Trial Outcomes & Findings for The DECIDE Parent-Provider Intervention (NCT NCT04445155)
NCT ID: NCT04445155
Last Updated: 2024-03-28
Results Overview
Change in Parent Needs \& Resources Domain of CANS is measured using three items from the Parent Needs \& Resources Domain of the Child and Adolescent Needs and Strengths (CANS), Involvement with Care, Knowledge, and Organization. Each item is scored 0, 1, 2, or 3. A domain score is created by calculating the sum of the items. The domain score ranges from 0 to 9 with higher scores meaning more need/less strength and is calculated at baseline and immediately post-intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -9 to 9 with positive values indicating in increase in need/decrease in strength.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
89 participants
Primary outcome timeframe
baseline and immediately post intervention (T2), up to 4 weeks
Results posted on
2024-03-28
Participant Flow
Participant milestones
| Measure |
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
68
|
5
|
16
|
0
|
|
Overall Study
COMPLETED
|
33
|
3
|
13
|
0
|
|
Overall Study
NOT COMPLETED
|
35
|
2
|
3
|
0
|
Reasons for withdrawal
| Measure |
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Overall Study
Lost to Follow-up
|
11
|
2
|
3
|
0
|
|
Overall Study
Withdrawal by Subject
|
8
|
0
|
0
|
0
|
|
Overall Study
Unable to recruit parent participants so unable to begin study as initially designed
|
12
|
0
|
0
|
0
|
|
Overall Study
Only completed a portion of the final outcome measures (T2)
|
4
|
0
|
0
|
0
|
Baseline Characteristics
For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
Baseline characteristics by cohort
| Measure |
Modified DECIDE-Provider Arm
n=53 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Parent Arm
n=5 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
n=16 Participants
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
Total
n=74 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=51 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
0 Participants
n=3 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
—
|
—
|
0 Participants
n=54 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
|
Age, Categorical
Between 18 and 65 years
|
50 Participants
n=51 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
3 Participants
n=3 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
—
|
—
|
53 Participants
n=54 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
|
Age, Categorical
>=65 years
|
1 Participants
n=51 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
0 Participants
n=3 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
—
|
—
|
1 Participants
n=54 Participants • For Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
|
Age, Continuous
|
33 years
n=51 Participants • For the Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
47 years
n=3 Participants • For the Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
—
|
—
|
34 years
n=54 Participants • For the Provider Arm, two participants did not report their age. For Parent Arm, two participants did not report their age. Age was not collected for the Provider Subgroup Arm.
|
|
Sex: Female, Male
Female
|
48 Participants
n=51 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
4 Participants
n=5 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
—
|
—
|
52 Participants
n=56 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
|
Sex: Female, Male
Male
|
3 Participants
n=51 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
1 Participants
n=5 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
—
|
—
|
4 Participants
n=56 Participants • For the Provider Arm, 2 participants did not report sex. Sex was not collected for the Provider Subgroup Arm.
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
2 Participants
n=53 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
—
|
—
|
2 Participants
n=58 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
49 Participants
n=53 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
5 Participants
n=5 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
—
|
—
|
54 Participants
n=58 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=53 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
—
|
—
|
2 Participants
n=58 Participants • Ethnicity was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
0 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
1 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
0 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
Black or African American
|
7 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
1 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
8 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
White
|
39 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
4 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
43 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
2 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
4 Participants
n=53 Participants • Race was not collected for the Provider Subgroup Arm.
|
0 Participants
n=5 Participants • Race was not collected for the Provider Subgroup Arm.
|
—
|
—
|
4 Participants
n=58 Participants • Race was not collected for the Provider Subgroup Arm.
|
|
Region of Enrollment
United States
|
53 participants
n=53 Participants
|
5 participants
n=5 Participants
|
16 participants
n=16 Participants
|
—
|
74 participants
n=74 Participants
|
|
Parent Needs & Resources Domain of CANS - Provider Arm Only
|
3.5 units on a scale
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was not collected in the other study arms.
|
—
|
—
|
—
|
3.5 units on a scale
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was not collected in the other study arms.
|
|
Parent Activation Measure Mental Health (P-PAM-MH) - Parent Arm Only
|
—
|
43.1 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
—
|
—
|
43.1 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
|
Parent Participation Engagement Measure (PPEM) - Provider and Parent Arm Only
|
3.1 units on a scale
STANDARD_DEVIATION 0.9 • n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Parent Arm.
|
2.6 units on a scale
STANDARD_DEVIATION 1.7 • n=5 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Parent Arm.
|
—
|
—
|
3.1 units on a scale
STANDARD_DEVIATION 1.0 • n=57 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Parent Arm.
|
|
Familiarity with Perspective Taking - Provider Arm and Provider Subgroup Arm Only
1 = Not at all
|
6 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
5 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
11 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Perspective Taking - Provider Arm and Provider Subgroup Arm Only
2 = A little bit
|
22 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
5 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
27 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Perspective Taking - Provider Arm and Provider Subgroup Arm Only
3 = A lot
|
24 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
6 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
30 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Attribution Errors - Provider Arm and Provider Subgroup Arm Only
1 = Not at all
|
17 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
6 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
23 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Attribution Errors - Provider Arm and Provider Subgroup Arm Only
2= A little
|
25 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
8 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
33 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Attribution Errors - Provider Arm and Provider Subgroup Arm Only
3 = A lot
|
10 Participants
n=52 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
2 Participants
n=16 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
12 Participants
n=68 Participants • In the Provider Arm, one participant did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Receptivity - Provider Arm and Provider Subgroup Arm Only
1 = Not at all
|
9 Participants
n=51 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
4 Participants
n=16 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
13 Participants
n=67 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Receptivity - Provider Arm and Provider Subgroup Arm Only
2 = A little
|
28 Participants
n=51 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
5 Participants
n=16 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
33 Participants
n=67 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Familiarity with Receptivity - Provider Arm and Provider Subgroup Arm Only
3 = A lot
|
14 Participants
n=51 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
7 Participants
n=16 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
—
|
21 Participants
n=67 Participants • In the Provider Arm, two participants did not complete this scale at baseline. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
|
|
Communication Scale of the Kim Alliance Scale Refined (KAS-R) - Parent Arm Only
|
—
|
13 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
—
|
—
|
13 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
|
Perceived Efficacy in Parent-Physician Interactions (PEPPI)-Short Form - Parent Arm Only
|
—
|
30 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
—
|
—
|
30 units on a scale
n=5 Participants • This scale was only collected in the Parent Arm.
|
|
Perception of Care Quality Survey - Parent Arm Only
|
—
|
7 units on a scale
n=5 Participants • This item was only collected in the Parent Arm.
|
—
|
—
|
7 units on a scale
n=5 Participants • This item was only collected in the Parent Arm.
|
PRIMARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Provider Arm, 34 participants completed both baseline and immediately post-intervention timepoints. This scale was not collected in the other study arms.
Change in Parent Needs \& Resources Domain of CANS is measured using three items from the Parent Needs \& Resources Domain of the Child and Adolescent Needs and Strengths (CANS), Involvement with Care, Knowledge, and Organization. Each item is scored 0, 1, 2, or 3. A domain score is created by calculating the sum of the items. The domain score ranges from 0 to 9 with higher scores meaning more need/less strength and is calculated at baseline and immediately post-intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -9 to 9 with positive values indicating in increase in need/decrease in strength.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
n=34 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Parent Needs & Resources Domain of CANS - Provider Arm Only
|
—
|
0 units on a scale
Interval -2.0 to 0.0
|
—
|
—
|
PRIMARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Parent Arm, 4 participants completed both baseline and immediately post-intervention timepoints. This scale was not collected in the other study arms.
Change in Parent Activation Measure Mental Health is measured using a 13-item scale. Items are scored using a 4-point Likert-type scale (1 = disagree strongly to 4 = agree strongly). Raw item scores are summed and scaled from 0-100. Higher scores indicate greater activation and is calculated at baseline and immediately post-intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -100 to 100 with positive values indicating an increase in activation.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
n=4 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Parent Activation Measure Mental Health (P-PAM-MH) - Parent Arm Only
|
15.7 units on a scale
Interval 4.9 to 25.5
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Provider Arm, 34 participants completed both baseline and immediately post-intervention timepoints. In the Parent Arm, 4 participants completed both baseline and immediately post-intervention timepoints. This scale was not collected in the other study arms.
Change in Parent Participation Engagement Measure is measured using a 5-item scale that measures the frequency with which the parent engaged during clinical encounter or parent-provider interaction. Behaviors assessed include asking questions, making suggestions or sharing one's opinion or point of view, and participating in therapeutic activities. Response options are on a 5-point scale ranging from 1 = "not at all" to 5 = "very much". A mean score is calculated using all 5 items and has a range of 1 to 5. Higher scores indicate greater frequency of parent engagement and is calculated at baseline and immediately post intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -4 to 4 with positive values indicating an increase in activation.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
n=4 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
n=34 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Parent Participation Engagement Measure (PPEM) - Provider and Parent Arm Only
|
0.5 units on a scale
Standard Deviation 0.8
|
0.4 units on a scale
Standard Deviation 0.9
|
—
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Provider Arm, 35 participants completed both baseline and immediately post-intervention timepoints. In the Provider Subgroup Arm, 13 completed both baseline and immediately post-intervention timepoints. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
Change in familiarity with perspective taking is measured using a single item that measures familiarity with concept of perspective taking. The response options are 0=Not at all, 1=A little bit, and 2=A lot. A higher score means more familiarity with the concept of perspective taking and is calculated at baseline and post intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -2 to 2 with positive values indicating an increase in familiarity with the concept of perspective taking.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
n=35 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
n=13 Participants
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Familiarity With Perspective Taking - Provider Arm and Provider Subgroup Arm Only
|
—
|
0 units on a scale
Interval 0.0 to 1.0
|
1 units on a scale
Interval 0.0 to 1.0
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Provider Arm, 35 participants completed both baseline and immediately post-intervention timepoints. In the Provider Subgroup Arm, 13 completed both baseline and immediately post-intervention timepoints. This scale was was only collected in the Provider Arm and Provider Subgroup Arm.
Change in familiarity with attribution errors is measured using a single item that measures familiarity with concept of attribution errors. The response options are 1=Not at all, 2=A little bit, and 3=A lot. A higher score means more familiarity with the concept of attribution errors and is calculated at baseline and post intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -2 to 2 with positive values indicating an increase in familiarity with the concept of attribution errors.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
n=35 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
n=13 Participants
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Familiarity With Attribution Errors - Provider Arm and Provider Subgroup Arm Only
|
—
|
1 units on a scale
Interval 0.0 to 1.0
|
1 units on a scale
Interval 1.0 to 1.0
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Provider Arm, 34 participants completed both baseline and immediately post-intervention timepoints. In the Provider Subgroup Arm, 13 completed both baseline and immediately post-intervention timepoints. This scale was only collected in the Provider Arm and Provider Subgroup Arm.
Change in familiarity with receptivity is measured using a single item that measures familiarity with concept of receptivity. The response options are 1=Not at all, 2=A little bit, and 3=A lot. A higher score means more familiarity with the concept of receptivity and is calculated at baseline and post intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -2 to 2 with positive values indicating an increase in familiarity with the concept of receptivity.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
n=35 Participants
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
n=13 Participants
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Familiarity With Receptivity - Provider Arm and Provider Subgroup Arm Only
|
—
|
0 units on a scale
Interval 0.0 to 1.0
|
0 units on a scale
Interval 0.0 to 1.0
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Parent Arm, 3 participants completed both baseline and immediately post-intervention timepoints. This scale was not collected in the other study arms.
Change in the Communication scale of the Kim Alliance Scale Refined is measured using a 4-item scale that measures perception of parent-provider communication. Response categories include 1 = never to 4 = always. Items are summed with higher scores indicating higher quality of communication and is calculated at baseline and post intervention (range 4 to 16). Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -12 to 12 with positive values indicating an increase in quality of communication.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
n=3 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Communication Scale of the Kim Alliance Scale Refined (KAS-R): Post-intervention - Parent Arm Only
|
0 units on a scale
Interval 0.0 to 1.0
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Parent Arm, 3 participants completed both baseline and immediately post-intervention timepoints. This scale was only collected in the Parent Arm.
Change in Perceived Efficacy in Parent-Physician Interactions is measured using a 10-item scale that measures patient's confidence in ability to elicit and understand information from and communicate information to providers. Response categories are 1 = low to 10 = high. A total score is obtained by summing all individual scores with higher scores indicating greater perceived confidence in ability to elicit and understand information from and communicate information to providers (range = 10 to 100). Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -90 to 90 with positive values indicating an increase confidence in ability to elicit and understand information from and communicate information to providers.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
n=3 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Perceived Efficacy in Parent-Physician Interactions (PEPPI)-Short Form: Post-intervention - Parent Arm Only
|
14 units on a scale
Interval 8.0 to 15.0
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: baseline and immediately post intervention (T2), up to 4 weeksPopulation: In the Parent Arm, 3 participants completed both baseline and immediately post-intervention timepoints. This item was only collected in the Parent Arm.
Change in Perception of Care Quality is measured using a single item that measures overall rating of parent's perception of care quality. Reponses are 1 to 10 where 1=Worst possible care to 10=Best possible care. Higher scores indicate perceptions of higher quality of care. Item was collected at baseline and immediately post intervention. Change from baseline equals the score immediately post-intervention minus the score at baseline. Changes can range from -9 to 9 with positive values indicating an increase in rating of perception of higher quality of care.
Outcome measures
| Measure |
Modified DECIDE-Parent Arm
n=3 Participants
Up to three parent training sessions designed to help patients effectively ask questions and participate in decisions about care.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Modified DECIDE-Provider Arm
2-4 hour workshop for providers to improve perspective-taking, reduce attributional errors, and increase receptivity to parent participation.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Provider Subgroup Study
To boost provider recruitment, we sought recommendations from a subgroup of providers. We gave each provider access to the DECIDE online training and the pre- and post-survey.
Modified DECIDE Parent and Provider Intervention: The parent component will include up to three 60 minutes sessions. Session 1 (Decisions and Agency) is designed to increase awareness of their role in clinical interactions and encourage participation and decision making in care. Session 2 (the Who, How, and Why of Decisions) teach skills for understanding treatment decisions in terms of roles, processes, and reasons involved. Session 3 (Self-efficacy and Consolidation) encourages parents to ask questions about their adolescents' behavioral health and health care and treatment options. The provider component is designed to improve provider communication in three key areas: 1) perspective taking to understand circumstances and perceptions; 2) attributional errors or attributing negative parent behaviors to character traits; and 3) receptivity to parent participation and collaboration.
|
Treatment as Usual
Control arm: Usual Care
|
|---|---|---|---|---|
|
Change in Perception of Care Quality Survey: Post-intervention - Parent Only
|
0 units on a scale
Interval 0.0 to 3.0
|
—
|
—
|
—
|
Adverse Events
Modified DECIDE-Provider Arm
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Modified DECIDE-Parent Arm
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Provider Subgroup Study
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Treatment as Usual
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place