Outcomes in Youth Visiting the ED With Mental Health Issues: a Pilot Text Based Intervention
|ClinicalTrials.gov Identifier: NCT02744326|
Recruitment Status : Unknown
Verified April 2016 by Children's Hospitals and Clinics of Minnesota.
Recruitment status was: Not yet recruiting
First Posted : April 20, 2016
Last Update Posted : April 20, 2016
The investigators will conduct a prospective study and a randomized controlled trial (RCT) involving children and adolescents presenting with a primary mental health (MH) concern to the emergency departments (EDs) of Children's Hospitals and Clinics of Minnesota (CH). The investigators will characterize the primary MH concerns of 800 patients and assess their baseline access to and utilization of external resources. All enrolled patients will be followed 3-months after their initial visit to determine ED revisits and identify factors associated with connection to outpatient care. The RCT portion of the study will involve 200 patients discharged from the ED with a referral to an outpatient MH provider, and will test a novel text-message communication method by which parents/caregivers can be encouraged to complete follow-up care for their child. The experimental group will receive tailored text message reminders regarding follow-up appointments.
Relevance: Pediatric ED visits for MH issues are increasing, but the current system of managing these patients is not optimal. More information is needed to accelerate change and to efficiently invest in improving services available to MH patients. Specifically, information is needed on which MH populations need to be targeted, and on simple, reproducible interventions which improve connection with community resources. The proposed study will collect vital information needed to develop programs that improve outcomes and reduce ED revisits in pediatric patients visiting the EDs at CH with primary MH concerns, and will set the stage for future work focused on improving core and outcomes for MH youth.
|Condition or disease||Intervention/treatment||Phase|
|Mental Health Disorder Mental and Behavioral Disorder Self-inflicted Injury||Behavioral: Text message reminders||Not Applicable|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||800 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Improving Outcomes for Youth Visiting the Emergency Department With Mental Health Issues|
|Study Start Date :||April 2016|
|Estimated Primary Completion Date :||April 2017|
|Estimated Study Completion Date :||April 2017|
Experimental: Text message reminder group
A subset of patients discharged from the ED with an outpatient referral will be randomized to receive text message reminders to attend or schedule a follow-up outpatient referral.
Behavioral: Text message reminders
Patients assigned to the intervention group will receive a series of 7 to 10 text message reminders to schedule or attend their follow-up appointment.
No Intervention: Usual Care group
A subset of patients discharged from the ED with an outpatient referral will be randomized to receive the usual standard of care.
- Outpatient care post Emergency Department Visit [ Time Frame: 3 months ]Did the patient attend follow-up outpatient care visit(s) after visiting the ED
- Emergency Department return visit [ Time Frame: 3 months ]Did the patient return to the Emergency Department for a mental health related reason, in the 3 months following the initial visit.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02744326
|Contact: Gretchen Cutler, PhD||Gretchen.firstname.lastname@example.org|
|Contact: Kristin Frenn, MPHemail@example.com|
|Principal Investigator:||Gretchen Cutler, PhD||Children's Hospitals and Clinics of Minnesota|