None listed
Conditions
Brief summary
Context Psychosocial problems such as depression, anxiety and substance abuse are common and burdensome in young people, particularly those with long-term physical conditions such asthma and diabetes. ‘Screening’ for such problems is currently only undertaken routinely using an unvalidated, time-consuming HEEADSSS interview with Year 9 students in decile 1-3 schools and opportunistically in paediatric settings. YouthCHAT (Youth version, Case-finding and Help Assessment Tool) is a relatively new, locally-developed, ipad-based composite screener for identifying similar psychosocial issues to HEEADSSS. Based individually validated screening instruments, it is self-administered within minutes. Preliminary testing has revealed its acceptability to young people, but further research is required to expand its modules to cover all HEEADSSS domains, to evaluate its acceptability for young people with and without long-term physical conditions, and compare its effectiveness against HEEADSSS. Objectives 1. Ascertain acceptability and utility of YouthCHAT for children with long-term physical illness and high school students 2. Validate three additional YouthCHAT domains against comparable HEEADSSS domains 3. Compare the performance of YouthCHAT and HEEADSSS in the high school setting Methods Additional YouthCHAT domains will be co-designed with young people at Tamaki College at the end of 2016. YouthCHAT will then be administered to 30 young people at Starship Hospital, and 150 students at Tamaki College, either before or after HEEADSSS (randomised trial with counter-balanced design) during the 2017 school year. Potential clinical benefits YouthCHAT could be an exciting, innovative, efficient means of routine screening for common psychosocial health issues in young people with and without long-term physical conditions.
Interventions
We will use a 2 stage, mixed methods participatory action research approach to development and validation of a YouthCHAT (an electronic case finding tool) mapped to all HEEADSSS (face to face psychosocial assessment) domains, and assessment of acceptability of its use at the Starship and Tamaki College settings in Auckland, New Zealand.. YouthCHAT stands for Youth version Case Finding and Help Assessment Tool. Designed in Auckland, New Zealand. It is a self-report screening tool that covers 1
We will use a 2 stage, mixed methods participatory action research approach to development and validation of a YouthCHAT (an electronic case finding tool) mapped to all HEEADSSS (face to face psychosocial assessment) domains, and assessment of acceptability of its use at the Starship and Tamaki College settings in Auckland, New Zealand.. YouthCHAT stands for Youth version Case Finding and Help Assessment Tool. Designed in Auckland, New Zealand. It is a self-report screening tool that covers 10 domains: smoking, drinking, recreational drug use, problematic gambling, depression, anxiety, sexual health, exposure to abuse, anger management, physical activity and takes between 5-10 minutes to complete. Positive screens lead to branching logic linking users to validated assessment tools. HEEADSSS assessment (Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide/Depression, Safety) is a clinician-administered interview-based assessment of youth that can identify mental health and substance use problems. Currently, all Year nine (Yr 9) students in decile 1-3 schools, and some attendees at primary care and paediatric services in NZ are screened for wellbeing via HEEADSSS. While HEEADSSS offers a straightforward, holistic, and gradual approach to assessing young people across many domains, it is a face-to-face assessment, not a screening tool. Drawbacks include its lack of validation cost of resourcing and time required for administration (up to 45 minutes). Stage 1 The acceptability and utility of YouthCHAT will be evaluated at two settings: with 30 young people aged 13 to 18 years with long-term conditions attending outpatients at Starship Hospital, and 48 Year 9 students attending Tamaki College in 2017 (a sub-set of the 150 students who will participate in the RCT below). A separate focus group will be undrtaken with Maori young people to ascertain and culturally-specific preferences, issues or concerns. Feedback from consenting young people undertaking YouthCHAT will be sought as well as from attending paediatricians and specialist nurses at Starship and from school nurses at Tamaki College. Stage 2 A randomised controlled trial of YouthCHAT with HEEADSSS with be conducted with 150 participants at Tamaki College using a counterbalanced design in which one group receives YouthCHAT and then HEEADSSS assessment (Condition 1), and the other HEEADSSS and then YouthCHAT (Condition 2) on the same day.
Sponsors
University of Auckland
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Diagnosis
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
13 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
30 young people aged 13 to 18 years with long-term physical conditions attending outpatients at Starship Hospital in Auckland New Zealand, and 150 Year 9 students (aged 13 years) of varying ethnicity, attending Tamaki College in Auckland, New Zealand will be included.
Exclusion criteria
Inability to consent or lack of parental assent for young people's participation will lead to them being excluded from the study. Lack of long-term physical condition (lasting 3 or more months) will be an additional exclusion criterion for participants at Starship Hospital.
Outcome results
None listed