Emotional Regulation, Emotional Stress, Mental Health Issue
Conditions
Keywords
CARE LEAVERS, LOOKED AFTER CHILDREN, PSYCHOLOGICAL INTERVENTION, WORKSHOP PROGRAMME, ADAPTATION, COGNITIVE BEHAVIOUR THERAPY, ACCEPTANCE AND COMMITMENT THERAPY
Brief summary
The NHS DISCOVER team has secured 2-year funding from the Maudsley Charity to tailor the workshop programme the investigators deliver in school Sixth Forms to meet the specific needs of Care Experienced young people. The investigators are planning to complete a pilot of this adapted workshop programme within Medway Children's Social Services to explore its feasibility, accessibility, acceptability and early-stage efficacy within this population of adolescents. Investigators from the DISCOVER team will recruit young people aged 16-19yrs who are currently known to the Medway Care Leavers 16+ teams. The study will be conducted at Medway Local Authority sites, with the option of some stages being completed remotely via Microsoft Teams if needed in the context of the ongoing COVID-19 pandemic.
Interventions
OTHERDISCOVER workshop programme
See arm description. The manualised group workshop day is informed by Cognitive Behaviour Therapy and Acceptance & Commitment Therapy principles.
Sponsors
Medway Children's Services
South London and Maudsley NHS Foundation Trust
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Case series
Eligibility
Sex/Gender
ALL
Age
16 Years to 19 Years
Healthy volunteers
Yes
Inclusion criteria
Participants who are eligible to take part in this DISCOVER research project will be: * Young people aged 16-19 years who have experience of being in Care and are currently under one of the Medway Children's Social Care, Care Leavers 16+ teams. This means that they are either currently a Looked After young person or a Care Leaver (i.e. they are no longer Looked After but they remain under the care of a Medway Care Leavers team). * Able to work within a group setting over the course of a day workshop. * Able to communicate and read in English.
Exclusion criteria
The investigators will not be able to recruit young people to the project if they are: * Acutely psychotic or actively suicidal. * Currently taking part in other research project(s). * Under the influence of alcohol or any other substances during DISCOVER programme meetings - this is essential as a safety consideration for all participants and staff. Struggles with alcohol/substance use in themselves are not necessarily grounds for exclusion; the investigators will discuss with the allocated member of the young person's Care Leavers 16+ team on a case-by-case basis where relevant. * Unable to communicate and read in English - as the investigators are at an early stage in developing this DISCOVER workshop programme for Care Experienced young people, these young people must be excluded at this time. However, the investigators are eager to review this criterion in future to enhance the accessibility of the intervention, once the initial feasibility and acceptability of the workshop programme has been established.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant Uptake (Feasibility & Acceptability) | From outset of recruitment, through to final study completion: 7 months | Number of young people who come forward for and ultimately take part in the new DISCOVER workshop programme |
| Participant Retention (Feasibility & Acceptability) | From outset of recruitment, through to final study completion: 7 months | Number of young people who remain in the study throughout all stages of the programme |
| Participant Feedback About Experience of the Programme (Acceptability) | At the end of the workshop day and during closing follow-up one-to-one meeting with DISCOVER team: 2 months later | Anonymous workshop feedback survey Semi-structured interview to gather participants' qualitative feedback about the programme |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mood and Feelings Questionnaire (Angold et al., 1995) | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | Depression/low mood symptoms (self-report) - Scores range from 0-66 - higher score indicates higher level of depression symptoms |
| Warwick & Edinburgh Mental Well-Being Scale (Tennant et al., 2007) | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | Emotional well-being and resilience (self-report) - Scores range from 14-70 - higher score indicates greater positive mental wellbeing |
| The Screen for Child Anxiety Related Disorders (Birmaher et al, 1999) | CHANGE MEASURE: Pre- and post-workshop 1:1 meetings (Baseline - 2 months after workshop day) | Anxiety symptoms (self-report) - Scores range from 0-82 - higher score indicates higher level of anxiety |
| Child & Adolescent Mindfulness Measure (Greco et al., 2011) | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | Capacity for mindfulness (self-report) - Scores range from 0-40 - higher score indicates higher level of mindfulness (after reverse scoring) |
Countries
United Kingdom
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| DISCOVER Workshop Programme As this is a case series study, all participants will receive the intervention (i.e. no other arms to the study design).
The DISCOVER workshop programme includes: 1:1 mental health and emotional well-being assessment session with a Clinical Psychologist, a group workshop day, follow-up supportive phone calls and a closing follow-up 1:1 mental health and emotional well-being session with a Clinical Psychologist.
DISCOVER workshop programme: See arm description. The manualised group workshop day is informed by Cognitive Behaviour Therapy and Acceptance & Commitment Therapy principles. | 10 |
| Total | 10 |
Baseline characteristics
| Characteristic | DISCOVER Workshop Programme |
|---|---|
| Age, Categorical <=18 years | 6 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 4 Participants |
| Age, Continuous | 17.82 years STANDARD_DEVIATION 1.23 |
| Race/Ethnicity, Customized Ethnicity British Asian: Other | 1 Participants |
| Race/Ethnicity, Customized Ethnicity Other Mixed Background | 1 Participants |
| Race/Ethnicity, Customized Ethnicity White British | 8 Participants |
| Region of Enrollment United Kingdom | 10 participants |
| Sex: Female, Male Female | 8 Participants |
| Sex: Female, Male Male | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 10 |
| other Total, other adverse events | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 |
Outcome results
Primary
Participant Feedback About Experience of the Programme (Acceptability)
Anonymous workshop feedback survey Semi-structured interview to gather participants' qualitative feedback about the programme
Time frame: At the end of the workshop day and during closing follow-up one-to-one meeting with DISCOVER team: 2 months later
Population: Young people who attended were asked to provide anonymised feedback at the end of their DISCOVER workshop day. Their qualitative feedback response were gathered during the final 1:1 DISCOVER meeting at the end of the programme.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| DISCOVER Workshop Programme | Participant Feedback About Experience of the Programme (Acceptability) | No. young people who rated the quality of the DISCOVER service on the workshop day as excellent/good | 7 Participants |
| DISCOVER Workshop Programme | Participant Feedback About Experience of the Programme (Acceptability) | No. young people who reported that they were satisfied with the DISCOVER service on the workshop day | 7 Participants |
| DISCOVER Workshop Programme | Participant Feedback About Experience of the Programme (Acceptability) | No. young people who reported that they felt that they got the help they wanted on the workshop day. | 7 Participants |
| DISCOVER Workshop Programme | Participant Feedback About Experience of the Programme (Acceptability) | No. young people who rated that 'all' or 'most' of their needs had been met on the workshop day. | 7 Participants |
| DISCOVER Workshop Programme | Participant Feedback About Experience of the Programme (Acceptability) | No. young people reported that they would recommend the workshop to a friend. | 7 Participants |
Primary
Participant Retention (Feasibility & Acceptability)
Number of young people who remain in the study throughout all stages of the programme
Time frame: From outset of recruitment, through to final study completion: 7 months
Population: Seven 16-19yr old Care Experienced young people completed the full workshop programme.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| DISCOVER Workshop Programme | Participant Retention (Feasibility & Acceptability) | 7 Participants |
Primary
Participant Uptake (Feasibility & Acceptability)
Number of young people who come forward for and ultimately take part in the new DISCOVER workshop programme
Time frame: From outset of recruitment, through to final study completion: 7 months
Population: 10 Care Experienced young peopled aged 16-19yrs consented to take part in the DISCOVER GtLYW study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| DISCOVER Workshop Programme | Participant Uptake (Feasibility & Acceptability) | 10 Participants |
Secondary
Child & Adolescent Mindfulness Measure (Greco et al., 2011)
Capacity for mindfulness (self-report) - Scores range from 0-40 - higher score indicates higher level of mindfulness (after reverse scoring)
Time frame: CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day)
Population: As per description for previous outcomes.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| DISCOVER Workshop Programme | Child & Adolescent Mindfulness Measure (Greco et al., 2011) | Pre-intervention | 15.43 score on a scale | Standard Deviation 3.69 |
| DISCOVER Workshop Programme | Child & Adolescent Mindfulness Measure (Greco et al., 2011) | Post-intervention | 23.57 score on a scale | Standard Deviation 6 |
Secondary
Mood and Feelings Questionnaire (Angold et al., 1995)
Depression/low mood symptoms (self-report) - Scores range from 0-66 - higher score indicates higher level of depression symptoms
Time frame: CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day)
Population: As per description for previous outcomes (the same 7 young people who completed the full DISCOVER GtLYW programme).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| DISCOVER Workshop Programme | Mood and Feelings Questionnaire (Angold et al., 1995) | Pre-intervention | 25.57 score on a scale | Standard Deviation 9.36 |
| DISCOVER Workshop Programme | Mood and Feelings Questionnaire (Angold et al., 1995) | Post-intervention | 18.43 score on a scale | Standard Deviation 9.68 |
Secondary
The Screen for Child Anxiety Related Disorders (Birmaher et al, 1999)
Anxiety symptoms (self-report) - Scores range from 0-82 - higher score indicates higher level of anxiety
Time frame: CHANGE MEASURE: Pre- and post-workshop 1:1 meetings (Baseline - 2 months after workshop day)
Population: As per description for previous outcomes.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| DISCOVER Workshop Programme | The Screen for Child Anxiety Related Disorders (Birmaher et al, 1999) | Pre-intervention | 47.71 score on a scale | Standard Deviation 10.05 |
| DISCOVER Workshop Programme | The Screen for Child Anxiety Related Disorders (Birmaher et al, 1999) | Post-intervention | 30.86 score on a scale | Standard Deviation 15.6 |
Secondary
Warwick & Edinburgh Mental Well-Being Scale (Tennant et al., 2007)
Emotional well-being and resilience (self-report) - Scores range from 14-70 - higher score indicates greater positive mental wellbeing
Time frame: CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day)
Population: As per description for previous outcomes.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| DISCOVER Workshop Programme | Warwick & Edinburgh Mental Well-Being Scale (Tennant et al., 2007) | Pre-intervention | 41.86 score on a scale | Standard Deviation 8.53 |
| DISCOVER Workshop Programme | Warwick & Edinburgh Mental Well-Being Scale (Tennant et al., 2007) | Post-intervention | 42.56 score on a scale | Standard Deviation 6.47 |