Effectiveness and working mechanisms of the InConnection approach in multi-problem families: study protocol of a mixed-methods study.
Effectiveness
InConnection approach
Mixed-method
Multi-problem youth
Quasi-experimental trial
Youth initiated mentoring
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
25 Jul 2020
25 Jul 2020
Historique:
received:
28
02
2020
accepted:
17
07
2020
entrez:
27
7
2020
pubmed:
28
7
2020
medline:
23
12
2020
Statut:
epublish
Résumé
Multi-problem families face problems in several domains that are often found to be chronic and intergenerational. Effective mental health care for youth from these families is currently lacking, urging research on new methods. The InConnection approach is an integrated care program to improve resilience in multi-problem families by connecting the professional expertise from multiple disciplines with the informal social network of the youth. Specifically, youth are asked to nominate a youth initiated mentor (YIM) from among the supportive adults in their network. The aim of this protocol is to describe the design of a mixed-methods study to examine the effectiveness and working mechanisms of the InConnection approach. The effectiveness of the InConnection approach is studied in a quasi-experimental questionnaire study using propensity score matching, with N = 300 families with youth aged 10-23 years receiving treatment in either the intervention group (InConnection approach) or the control group (care as usual). The main outcome variables include youth resilience (primary), youth mental health, parental functioning, and the number, duration and types of out-of-home placements. Mediators, moderators, and predictors of effectiveness are examined. Assessments take place at the start of the care program and after three, nine and 15 months. Additionally, semi-structured interviews are conducted with families who have and have not nominated a YIM to understand why some families successfully nominate a YIM, whereas others do not. Effective care for youth in multi-problem families is urgently needed. Given its flexibility and accessibility to suit all youth aged 10-23 years from multi-problem families, and its low costs compared to out-of-home placements, the InConnection approach seems an appealing approach to support these families. The current study will provide information on the effectiveness of the InConnection approach. Strengths of this study include its robust design, the ecological validity, and the inclusion of possible mediators, predictors, and moderators of treatment effects. Netherlands Trial Register NL7565 . Retrospectively registered on March 5, 2019.
Sections du résumé
BACKGROUND
BACKGROUND
Multi-problem families face problems in several domains that are often found to be chronic and intergenerational. Effective mental health care for youth from these families is currently lacking, urging research on new methods. The InConnection approach is an integrated care program to improve resilience in multi-problem families by connecting the professional expertise from multiple disciplines with the informal social network of the youth. Specifically, youth are asked to nominate a youth initiated mentor (YIM) from among the supportive adults in their network. The aim of this protocol is to describe the design of a mixed-methods study to examine the effectiveness and working mechanisms of the InConnection approach.
METHOD/DESIGN
METHODS
The effectiveness of the InConnection approach is studied in a quasi-experimental questionnaire study using propensity score matching, with N = 300 families with youth aged 10-23 years receiving treatment in either the intervention group (InConnection approach) or the control group (care as usual). The main outcome variables include youth resilience (primary), youth mental health, parental functioning, and the number, duration and types of out-of-home placements. Mediators, moderators, and predictors of effectiveness are examined. Assessments take place at the start of the care program and after three, nine and 15 months. Additionally, semi-structured interviews are conducted with families who have and have not nominated a YIM to understand why some families successfully nominate a YIM, whereas others do not.
DISCUSSION
CONCLUSIONS
Effective care for youth in multi-problem families is urgently needed. Given its flexibility and accessibility to suit all youth aged 10-23 years from multi-problem families, and its low costs compared to out-of-home placements, the InConnection approach seems an appealing approach to support these families. The current study will provide information on the effectiveness of the InConnection approach. Strengths of this study include its robust design, the ecological validity, and the inclusion of possible mediators, predictors, and moderators of treatment effects.
TRIAL REGISTRATION
BACKGROUND
Netherlands Trial Register NL7565 . Retrospectively registered on March 5, 2019.
Identifiants
pubmed: 32711528
doi: 10.1186/s12913-020-05553-3
pii: 10.1186/s12913-020-05553-3
pmc: PMC7382321
doi:
Types de publication
Controlled Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
692Subventions
Organisme : Four youth care organizations
ID : n.a.
Références
Diabet Med. 2013 Feb;30(2):e63-9
pubmed: 23072401
Can J Public Health. 2013 Feb 11;104(2):e131-5
pubmed: 23618205
Arch Gen Psychiatry. 2002 Oct;59(10):877-83
pubmed: 12365874
Assessment. 2008 Jun;15(2):224-41
pubmed: 18250180
J Pers Soc Psychol. 2002 Jul;83(1):231-44
pubmed: 12088128
Am J Community Psychol. 2011 Dec;48(3-4):284-95
pubmed: 21384233
JAMA Psychiatry. 2019 May 1;76(5):492-498
pubmed: 30725077
J Pers Soc Psychol. 1996 Jan;70(1):115-26
pubmed: 8558405
Am Psychol. 2000 Jan;55(1):68-78
pubmed: 11392867
J Nurs Scholarsh. 2001;33(3):253-8
pubmed: 11552552
J Clin Child Adolesc Psychol. 2014;43(3):381-96
pubmed: 23915290
Psychol Bull. 2002 Sep;128(5):746-73
pubmed: 12206193
Psychiatry. 1993 Feb;56(1):96-118
pubmed: 8488217
Fam Process. 2016 Mar;55(1):31-47
pubmed: 25754003
Behav Res Methods. 2009 Nov;41(4):1149-60
pubmed: 19897823
Am J Community Psychol. 2018 Sep;62(1-2):203-220
pubmed: 29691865
Am Psychol. 2017 Feb-Mar;72(2):79-117
pubmed: 28221063
Am J Community Psychol. 2013 Sep;52(1-2):155-69
pubmed: 23780477
Stat Med. 2014 Aug 30;33(19):3253-68
pubmed: 24719285
Psychol Bull. 2015 Jul;141(4):858-900
pubmed: 25915035
Psychother Psychosom. 2015;84(3):167-76
pubmed: 25831962
Psychiatry Clin Neurosci. 2014 Oct;68(10):759-67
pubmed: 24735087
Am J Orthopsychiatry. 2006 Jul;76(3):325-334
pubmed: 16981811
J Youth Adolesc. 2019 Mar;48(3):423-443
pubmed: 30661211
Nord J Psychiatry. 2015 Apr;69(3):174-8
pubmed: 25286981
J Sch Psychol. 2013 Feb;51(1):129-42
pubmed: 23375177
Am J Community Psychol. 2018 Mar;61(1-2):166-178
pubmed: 29178300
J Adolesc. 2006 Oct;29(5):761-75
pubmed: 16412502
J Gen Psychol. 1966 Jul;75(1st Half):9-19
pubmed: 5965379
Am J Community Psychol. 2018 Sep;62(1-2):150-162
pubmed: 29873814
Int J Integr Care. 2013 Mar 22;13:e010
pubmed: 23687482
J Pers Soc Psychol. 1996 Apr;70(4):767-79
pubmed: 8636897
J Prim Prev. 2018 Feb;39(1):17-35
pubmed: 29147932