Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial

Background: Adolescents who self-harm are often unsure how or where to get help. We developed a web-based personalised decision aid (DA), designed to support young people in decision-making about seeking help for their self-harm. Objective: Our aim was to evaluate the feasibility and acceptability...

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Main Authors:	Rowe, Sarah L., Patel, Krisna, French, Rebecca S., Henderson, Claire, Ougrin, Dennis, Slade, Mike, Moran, Paul
Format:	Article
Language:	English
Published:	JMIR Publications 2018
Online Access:	http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/8/JMIR%202018%20DASH%20RCT.pdf

id	nottingham-48229
recordtype	eprints
spelling	nottingham-482292018-07-02T09:16:58Z http://eprints.nottingham.ac.uk/48229/ Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial Rowe, Sarah L. Patel, Krisna French, Rebecca S. Henderson, Claire Ougrin, Dennis Slade, Mike Moran, Paul Background: Adolescents who self-harm are often unsure how or where to get help. We developed a web-based personalised decision aid (DA), designed to support young people in decision-making about seeking help for their self-harm. Objective: Our aim was to evaluate the feasibility and acceptability of the DA intervention and the randomised controlled trial (RCT) in a school setting. Methods: We conducted a 2-group, single blind, randomised controlled feasibility trial in a school setting. Participants aged 12-18 years who reported self-harm in the past 12 months were randomised to either a web-based DA or to general information about mood and feelings. Feasibility of recruitment, randomisation and follow-up rates were assessed, as was acceptability of the intervention and study procedures. Descriptive data were collected on outcome measures examining decision-making and help-seeking behaviour. Qualitative interviews were conducted with young people, parents/carers and staff, and subjected to thematic analysis to explore their views of the DA and study processes. Results: Parental consent was a significant barrier to young people participating in the trial, with only 208 (18%) of the 1,164 parent/guardians contacted for consent responding to study invitations. Where parental consent was obtained, we were able to recruit 82% (n=170) of young people into the study. Of those young people screened, 14% (n=23) had self-harmed in the past year. Ten participants were randomised to receiving the DA and 13 were randomised to the control group. Four-week follow-up assessments were completed with all participants. The DA had good acceptability but qualitative interviews suggested that a DA that addressed broader mental health problems such as depression, anxiety and self-harm may be more beneficial. Conclusions: A broad-based mental health DA addressing a wide range of psychosocial problems may be useful for young people. The requirement for parental consent is a key barrier to intervention research on self-harm in the school setting. Adaptations to the research design and/or the intervention are needed before generalisable research about DAs can be successfully conducted in a school setting. JMIR Publications 2018-01-30 Article PeerReviewed application/pdf en cc_by http://eprints.nottingham.ac.uk/48229/8/JMIR%202018%20DASH%20RCT.pdf Rowe, Sarah L. and Patel, Krisna and French, Rebecca S. and Henderson, Claire and Ougrin, Dennis and Slade, Mike and Moran, Paul (2018) Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial. JMIR Mental Health, 5 (1). e10. ISSN 2368-7959 (In Press) http://mental.jmir.org/2018/1/e10/ doi:10.2196/mental.8098 doi:10.2196/mental.8098
repository_type	Digital Repository
institution_category	Local University
institution	University of Nottingham Malaysia Campus
building	Nottingham Research Data Repository
collection	Online Access
language	English
description	Background: Adolescents who self-harm are often unsure how or where to get help. We developed a web-based personalised decision aid (DA), designed to support young people in decision-making about seeking help for their self-harm. Objective: Our aim was to evaluate the feasibility and acceptability of the DA intervention and the randomised controlled trial (RCT) in a school setting. Methods: We conducted a 2-group, single blind, randomised controlled feasibility trial in a school setting. Participants aged 12-18 years who reported self-harm in the past 12 months were randomised to either a web-based DA or to general information about mood and feelings. Feasibility of recruitment, randomisation and follow-up rates were assessed, as was acceptability of the intervention and study procedures. Descriptive data were collected on outcome measures examining decision-making and help-seeking behaviour. Qualitative interviews were conducted with young people, parents/carers and staff, and subjected to thematic analysis to explore their views of the DA and study processes. Results: Parental consent was a significant barrier to young people participating in the trial, with only 208 (18%) of the 1,164 parent/guardians contacted for consent responding to study invitations. Where parental consent was obtained, we were able to recruit 82% (n=170) of young people into the study. Of those young people screened, 14% (n=23) had self-harmed in the past year. Ten participants were randomised to receiving the DA and 13 were randomised to the control group. Four-week follow-up assessments were completed with all participants. The DA had good acceptability but qualitative interviews suggested that a DA that addressed broader mental health problems such as depression, anxiety and self-harm may be more beneficial. Conclusions: A broad-based mental health DA addressing a wide range of psychosocial problems may be useful for young people. The requirement for parental consent is a key barrier to intervention research on self-harm in the school setting. Adaptations to the research design and/or the intervention are needed before generalisable research about DAs can be successfully conducted in a school setting.
format	Article
author	Rowe, Sarah L. Patel, Krisna French, Rebecca S. Henderson, Claire Ougrin, Dennis Slade, Mike Moran, Paul
spellingShingle	Rowe, Sarah L. Patel, Krisna French, Rebecca S. Henderson, Claire Ougrin, Dennis Slade, Mike Moran, Paul Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
author_facet	Rowe, Sarah L. Patel, Krisna French, Rebecca S. Henderson, Claire Ougrin, Dennis Slade, Mike Moran, Paul
author_sort	Rowe, Sarah L.
title	Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
title_short	Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
title_full	Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
title_fullStr	Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
title_full_unstemmed	Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
title_sort	web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial
publisher	JMIR Publications
publishDate	2018
url	http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/ http://eprints.nottingham.ac.uk/48229/8/JMIR%202018%20DASH%20RCT.pdf
first_indexed	2018-09-06T13:58:17Z
last_indexed	2018-09-06T13:58:17Z
_version_	1610866803187122176

Web-based decision-aid to assist help-seeking choices for young people who self-harm: outcomes from a randomised controlled feasibility trial

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