Multi-Fast: Multi-family Therapy and School Refusal: an Exploratory Study With Adolescents and Their Families

Sponsor

Assistance Publique - Hôpitaux de Paris (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05432323

Collaborator

(none)

Enrollment

Location

Anticipated Duration (Months)

0.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this study is to determine whether multi-family therapy is effective in the treatment of school refusal with anxiety in adolescence.

Condition or Disease	Intervention/Treatment	Phase
School Phobia	Behavioral: Multi-family therapy

Detailed Description

Anxious school refusal in adolescence is a major public health problem. The involvement of families is essential and multi-family therapy has shown its effectiveness for many mental disorders. This study aims to explore the benefit of multi-family therapy in the care of anxious school refusal in adolescence.

The method will be qualitative with phenomenological analysis of semi-structured interviews with adolescents and their parents and quantitative with a SCED design to assess the evolution of the level of anxiety of adolescents and parents, as well as personalized objectives.

The objective is therefore to improve the care of adolescents with anxious school refusal.

Study Design

Study Type:

Observational

Anticipated Enrollment :

28 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Multi-family Therapy and School Refusal: an Exploratory Study With Adolescents and Their Families

Anticipated Study Start Date :

Sep 1, 2022

Anticipated Primary Completion Date :

Jun 1, 2025

Anticipated Study Completion Date :

Dec 1, 2025

Arms and Interventions

Arm	Intervention/Treatment
Adolescents	Behavioral: Multi-family therapy 8 sessions of Multi-family therapy of 3 hours each during 24 weeks

Arm

Intervention/Treatment

Adolescents

Behavioral: Multi-family therapy

8 sessions of Multi-family therapy of 3 hours each during 24 weeks

Outcome Measures

Primary Outcome Measures

Visual Analogue Scale (VAS) [13 to 15 months]
Visual Analogue Scale for anxiety (adolescents and parents) / 0 = no anxiety at all, 10 = maximum anxiety imaginable / Weekly measurement between inclusion and the end of the Single Case Experimental Design (SCED) follow-up (13 to 15 months)

Secondary Outcome Measures

Goal Attainment Scale (GAS) [13 to 15 months]
School attendance (adolescent) / 3-terminal GAS are 5-level GAS, i.e. with a possible rating ranging from -2 to +2. Level -2 corresponds to the initial state at the time of inclusion. Levels -2, 0 and +2 are precisely described, level -1 corresponds to a rating between -2 and 0 and level +1 to a rating between 0 and +2 / Weekly measurements, parents and adolescent, once a week from inclusion to the end of the SCED follow-up (13 to 15 months)
Adolescent Depression Rating Scale (ADRS) [13 to 15 months]
Depression (adolescent) / 10 questions / Monthly measurements, adolescent and referring psychiatrist once a month from inclusion to the end of the SCED follow-up (13 to 15 months)
Family Assessment Device General Functioning (FAD-GF) [13 to 15 months]
Family functioning / 12 questions, minimum = 12, maximum = 48 / Monthly measurements, parents and adolescent, once a month from inclusion to the end of the SCED follow-up (13 to 15 months)
Global Assessment of Functioning Scale (GAF) [13 to 15 months]
Global Functioning of the adolescent / From 0 = inadequate information, to 100 = higher level of functioning in a wide variety of activities - V-axis of the DSM 5 / Monthly measurements, referring psychiatrist, once a month from inclusion to the end of the SCED follow-up (13 to15 months)
CSQ 8 (Client Satisfaction Questionnaire) [7 to 9 months]
Satisfaction of the patients and the parents with multi-family therapy / 8 questions, minimum score = 8, maximum = 32 / At the end of the multifamily therapy, parents and teenager
Semi-structured interview [7 to 9 months]
Semi-structured interview with qualitative phenomenological analysis (patients and parents) At the end of multi-family therapy
Semi-structured interview [19 to 21 months]
Semi-structured interview with qualitative phenomenological analysis (patients and parents) 12 months after the end of multi-family therapy

Eligibility Criteria

Criteria

Ages Eligible for Study:

12 Years to 18 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Families with an adolescent
Aged 12 to 18
Totally out of school for more than 2 consecutive weeks and less than 18 months
Follow-up at the Maison de Solenn-Maison des Adolescents (Cochin Hospital AP-HP) for a school refusal
Having agreed to participate in a multi-family therapy
Domiciliation in Ile de France
Agreement of the parents and the adolescent to participate in the study: Collection of the non-opposition of non-emancipated minors and their legal representatives

Exclusion Criteria:

any family situation that makes it impossible to bring parents and children together in family therapy
patient under curatorship or tutorship
patient with AME (french State Medical Aid)

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Maison de Solenn Maison des Adolescents, Cochin Hospital	Paris	IDF	France	75014

Sponsors and Collaborators

Assistance Publique - Hôpitaux de Paris

Investigators

Study Director: Marie-Rose MORO, MD, PhD, PU-PH, Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
Principal Investigator: Aurélie HARF, MD, PhD, Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)