Health TrialsbyHealthPanel

Text-messaging Intervention to Support Parents After Their Child's Psychiatric Emergency

ConditionsParentsSelf EfficacyMental Health LiteracyPsychiatric Emergency
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVanderbilt University Medical Center

About this trial

This grant aims to develop and test a text-messaging intervention for parents of children and teens evaluated in the emergency department for a psychiatric emergency and discharged home with outpatient referrals. The intervention for parents will teach parents skills to navigate the mental health services system and build their self-efficacy in managing their child's mental health. This research has the potential to improve services for families seeking emergency psychiatric support, with the goal of facilitating treatment engagement and reducing emergency services utilization using scalable, cost-effective, accessible tools.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Parents or legal guardians of a child ages 11-17;

Parents or legal guardians must live with their child ≥50% of the time;

Child must be admitted to the pediatric emergency department for a mental health crisis;

Child must be discharged home from the emergency department with referrals to outpatient care.

Disqualifiers

Do not have daily access to a mobile phone that can receive SMS text messages;

Do not speak and read fluently in English.

Trial design

Design model

Parallel

Treatments tested in this trial

  • iPEACE: Intervention for Parent Education about Care after the ED

    Behavioral

    Automated texting intervention for parents to increase engagement in their child's outpatient mental health treatment over an 8-week period.

  • Text Messaging Reminders Only

    Behavioral

    Weekly automated text reminders to instruct parents to make an appointment with their child's outpatient mental health provider over an 8-week period.

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: iPEACE: Intervention for Parent Education About Care after the EDActive comparator 1 intervention
Group B: Text Reminders OnlyActive comparator 1 intervention
Group C: Treatment as UsualNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Child and Adolescent Services Assessment: Outpatient Mental Health Service Utilization

The Child and Adolescent Services Assessment will be used as a parent self-report measure that evaluates the total number of outpatient mental health appointments the participant's child attends during the follow-up period. The outcome will be a total count of the number of outpatient mental health appointments attended.

Time frame
24 weeks
2

Child and Adolescent Services Assessment: Emergency Department Services Use

The Child and Adolescent Services Assessment will be used as a parent self-report measure to evaluate the number of psychiatric emergency department visits the participant's child has during the follow-up period. The outcome variable will be a dichotomous variable based on whether the child was readmitted to the emergency department during the follow-up period (yes/no).

Time frame
24 weeks

Secondary outcomes

1

Suicidal Ideation Questionnaire - Jr.

Child suicidal thoughts will be assessed using the Suicidal Ideation Questionnaire-Jr. child self-report measure over follow up period. Scores range from 0-90, with higher scores reflecting higher suicidal ideation severity. The clinical cutoff score is 31.

Time frame
24 weeks
2

Self-Injurious Thoughts and Behaviors Interview - Revised

Child suicidal thoughts and behaviors will be assessed using an adapted version of the Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R); the study will use a child self-report version of the SITBI-R. The SITBI-R will provide outcome scores on the presence or absence of a suicide attempt during the follow up period and the presence or absence of passive and active suicidal ideation during the follow up period.

Time frame
24 weeks.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Vanderbilt University Medical Center

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Source ClinicalTrials.gov
Apply now