Developing Text-based Support for Parents of Adolescents After an Emergency Department Visit

University of Michigan240 enrolled

Overview

The researchers seek to develop a text message intervention for caregivers of adolescents at elevated suicide risk following discharge from emergency department (ED) care.

Participants in the trial included 120 youth-parent dyads (120 youths and 120 parents). As the ultimate focus of the intervention is on improving youth outcomes, participant-related descriptives are provided for youth participants, except where noted specifically to be parent-related data.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

240

Conditions

Suicide

Interventions

A-F texting componentBEHAVIORAL

Over the course of the 6-week intervention parents in the A-F condition will receive 1 message each day.

P-F texting componentBEHAVIORAL

Over the course of the 6 week intervention, parents will receive between 1-2 messages, depending on randomization (in addition to A-F component messages)

Eligibility

Sex: ALLMin age: 13 Years

Medical Language ↔ Plain English

Parent eligibility: Inclusion Criteria: * Parent of eligible teen Exclusion Criteria: * Not owning a cell phone with text messaging capability. Teen eligibility: Inclusion Criteria: * Recent suicidal ideation (within last 2 weeks) and/or suicide attempt within the last month. Exclusion Criteria: * Youth with severe cognitive impairment or altered mental status (e.g., psychosis, manic state) * Youth with severe aggression/agitation * No availability of a legal guardian

Locations (1)

The University of Michigan

Ann Arbor, Michigan, United States

Outcomes

Primary Outcomes

Percentage of Eligible Youth-Parent Dyads Who Agree to Participate in the Study,

Data represent participant dyads who were eligible and approached about study participation, and who agreed to take part in the study.

Time frame: At the time of youth Emergency Department visit

Participant Dyads Who Completed Follow-up Assessments

Data was used to determine retention rate among the participant dyads. We report on follow up completion for both adolescent and caregiver members of the dyad.

Time frame: Up to 12 weeks

Percentage of Participants Randomized to the Intervention Who Remained Active (Texting Arms Only)

Results represent parent participants who did not request stopping the intervention (i.e., did not request to stop receiving messages).

Time frame: Up to 6 weeks

Participating Parents' Satisfaction With the Intervention (Texting Arms Only)

Measured using the Modified Client Satisfaction Questionnaire (CSQ), which was a 2-question survey. Each question had a range of 1-4. Adult participants were asked to rate both their overall satisfaction (1 meaning not satisfied to 4 meaning highly satisfied), and the likelihood that they would recommend their particular assigned intervention to a friend (1 meaning highly unlikely to 4 meaning highly likely).

Time frame: Up to 6 weeks

Number of and Reasons for Active Withdrawals

Parent participant request to withdraw from the study. Study intention was to collect the number of and reasons for withdrawals, but the sole withdrawal did not provide a reason.

Time frame: Up to 12 weeks

Data from ClinicalTrials.gov

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