will be provided based on the specific constellation of children and adolescents of mentally ill parents. iCHIMPS will be completed by 2 booster session within a six months follow-up.

Group Type EXPERIMENTAL

iCHIMPS

Intervention Type BEHAVIORAL

iCHIMPS is an online intervention. In terms of content, iCHIMPS is based on the CHIMPS program as well as on other evidence-based interventions of the study group. iCHIMPS will also be comprised of one module for children and adolescents as well as one module for parents; moreover; modules for the family system will be included.

Treatment as usual

The treatment as usual implies that families of the control group receive the treatment that is customary in regular care. Thus, these families normally don't receive any post-treatment. If, however, a member of a control group family appears to have an urgent need for treatment (every family receives a comprehensive diagnostic investigation at the beginning of the study), the respective family will be placed in the ambulatory care system.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CHIMPS-T

CHIMPS-T (Children of mentally ill parents) is a family-oriented lowfrequency brief therapy for diagnosis and treatment of mental disorders in children and adolescents.

Intervention Type BEHAVIORAL

CHIMPS-P

CHIMPS-P is a family-oriented prevention for children and adolescents without signs of mental disorders in the initial screening. These families will receive the 3 family sessions from the modular CHIMPS intervention.

Intervention Type BEHAVIORAL

CHIMPS-MFT-group

The CHIMPS-MFT-group is a prevention with a multi-family setting based on the CHIMPS approach. The multi-family intervention comprises 8 sessions for children and adolescents without psychiatric disorders and their families.

Intervention Type BEHAVIORAL

iCHIMPS

iCHIMPS is an online intervention. In terms of content, iCHIMPS is based on the CHIMPS program as well as on other evidence-based interventions of the study group. iCHIMPS will also be comprised of one module for children and adolescents as well as one module for parents; moreover; modules for the family system will be included.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Familiy with at least one psychiatrically ill parent (all F-diagnoses in ICD-10) and at least one child between the age of 3 and 18 years.
2. Consent to participate in the study.
3. Sufficient knowledge of the German language of parents and children.
4. Consent to data processing of the insurance companies, if insured with one of the participating insurance companies.
5. Consent to participation in special care (in case of interventions).

Exclusion Criteria

Severe psychiatric disorders and impairments of parents or children with acute symptoms such as suicidal tendencies, severe depression, addictions, acute psychotic symptoms etc., which will not be sufficiently supplied by these new lowfrequency interventions.
Minimum Eligible Age

3 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitätsklinikum Hamburg-Eppendorf

OTHER

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

University Medical Center Rostock

OTHER

Sponsor Role collaborator

Immanuel Klinik Rüdersdorf

UNKNOWN

Sponsor Role collaborator

Evangelisches Klinikum Bethel

UNKNOWN

Sponsor Role collaborator

Universitätsklinikum Köln

OTHER

Sponsor Role collaborator

University of Göttingen

OTHER

Sponsor Role collaborator

Ruhr University of Bochum

OTHER

Sponsor Role collaborator

University Hospital Tuebingen

OTHER

Sponsor Role collaborator

University Hospital Freiburg

OTHER

Sponsor Role collaborator

Josefinum Augsburg

UNKNOWN

Sponsor Role collaborator

University Hospital Augsburg

OTHER

Sponsor Role collaborator

Klinikum der Universität München

UNKNOWN

Sponsor Role collaborator

University Hospital, Saarland

OTHER

Sponsor Role collaborator

University of Magdeburg

OTHER

Sponsor Role collaborator

Helios Kliniken Schwerin

OTHER

Sponsor Role collaborator

Universitätsklinikum Marburg

UNKNOWN

Sponsor Role collaborator

Universitätsklinikum Koblenz - Landau

UNKNOWN

Sponsor Role collaborator

Pfalzklinikum

UNKNOWN

Sponsor Role collaborator

HELIOS Hospital, Erfurt, Germany

OTHER

Sponsor Role collaborator

Bezirkskrankenhaus Günzburg

UNKNOWN

Sponsor Role collaborator

DAK Gesundheit

OTHER

Sponsor Role collaborator

Techniker Krankenkasse

OTHER

Sponsor Role collaborator

BARMER

OTHER

Sponsor Role collaborator

BKK Mobil Oil

INDUSTRY

Sponsor Role collaborator

KKH Kaufmännische Krankenkasse

UNKNOWN

Sponsor Role collaborator

IKK Classic Krankenkasse

UNKNOWN

Sponsor Role collaborator

AOK Hessen

INDUSTRY

Sponsor Role collaborator

University of Ulm

OTHER

Sponsor Role collaborator

University Hospital Heidelberg

OTHER

Sponsor Role collaborator

aQua-Institut

UNKNOWN

Sponsor Role collaborator

Leibniz Universität, Center for Health Economics Research Hannover

UNKNOWN

Sponsor Role collaborator

AFET Bundesverband für Erziehungshilfe e.V.

UNKNOWN

Sponsor Role collaborator

Dachverband Gemeindepsychiatrie

UNKNOWN

Sponsor Role collaborator

AOK Baden-Württemberg

INDUSTRY

Sponsor Role collaborator

LWL Klinik Gütersloh

UNKNOWN

Sponsor Role collaborator

Staedtisches Klinikum Karlsruhe

OTHER

Sponsor Role collaborator

Silke Wiegand-Grefe, Prof. Dr.

OTHER

Sponsor Role lead

Responsible Party

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Silke Wiegand-Grefe, Prof. Dr.

Prof. Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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University Medical Center Universitätsklinikum Hamburg-Eppendorf, Klinik für Kinder- und Jugendmedizin

Hamburg, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Silke Wiegand-Grefe, Prof. Dr.

Role: CONTACT

. 0049-40-7410-53603

Anna Leidger, M. Sc.

Role: CONTACT

+49 40 7410 52633

Facility Contacts

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Silke Wiegand-Grefe, Prof. Dr.

Role: primary

0049-40-7410-53603

References

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Laser C, Pawils S, Daubmann A, Zapf A, Wiegand-Grefe S. Different perspectives in psychiatry: how family-oriented are professionals in Germany? BMC Psychiatry. 2024 Feb 20;24(1):142. doi: 10.1186/s12888-024-05562-0.

Reference Type DERIVED
PMID: 38378503 (View on PubMed)

Laser C, Modarressi A, Skogoy BE, Reupert A, Daubmann A, Holler A, Zapf A, Pawils S, Taubner S, Winter S, Maybery D, Wiegand-Grefe S. Clinical Implementation and Evaluation of Three Implementation Interventions for a Family-Oriented Care for Children of Mentally Ill Parents (ci-chimps): Study Protocol for a Randomized Controlled Multicenter Trial. Front Psychiatry. 2022 Feb 28;13:823186. doi: 10.3389/fpsyt.2022.823186. eCollection 2022.

Reference Type DERIVED
PMID: 35295776 (View on PubMed)

Other Identifiers

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U1111-1244-6111

Identifier Type: -

Identifier Source: org_study_id

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