Clinical Implementation and Evaluation for the Family-oriented Care CHIMPS-NET (Ci-Chimps)

Universitätsklinikum Hamburg-Eppendorf

Status: Unknown

Conditions: Mental Health Issue

Treatments: Behavioral: Education and training program for the professionals; Behavioral: Systematic screening; Other: TAU; Behavioral: Optimal pathways to care

Study type: Interventional

Funder types: Other

Identifiers

NCT05106673

Ci-Chimps

Details and patient eligibility

About

Despite the knowledge, that children of mentally ill parents are an important target group to be addressed by preventive and therapeutical interventions, there is often a lack of structured implementation of family-oriented interventions in clinical practice in Germany. Using a randomized controlled multicenter trial design with a large and wide-ranging sample (clinics for adult psychiatry and clinics for child and adolescent psychiatry, university clinics and clinics at the real health care) will examine changes in family-oriented practice and aspects of implementation to get a robust understanding of implementing family-oriented interventions in German clinical practice.

Full description

A two-group randomized controlled multicenter trial will examine changes in family-oriented practice and aspects of implementation at baseline as well as at 12- and 24-months follow-up. The CHIMPS-Network consists of twenty clinical centers. The centers in the intervention group receive the support of all of the three implementation interventions: 1) Optimal pathways to care 2) Education and a training program for professionals and 3) Systematic screening for children. The centers in the control group do not get this specific implementation support.

The implementation of all the CHIMPS interventions refers to and builds on a theoretical model developed by researchers from Australia and Norway, adapted to the German care system setting including adult psychiatry and child and adolescent psychiatry.

In ci-CHIMPS we aim to determine if three implementation interventions are helpful in improving the clinical implementation of the CHIMPS-NET interventions. Additionally, we want to identify factors hindering or promoting implementation processes. In order to monitor the impact of the three implementation interventions we will use the translated version of the "Family Focused Mental Health Practice Questionnaire (FFMHPQ)" (Laser et al., 2019, in prep.) and the translated version of the "Implementation Components Questionnaire (ICQ)" (Laser, Skogøy, Maybery & Wiegand-Grefe, 2019. in prep). The introduction of these questionnaires in Germany has not yet been reported.

Enrollment: 798 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Every employee, which is involved in the treatment of the patients (Medicine, Psychology, Nurses) of every clinical center that is part of the CHIMPS-NET project will be invited to participate in this study ci-CHIMPS.

Exclusion criteria

• There are no explicit criteria for exclusion

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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798 participants in 2 patient groups

clinical centers that receive implementation support

Experimental group

Description:

These clinical centers receive support during the implementation of the CHIMPS-intervention. There are three different implementation interventions.

Treatment:

Behavioral: Education and training program for the professionals

Behavioral: Optimal pathways to care

Behavioral: Systematic screening

No Intervention: Treatment as usual

Experimental group

Description:

These clinical centers will be the control group and will not get a specific implementation support during the implementation of CHIMPS.

Treatment:

Other: TAU