Evidence map›Paper›PMID 30428891›Full record

ArticleTrials2018

Motivational Interviewing as a tool to enhance access to mental health treatment in adolescents with chronic medical conditions and need for psychological support (COACH-MI): study protocol for a clusterrandomised controlled trial.

Christina Reinauer, Rabea Viermann, Katharina Förtsch, Hannah Linderskamp, Petra Warschburger, Reinhard W Holl, Doris Staab, Kirsten Minden, Rainer Muche, Matthias Domhardt and 3 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Christina ReinauerDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Medical Faculty, Moorenstr. 5, Düsseldorf, 40225, Germany. Christina.reinauer@med.uni-duesseldorf.de.
Rabea ViermannDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Medical Faculty, Moorenstr. 5, Düsseldorf, 40225, Germany.
Katharina FörtschDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Medical Faculty, Moorenstr. 5, Düsseldorf, 40225, Germany.
Hannah LinderskampDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Medical Faculty, Moorenstr. 5, Düsseldorf, 40225, Germany.
Petra WarschburgerDepartment of Psychology, University of Potsdam, Potsdam, Germany.
Reinhard W HollInstitute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, Ulm, Germany.
Doris StaabDivision of Pulmonology and Immunology, Department of Paediatrics, Charité University Medicine Berlin, Campus Virchow Clinic, Berlin, Germany.
Kirsten MindenGerman Rheumatism Research Centre Berlin, Leibniz Institute, Berlin, Germany.
Rainer MucheInstitute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany.
Matthias DomhardtClinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.
Harald BaumeisterClinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.
Thomas MeissnerDepartment of General Paediatrics, Neonatology and Paediatric Cardiology, University Children's Hospital, Medical Faculty, Moorenstr. 5, Düsseldorf, 40225, Germany.
COACH consortium
Heinrich Heine University Düsseldorf · DECharité - Universitätsmedizin Berlin · DEUniversität Ulm · DEZimmer Biomet (Germany) · DEUniversity of Potsdam · DE

Funding

Bundesministerium für Bildung und Forschung FKZ 01GL1740D
6 · The paper itself

Abstract

backgroundThis cluster-randomised monocentric controlled trial focuses on improving the uptake symptoms of mental health care in adolescents with chronic medical conditions who have been identified by screening to have depression or anxiety. The study aims to determine the efficacy of motivational interviewing (MI) delivered by trained physicians to increase 12- to 20-year-old adolescents' utilisation of psychological health care for symptoms of anxiety or depression. METHODS/

designIn this single-centre approach, n = 1,000 adolescents will be screened (using PHQ-9 and GAD-7), and adolescents with results indicative of anxiety or depressive symptoms (n = 162) will be advised to seek psychological health care in clusters from treating physicians in specialised outpatient departments. Participants who screen positive will receive either two sessions of MI or treatment as usual (TAU; regarded as the typical daily clinical practice), which is focused on recommending them to seek psychological health care for further evaluation. MI efficacy will be compared to the current TAU as the control condition. The primary outcome is the utilisation rate of psychological health care after counselling by an MI-trained physician vs. an untrained physician. Additionally, reasons for not claiming psychological support and changes in disease-related parameters will be evaluated in a 6-month follow-up session. DISCUSSION: This trial will evaluate the feasibility of MI as a way to improve the utilisation of mental health-care services by adolescents who need further support other than that provided by standard care for chronic diseases. Physicians offering MI to adolescents may serve as a model for optimising health-care management in daily clinical practice, which may improve adolescents' long-term well-being by improving adherence to medical treatment and preventing negative lifelong consequences into adulthood.

trial registrationGerman Trials Register (DRKS), DRKS00014043 . Registered on 26 April 2018. Düsseldorf University study ID: 2017114504.

Indexed as

Adaptation, PsychologicalAdolescent BehaviorChild BehaviorHealth Services AccessibilityMental HealthMental Health ServicesMotivational InterviewingAdolescentAge FactorsAnxietyChildChronic DiseaseDepressionFeasibility StudiesGermanyHumansadherence to medical treatmentAdolescentsanxietychronic conditiondepressionmotivational interviewing

Identifiers

PMID30428891
PMCPMC6236943
OpenAlexW2901289418

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.