Effectiveness study of the "Practitioner Training in Child and Adolescent Psychiatry" program for rural primary care providers

Efficacy Trial of the "Practitioner Training in Child and Adolescent Psychiatry": An Educational Intervention to Enhance Paediatric Mental Health Practice and Outcomes in Rural Primary Care

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN65931294

Enrollment

300

Registered

2016-10-12

Start date

2014-12-01

Completion date

Unknown

Last updated

2016-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Child and youth mental health Mental and Behavioural Disorders 1. Attention Deficit with Hyperactivity Disorder (ADHD) 2. Behavioral disorders 3. Anxiety 4. Depression, 5. Suicidality

Interventions

Sites, stratified by regional location, are randomly assigned to the intervention or control arm of the study. Intervention and control sites are then matched based on sample size. Intervention arm:

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Inclusion criteria for primary care providers: 1. Practicing as a Primary Care Practitioners (PCPs) i.e. a family medicine resident; family physician, nurse practitioner, paediatrician 2. Emplyed at a family practice site (i.e. a family health team, community health center, private practice 3. Located in a rural region (population under 100,000, where 0 to 30% of the population commutes to work in a large urban center; Pong & Pitblado, 2005) of Southwestern Ontario Inclusion criteria for families: 1. Parent of at least one child/youth aged 6 to 18 years 2. The parent was attending a medical visit at a participating site with a participating or non-participating practitioner, with or without the target child/youth

Exclusion criteria

Exclusion criteria: There are no exclusion criteria for PCPs or families

Design outcomes

Primary

Measure	Time frame
Practitioners: Skill enhancement as assessed using: 1. A confidence scale developed by Garcia-Ortega et al at baseline (one week pre-intervention) and one week post-intervention 2. The Physician Confidence Scale at baseline and one week post-intervention 3. The Provider Confidence Scale at baseline and one week post-intervention 4. Standardized Patient Interviews coded using the Roter Interactional Analysis Scale (RIAS) at baseline, one week post-intervention and one month post-intervention 5. Standardized Patient Interviews coded using the trained-skills checklist at baseline and one week post-intervention and one month post-intervention 6. Case-scenarios one week post-intervention Children/youth and their parents: Mental health functioning as measured by the Strengths and Difficulties Questionnaire (SDQ) and the General Health Questionnaire (GHQ) at baseline and 4 months.	—

Measure

Time frame

Practitioners: Skill enhancement as assessed using: 1. A confidence scale developed by Garcia-Ortega et al at baseline (one week pre-intervention) and one week post-intervention 2. The Physician Confidence Scale at baseline and one week post-intervention 3. The Provider Confidence Scale at baseline and one week post-intervention 4. Standardized Patient Interviews coded using the Roter Interactional Analysis Scale (RIAS) at baseline, one week post-intervention and one month post-intervention 5. Standardized Patient Interviews coded using the trained-skills checklist at baseline and one week post-intervention and one month post-intervention 6. Case-scenarios one week post-intervention Children/youth and their parents: Mental health functioning as measured by the Strengths and Difficulties Questionnaire (SDQ) and the General Health Questionnaire (GHQ) at baseline and 4 months.

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Secondary

Measure	Time frame
Practitioners: 1. Knowledge is measured using a 45-item knowledge questionnaire designed for this study at baseline and one week post-intervention 2. Attitudes to mental health care provision are measured using the Physician Belief Scale at baseline and one week post-intervention 3. Ease of access to or consult with specialists is measured using the Ease of Consultation Scale at baseline and one week post-intervention 4. Comfort with referrals is measured using the Referral Comfort Scale (RCS) and the Identification of child mental health problems at baseline and one week post-intervention Children/youth and their parents: 1. Satisfaction with the visit as rated by youth at baseline and at 4 months 2. Practitioner discussion of mental health topics as rated by parents at baseline and 4 months	—

Measure

Time frame

Practitioners: 1. Knowledge is measured using a 45-item knowledge questionnaire designed for this study at baseline and one week post-intervention 2. Attitudes to mental health care provision are measured using the Physician Belief Scale at baseline and one week post-intervention 3. Ease of access to or consult with specialists is measured using the Ease of Consultation Scale at baseline and one week post-intervention 4. Comfort with referrals is measured using the Referral Comfort Scale (RCS) and the Identification of child mental health problems at baseline and one week post-intervention Children/youth and their parents: 1. Satisfaction with the visit as rated by youth at baseline and at 4 months 2. Practitioner discussion of mental health topics as rated by parents at baseline and 4 months

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Countries

Canada

Contacts

Public ContactSandra Gotovac

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026