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Parent-Child RelationsLTP-BNCT05356247

Lausanne Trialogue Paradigm - Brief: A Family Model for Child Mental Health in a Community Setting

A study testing Lausanne Trialogue Play Brief in people with Parent-Child Relations and Family Relations, run by York University at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The current study is a feasibility pilot of the Lausanne Trialogue Play paradigm Intervention - Brief (LTP-Brief), a family systems therapy implemented in a community mental health setting. We will study the ultrabrief, virtual therapy to assess the feasibility of a future pilot RCT. Read more about this study

Who is it for?
Ages 0 months to 15 yearsHealthy volunteers can take part
What is being tested?
Lausanne Trialogue Play Brief
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteCanada
Study dates
1 Jun 2022to 1 Sep 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 months to 15 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • The sample will comprise of families referred to the outpatient mental health services at Sick Kids Center for Community Mental Health (SKCCMH), a non-profit children's mental health treatment centre in Toronto, ON, Canada.
  • Participants will include children ages 0 months to 15.11 years old, and their caregivers, though the majority will fall in the range of 3- to 14-years-old.
  • The first 25 families to be referred to the LTP-B service and who agree to participate in research will be included.

Who cannot join

  • No exclusion criteria beyond what is standard for the clinical service at SKCCMH.

Trial locations and contacts

1 site in 1 country.

Heather Prime, PhD contact

4168197331

hprime@yorku.com

Diane Philipps, PhD contact

Canada1 site, 1 recruiting
  • York University

    Toronto, Ontario, M3J 1P3

    Heather Prime, PhD, hprime@yorku.ca

    Heather Prime, PhD

    Recruiting

Other trials in Canada

About this study

Official title: Lausanne Trialogue Paradigm - Brief: A Family Systems Model to Address Child Mental Health in a Community Mental Health Setting

The current study is a feasibility pilot of the Lausanne Trialogue Play paradigm Intervention - Brief (LTP-Brief), a family systems therapy implemented in a community mental health setting. We will study the ultrabrief, virtual therapy to assess the feasibility of a future pilot RCT. Feasibility metrics include resource, scientific, and management considerations, as well as an examination of pre-post change in future child and family outcomes of interest.

Read the detailed description

COVID-19 represents an acute crisis to children's mental health, with potential for long-term consequences. There is evidence for elevated mental health symptomatology in children since the start of the pandemic, with the emergence of stress-related disorders and the exacerbation of pre-existing disorders. Indeed, the pandemic has had detrimental effects on family life due to widespread job loss and financial insecurity, and increases to parental psychological distress, mental illness, and substance use. Social consequences of COVID-19 are expected to have cascading negative effects on child mental health symptoms. Thus, a COVID-19 family recovery program is critically needed, both during and after the pandemic, to manage the current mental health crisis in children and create cascading and sustainable effects for lifelong physical and mental health. The main goal of the the current study is to investigate feasibility of a future pilot and/or main RCT of a brief, virtual mental health treatment program for children and families designed to optimize reach of services. Specifically, the Lausanne Trialogue Play paradigm assessment is a semi-structured assessment of whole family interactions, with emphasis on the co-parenting relationship, which has been used extensively in research settings for assessment and consultative purposes. The current study will assess the feasibility of using the LTP in an assessment-as-treatment model. This brief treatment program, called the LTP-Brief intervention (LTP-B) will consist of a family play assessment (including an LTP assessment) with video feedback to caregivers as a method for promoting change in family interaction patterns. By targeting change across the family system, rather than focusing on specific child mental health symptoms directly, the model addresses upheaval of family life during COVID-19 and has potential to create sustainable improvements in family well-being within a short period of time.

Being tested
Lausanne Trialogue Play Brief
Keywords
Child Mental Health, Family Systems, Coparenting, Single arm pre-post design, COVID-19 Family Recovery
Medical subject headings
Problem Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lausanne Trialogue Play BriefBehavioural

    Also called LTP-B

    The brief treatment program will consist of an LTP family assessment with video feedback to caregivers to address family interaction patterns and child mental health. Families will participate in four sessions conducted online using the Zoom for Healthcare platform. In the first session, families will engage in a family assessment in different groupings that will be recoded on zoom and used later in the treatment. In the second session, taking place one week later, families will take part in a mini assessment to learn more about the difficulties of the child. In the third session, the clinical team will share videos of the family assessment to the parents and discuss the families strengths, concerns, and goals for moving forward. In the fourth session, taking place one month after the third session, families will participate in a check-in session, debriefing the family assessment.

Study groups in NCT05356247
Study groupRoleWhat they receive
LTP-B InterventionExperimentalFamilies will take part in an online semi-structured assessment and video feedback paradigm of family interactions, with an emphasis on co-parenting and parent-child relations.
Receives: Behavioral: Lausanne Trialogue Play Brief

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. COVID-19-related Family Stressors

    Descriptive (no criterion for success): Family Stressor Scale. Minimum score=16, maximum score=48. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3

  2. COVID-19-related Family Positive Adaptation

    Descriptive (no criterion for success): COVID-19 Family Positive Adaptation Scale. Minimum score=14, maximum score=42. Higher scores correspond to better outcomes.

    Measured: Time 0, 3

  3. Therapeutic Alliance

    Descriptive (no criterion for success): Working Alliance Inventory-Short Revised (WAI-SR). Minimum score=12, maximum score=60. Higher scores correspond to better outcomes.

    Measured: Time 1, 2, 3, 5

  4. Form Research-Clinical Partnership (1) - Clinical-Research Meetings

    Criterion for success: Meet once monthly throughout the course of the study.

    Measured: Time -1 to end of study

  5. Form Research-Clinical Partnership (2) - Protocol Development - a

    Criterion for success: Administrative approval from SKCCMH for study (via approval of ethics approval).

    Measured: Time -1

  6. Form Research-Clinical Partnership (3) - Protocol Development - b

    Criterion for success: Submission of protocol for registration to clinicaltrials.gov and/or journal publications.

    Measured: Time -1

  7. Research-Clinical Communication (1) - Clients Referred to LTP-B

    Criterion for success: 95% of clients referred to LTP-B to be asked permission to be contacted by the research team.

    Measured: Time -1

  8. Research-Clinical Communication (2) - Clients Transferred to Research Team

    Criterion for success: 95% of clients that agree to research are transferred to the research team for contact.

    Measured: Time -1

  9. Research-Clinical Communication (3) - Clinical Visits Shared

    Criterion for success: 95% of participants' scheduled clinical visits to be shared with the research team.

    Measured: Time -1 to end of study

  10. Research-Clinical Communication (4) - Videos Shared

    Criterion for success: 95% of participant videos (previously consented) to be successfully shared with the research team.

    Measured: Time 1, 2, 3

  11. Clinical Service Flow (1) - Clients Referred

    Criterion for success: 3 families to be referred to the LTP-B per month.

    Measured: Time -1

  12. Clinical Service Flow (2) - Service Provision

    Criterion for success: 2 families to be seen by the LTP-B team per month.

    Measured: Time -1

  13. Participant Recruitment (1) - Agree to Research Contact

    Criterion for success: 90% of clients referred to LTP-B to agree to be contacted for purposes of research.

    Measured: Time -1

  14. Participant Recruitment (2) - Participants Enrolled

    Criterion for success: 90% of clients participating in LTP-B to enroll in the research study.

    Measured: Time -1

  15. Participant Recruitment (3) Families Enrolled Per Month

    Criterion for success: 1.8 families enrolled per month.

    Measured: Time -1

  16. Adherence to Intervention

    Criterion for success: 90% of participants to complete all three main LTP-B sessions (Family assessment, videofeedback, check in)

    Measured: Times 1, 2, 3

  17. Retention: Post-Intervention

    Criterion for success: 90% of participants to remain in study until the end of post-intervention assessment.

    Measured: Time 3

  18. Retention: Follow-Up

    Criterion for success: 80% of participants to remain in study until the end of follow-up assessment.

    Measured: Time 4

  19. Retention: Brief Surveys

    Criterion for success: 80% of participants to complete all brief surveys.

    Measured: Time 1, 2, 5

  20. Acceptability

    Criterion for success: 80 % of participants reporting at least "agree" on indicators of attitude, burden, perceived effectiveness, and ethicality on an Implementation Acceptability Scale. Minimum score=7, maximum scores=35. Higher scores correspond to better outcomes.

    Measured: Time 3, 4

  21. Descriptive (no criterion for success): Behavioral Coding of Family Interactions (Frascarolo et al., 2018)

    Family interactions will be behaviourally coded by trained coders based on the LTP Assessments (initial family assessment), using previously validated approaches (e.g., Frasarolo et al., 2018).

    Measured: Week 1

Secondary outcomes (12)
  1. Brief Dyadic Adjustment

    Using the Brief Dyadic Adjustment Scale (DAS-4). Minimum score= 0, maximum score=21. Higher scores correspond to better outcomes.

    Measured: Time 0, 1, 2, 3, 4, 5

  2. Coparenting Relationship Quality

    Using the Brief Coparenting Relationship Scale (Feinberg et al., 2012). Minimum score=0, maximum score=84. Higher scores correspond to better outcomes.

    Measured: Time 0, 3, 4

  3. Brief Coparenting Relationship Quality

    Using the Subset of Brief Coparenting Relationship Quality Scale (Feinberg et al., 2012). Minimum score=0, maximum score=36. Higher scores correspond to better outcomes.

    Measured: Time 1, 2, 5

  4. Parent-Child Positivity

    Using the 5-item parent-reported positivity subscale of the Parenting Practices Scale. Minimum score=5, maximum score=25. Higher scores correspond to better outcomes.

    Measured: Time 0, 3, 4

  5. Parent-Child Negativity

    Using the 5-item parent-reported negativity subscale of the Parenting Practices Scale. Minimum score=5, maximum score=25. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3, 4

  6. Sibling Relations

    Using Parental Expectations and Perceptions of Children's Sibling Relationship Questionnaire (PEPC-SRQ). Minimum score=8 , maximum score=40. Higher scores correspond to better outcomes.

    Measured: Time 0, 3, 4

  7. Whole Family Functioning

    Using 6-item Family Assessment Device (FAD). Minimum score=5, maximum score=20. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3, 4

  8. Parent Mental Health

    Using the Kessler Psychological Distress Scale (K10). Minimum score=10, maximum score=50. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3, 4

  9. Brief Parent Mental Health

    Using the Kessler Psychological Distress Scale (K6). Minimum score=6, maximum score=30. Higher scores correspond to worse outcomes.

    Measured: Time 1, 2, 5

  10. Child Emotional and Behavioural Problems (1) - (Children Ages 18 months to 3 years 11 months)

    Scores will be standardized within each age group and used as a single outcome variable.

    The Preschool Pediatric Symptom Checklist (PPSC-17): Minimum score=0, maximum score=36. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3, 4

  11. Child Emotional and Behavioural Problems (2) - (Children Ages 4 to 18 years)

    Scores will be standardized within each age group and used as a single outcome variable.

    The Pediatric Symptom Checklist (PSC-17). Minimum score=0, maximum score=34. Higher scores correspond to worse outcomes.

    Measured: Time 0, 3, 4

  12. Examine Therapy Sessions

    Examine content and process of all therapy sessions (including therapist and client behaviours) qualitatively for a select number of 'successful' and 'unsuccessful' cases, using a pragmatic case-series analysis (e.g., Liekmeier et al., 2021)

    Measured: Weeks 1, 2, 3

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 May 2022
  2. Study start1 Jun 2022
  3. Primary completion1 Sep 2023 (estimated)
  4. Study completion1 Sep 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05356247
Sponsor's protocol ID
2022-050
Acronym
LTP-B
Status last verified
Jul 2022
First submitted
22 Mar 2022
Last updated
12 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Lausanne Trialogue Play Brief in people with Parent-Child Relations and Family Relations, run by York University at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 12 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Heather Prime, PhD (4168197331, hprime@yorku.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

COVID-19-related Family Stressors (time frame: Time 0, 3). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jul 2022.

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