Using a Digital Application for Adolescents in Dropout of Care in Mental Health : Facilitate the Return in Classic Care With Telepsychiatry, Tchats, Forums and a Home Medical Team.
NCT ID: NCT06088576
Last Updated: 2024-03-05
Study Results
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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RECRUITING
NA
50 participants
INTERVENTIONAL
2022-06-30
2025-06-30
Brief Summary
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Detailed Description
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This Together digital application includes a space for news, chat, peer-to-peer forum and video consultation. We propose an action-research protocol because this project was born of questions related to the terrain raising the problem of the difficulty of access to the care of adolescents in the territory of Pole 93I03.
Action research is aimed at adolescents aged 11 to 18, whose medical, paramedical and school partners have observed mental suffering (ill-being, inappropriate behaviour, dropping out of school) but who are not or no longer enrolled in mental care. It aims to use a digital application backed by a mobile team to improve access to the mental health care system for adolescents.
The research issue would be formalized in these terms: would the Together mental health application, combined with a mobile team, allow access to a path of care for the adolescent?
HYPOTHESIS We hypothesize that adolescents will accept the digital tool, using it regularly and that this will ultimately facilitate access to mental care.
OBJECTIVES The main objective of this study is to assess the acceptance of the digital tool by the young person. Acceptance here depends on the regular use of the Together app by the teenager. The secondary objectives are to assess the percentage of adolescents starting face-to-face management within sector structures; the percentage of adolescents observing a better-be, to observe the quality of the support via the dual device digital application/mobile team.
METHOD The action-research takes place over a year, with a panel of 50 teenagers. After a pre-inclusion interview by the partners to talk about the research-action device to the teenager, he is offered an inclusion interview informing him of the research, the consent and the use of the digital application. Different evaluations are then spent at different times of action research to evaluate the main objective and secondary objectives.
Conditions
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Study Design
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NA
SINGLE_GROUP
OTHER
NONE
Study Groups
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test group
Following the inclusion interview, adolescents has access to the Together application.
During the duration of the support, he will have access to the news, chat and forum.
Teenager have 8 working days to appropriate the application. For 1 month, the chat can be used without any other means of communication. A chat is limited to 20-30 minutes, after that, a teleconsultation can be offer. At the end of the 1 month, teleconsultations or a home visit are possible (30 to 45 minutes). They are done between 1 to 4 sessions in the month. Following the orientation, the psychologists take over the visio for the next 2 months, up to 2 to 4 interviews per month. Teleconsultation appointments are made on the calendar of the application by the professional after obtaining advice from teenagers.
At the beginning of the 5th month of care, the professionals set up a mixed distance/presential care with the youth. They propose home visits, individual or group interviews on site.
Together
Tchat : limited to 20-30 minutes per day. With a member of the team Together. For teleconsultations : First teleconsultation, during the first month (1 to 4 sessions/month), are made by nurse and/or educator. After that, it is psychologists who do the teleconsultations (2 to 4 sessions/month). It's during 30 to 45 minutes.
Home visits, individual or group interviews on site are possible after 4 month.
Interventions
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Together
Tchat : limited to 20-30 minutes per day. With a member of the team Together. For teleconsultations : First teleconsultation, during the first month (1 to 4 sessions/month), are made by nurse and/or educator. After that, it is psychologists who do the teleconsultations (2 to 4 sessions/month). It's during 30 to 45 minutes.
Home visits, individual or group interviews on site are possible after 4 month.
Eligibility Criteria
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Inclusion Criteria
* Observation of mental suffering (ill-being, inappropriate behaviour, dropping out of school) following a medical, psychological or educational interview in the school, medical, paramedical, personal setting by a practitioner trained for this type of observation.
* Have access to the Internet via smartphone and have a sufficient mastery of the tool (spoken and read French).
* First-time arrivals on the sector who does not want management or dropout of care.
* Not to be or no longer to be followed therapeutically by a psychologist or psychiatrist in the liberal or inter-sector.
* Informed consent of the patient.
Exclusion Criteria
* Heavy deficiency.
* Infant psychosis with strong relationship problems. .
* Withdrawal of care without degradation of the psychic state. .
* Is not in the pole 93I03 ( EPS Ville-Evrard).
11 Years
18 Years
ALL
No
Sponsors
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Dominique JANUEL
OTHER
Responsible Party
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Dominique JANUEL
Head of clinical research unit
Locations
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Etablissement Public de Santé de Ville-Evrard
Neuilly-sur-Marne, , France
Countries
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Central Contacts
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Facility Contacts
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Role: backup
Other Identifiers
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2022-A00722-41
Identifier Type: -
Identifier Source: org_study_id
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