Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial

Abstract Background Progress feedback provides therapists with progress notes on a regular basis through the continuous assessment of participants throughout their treatment (e.g., symptoms, therapeutic alliance). While for adults the evidence base has increased over the years, progress feedback in...

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Main Authors: Christopher Hautmann, Jana Rausch, Nina Geldermann, Felix Oswald, Danny Gehlen, Martin Hellmich, Kerstin Daniela Rosenberger, Christina Samel, Katrin Woitecki, Daniel Walter, Julia Adam, Lydia Dachs, Hildegard Goletz, Joya Halder, Claudia Kinnen, Kristina Mücke, Janina Otte, Daniela Perri, Christiane Rademacher, Stephanie Schürmann, Paula Viefhaus, Tanja Wolff Metternich-Kaizman, Manfred Döpfner
Format: Article
Language:English
Published: BMC 2021-10-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-021-03502-w
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author Christopher Hautmann
Jana Rausch
Nina Geldermann
Felix Oswald
Danny Gehlen
Martin Hellmich
Kerstin Daniela Rosenberger
Christina Samel
Katrin Woitecki
Daniel Walter
Julia Adam
Lydia Dachs
Hildegard Goletz
Joya Halder
Claudia Kinnen
Kristina Mücke
Janina Otte
Daniela Perri
Christiane Rademacher
Stephanie Schürmann
Paula Viefhaus
Tanja Wolff Metternich-Kaizman
Manfred Döpfner
author_facet Christopher Hautmann
Jana Rausch
Nina Geldermann
Felix Oswald
Danny Gehlen
Martin Hellmich
Kerstin Daniela Rosenberger
Christina Samel
Katrin Woitecki
Daniel Walter
Julia Adam
Lydia Dachs
Hildegard Goletz
Joya Halder
Claudia Kinnen
Kristina Mücke
Janina Otte
Daniela Perri
Christiane Rademacher
Stephanie Schürmann
Paula Viefhaus
Tanja Wolff Metternich-Kaizman
Manfred Döpfner
author_sort Christopher Hautmann
collection DOAJ
description Abstract Background Progress feedback provides therapists with progress notes on a regular basis through the continuous assessment of participants throughout their treatment (e.g., symptoms, therapeutic alliance). While for adults the evidence base has increased over the years, progress feedback in the therapy of children and adolescents has not been sufficiently investigated. This manuscript describes the trial protocol of the OPTIE study: a randomized trial that tests the efficacy of a progress feedback system in children and adolescents under conditions of routine care. Methods The study is based on a randomized parallel-group trial with two treatment groups (routine, feedback) at an outpatient unit of a university hospital. The target sample size is 439 families consisting of children and adolescents aged 6 to17 years old with internalizing and/or externalizing symptoms. Both the patients and the therapists are independently assigned to the treatment groups by stratified block randomization. In both treatment groups patients receive routine care behavioral therapy for a study-related 12 months; additionally, in the feedback group, a progress feedback system with three components is applied (monitoring, report, and supervision). For three informants (caregiver, child [≥ 11 years], therapist) surveys are conducted every 6 weeks (e.g., symptoms, goals, motivation). For both treatment groups, comparison data is collected at baseline and at six and 12 months after the beginning of the intervention (pre, inter, post), and includes five informants (blinded clinician, therapist, caregiver, child [≥ 11 years], teacher). Discussion The OPTIE study will contribute to the evidence base of progress feedback in children and adolescents and has the potential to uncover treatments’ effects in the small to medium range. Noteworthy features are the inclusion of children younger than 10 years old and the consideration of a blinded clinician rating. Trial registration German Clinical Trials Register (DRKS) DRKS00016737 ( https://www.drks.de/DRKS00016737 ). Registered 17 September, 2019.
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spelling doaj.art-939e1efd2c2941fc91b6dc6e1e4ca94b2022-12-21T22:37:41ZengBMCBMC Psychiatry1471-244X2021-10-0121111410.1186/s12888-021-03502-wProgress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trialChristopher Hautmann0Jana Rausch1Nina Geldermann2Felix Oswald3Danny Gehlen4Martin Hellmich5Kerstin Daniela Rosenberger6Christina Samel7Katrin Woitecki8Daniel Walter9Julia Adam10Lydia Dachs11Hildegard Goletz12Joya Halder13Claudia Kinnen14Kristina Mücke15Janina Otte16Daniela Perri17Christiane Rademacher18Stephanie Schürmann19Paula Viefhaus20Tanja Wolff Metternich-Kaizman21Manfred Döpfner22School for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneInstitute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of CologneInstitute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of CologneInstitute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of CologneSchool for Child and Adolescent Psychotherapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of CologneAbstract Background Progress feedback provides therapists with progress notes on a regular basis through the continuous assessment of participants throughout their treatment (e.g., symptoms, therapeutic alliance). While for adults the evidence base has increased over the years, progress feedback in the therapy of children and adolescents has not been sufficiently investigated. This manuscript describes the trial protocol of the OPTIE study: a randomized trial that tests the efficacy of a progress feedback system in children and adolescents under conditions of routine care. Methods The study is based on a randomized parallel-group trial with two treatment groups (routine, feedback) at an outpatient unit of a university hospital. The target sample size is 439 families consisting of children and adolescents aged 6 to17 years old with internalizing and/or externalizing symptoms. Both the patients and the therapists are independently assigned to the treatment groups by stratified block randomization. In both treatment groups patients receive routine care behavioral therapy for a study-related 12 months; additionally, in the feedback group, a progress feedback system with three components is applied (monitoring, report, and supervision). For three informants (caregiver, child [≥ 11 years], therapist) surveys are conducted every 6 weeks (e.g., symptoms, goals, motivation). For both treatment groups, comparison data is collected at baseline and at six and 12 months after the beginning of the intervention (pre, inter, post), and includes five informants (blinded clinician, therapist, caregiver, child [≥ 11 years], teacher). Discussion The OPTIE study will contribute to the evidence base of progress feedback in children and adolescents and has the potential to uncover treatments’ effects in the small to medium range. Noteworthy features are the inclusion of children younger than 10 years old and the consideration of a blinded clinician rating. Trial registration German Clinical Trials Register (DRKS) DRKS00016737 ( https://www.drks.de/DRKS00016737 ). Registered 17 September, 2019.https://doi.org/10.1186/s12888-021-03502-wProgress feedbackRoutine outcome monitoringFeedback-informed treatmentBehavior therapyChildren and adolescentsInternalizing
spellingShingle Christopher Hautmann
Jana Rausch
Nina Geldermann
Felix Oswald
Danny Gehlen
Martin Hellmich
Kerstin Daniela Rosenberger
Christina Samel
Katrin Woitecki
Daniel Walter
Julia Adam
Lydia Dachs
Hildegard Goletz
Joya Halder
Claudia Kinnen
Kristina Mücke
Janina Otte
Daniela Perri
Christiane Rademacher
Stephanie Schürmann
Paula Viefhaus
Tanja Wolff Metternich-Kaizman
Manfred Döpfner
Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
BMC Psychiatry
Progress feedback
Routine outcome monitoring
Feedback-informed treatment
Behavior therapy
Children and adolescents
Internalizing
title Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
title_full Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
title_fullStr Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
title_full_unstemmed Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
title_short Progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care (OPTIE study): study protocol of a randomized parallel-group trial
title_sort progress feedback in children and adolescents with internalizing and externalizing symptoms in routine care optie study study protocol of a randomized parallel group trial
topic Progress feedback
Routine outcome monitoring
Feedback-informed treatment
Behavior therapy
Children and adolescents
Internalizing
url https://doi.org/10.1186/s12888-021-03502-w
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