Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06617663
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-05-27
Brief Title:
Online Therapy Youth Equivalent to Treatment As Usual
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Online Therapy Youth Equivalent to Treatment As Usual
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
With growing waiting lists in specialized youth mental health care sGGZ and shortages of care staff finding creative solutions to respond to this scarcity issue is important Online treatment is an example of this which especially for young people growing up in a digital age can be an appropriate and accessible alternative to treatment at a physical location Online treatment via video calling among youth while researched and proven effective in a blended form has not yet been sufficiently researched as a complete replacement for treatment at a physical location As a result the potential added value of online treatment for the pressing scarcity issue in healthcare is not yet sufficiently clear
This study therefore focuses on investigating the effectiveness of fully online treatment using two proven effective interventions Eye Movement Desensitization and Reprocessing EMDR and Acceptance and Commitment Therapy ACT within the youth sGGZ With the results of this research at GGZ-NHN the investigators want to contribute to the development of guidelines and standards for the implementation of online treatments within Dutch youth mental health care
This study therefore focuses on investigating the effectiveness of fully online treatment using two proven effective interventions Eye Movement Desensitization and Reprocessing EMDR and Acceptance and Commitment Therapy ACT within the youth sGGZ With the results of this research at GGZ-NHN the investigators want to contribute to the development of guidelines and standards for the implementation of online treatments within Dutch youth mental health care
Detailed Description:
In recent years there has been tension between young peoples need for specialty mental health care sGGZ and the lack of sufficient available resources and staff As a result waiting lists have increased To increase the accessibility and efficiency of care online treatment through video calling is a promising method Online treatment can help reduce waiting lists as there are no limitations in terms of physical space and geographical proximity to clients and health care professionals and it allows mental health professionals to work more efficiently and reach more young people as they have no travel time and can plan flexibly from any location An additional advantage of online treatment is its low threshold Young people with mental health problems often face stigma and shame for physically going to a mental health facility Online treatment via video call can remove this barrier and allow young people to access the care they need from their familiar surroundings
It is plausible that fully online treatment with youth is at least as effective as treatment in a physical location regardless of cultural origin gender or social environment because youth are familiar with digital communication the technical application has now been sufficiently developed and blended treatment has been assessed as effective in research However it has not yet been sufficiently scientifically studied whether fully online treatment via video calling in youth is actually a worthy alternative to physical treatment in reducing mental health problems among youth
This research project of GGZ Noord-Holland-Noord GGZ-NHN on which Drs E te Brake will receive her doctorate therefore focuses on the effectiveness of fully online treatment within the youth sGGZ compared to regular treatment at a physical location This study explicitly includes a role for experts by experience who from the perspective of clients and relatives contribute to the design and execution of the study and the implementation of the results into treatment practice
The proposed research includes a Randomized Controlled Trial RCT specifically focused on two common therapies with adolescents in the sGGZ Acceptance and Commitment Therapy ACT and Eye Movement Desensitization and Reprocessing EMDR Cognitive behavior therapy CBT could be an obvious choice because of its extensive knowledge and experience as well as available scientific evidence But the investigators prefer the more generalist ACT because CBT uses a separate protocol for each target group As a third-generation form of therapy ACT is a suitable intervention because its universal protocol is applicable to a broad target group Moreover ACT has been shown to be not inferior to cognitive behavioral therapy in terms of effectiveness The methodology shows significant improvements in depressive symptoms quality of life and perception of competence
Treatment will be protocolized according to the guidelines prescribed by the manual for this purpose The protocol used is specifically intended for the target group aged 15-25 However it is known that adolescents between 12 and 15 can also benefit well from ACT Age-appropriate adjustments in language use will be applied here In addition EMDR will be investigated for trauma-specific symptoms as digital tools are available with EMDR that allow for a good comparison with EMDR in a physical location
Because an RCT generates reliable and generalizable information and the investigators examine two commonly used interventions in the mental health system the study fits well with policymakers effectiveness-evidence criteria If it turns out that fully online treatment is a worthy alternative to treatment at a physical location then this lays a foundation for online work It thus contributes to the low threshold accessibility and affordability of youth mental health care
It is plausible that fully online treatment with youth is at least as effective as treatment in a physical location regardless of cultural origin gender or social environment because youth are familiar with digital communication the technical application has now been sufficiently developed and blended treatment has been assessed as effective in research However it has not yet been sufficiently scientifically studied whether fully online treatment via video calling in youth is actually a worthy alternative to physical treatment in reducing mental health problems among youth
This research project of GGZ Noord-Holland-Noord GGZ-NHN on which Drs E te Brake will receive her doctorate therefore focuses on the effectiveness of fully online treatment within the youth sGGZ compared to regular treatment at a physical location This study explicitly includes a role for experts by experience who from the perspective of clients and relatives contribute to the design and execution of the study and the implementation of the results into treatment practice
The proposed research includes a Randomized Controlled Trial RCT specifically focused on two common therapies with adolescents in the sGGZ Acceptance and Commitment Therapy ACT and Eye Movement Desensitization and Reprocessing EMDR Cognitive behavior therapy CBT could be an obvious choice because of its extensive knowledge and experience as well as available scientific evidence But the investigators prefer the more generalist ACT because CBT uses a separate protocol for each target group As a third-generation form of therapy ACT is a suitable intervention because its universal protocol is applicable to a broad target group Moreover ACT has been shown to be not inferior to cognitive behavioral therapy in terms of effectiveness The methodology shows significant improvements in depressive symptoms quality of life and perception of competence
Treatment will be protocolized according to the guidelines prescribed by the manual for this purpose The protocol used is specifically intended for the target group aged 15-25 However it is known that adolescents between 12 and 15 can also benefit well from ACT Age-appropriate adjustments in language use will be applied here In addition EMDR will be investigated for trauma-specific symptoms as digital tools are available with EMDR that allow for a good comparison with EMDR in a physical location
Because an RCT generates reliable and generalizable information and the investigators examine two commonly used interventions in the mental health system the study fits well with policymakers effectiveness-evidence criteria If it turns out that fully online treatment is a worthy alternative to treatment at a physical location then this lays a foundation for online work It thus contributes to the low threshold accessibility and affordability of youth mental health care
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None