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What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems

BACKGROUND: Psychosocial problems are highly prevalent among Dutch adolescents. We have conducted a trial to test whether offering chat-based consultations could be of added value within the context of Dutch Youth Health Care. This trial was ended prematurely because of recruitment issues. The aim o...

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Detalles Bibliográficos
Autores principales: Crutzen, Rik, Bosma, Hans, Havas, Jano, Feron, Frans
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247599/
https://www.ncbi.nlm.nih.gov/pubmed/25409911
http://dx.doi.org/10.1186/1756-0500-7-824
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author Crutzen, Rik
Bosma, Hans
Havas, Jano
Feron, Frans
author_facet Crutzen, Rik
Bosma, Hans
Havas, Jano
Feron, Frans
author_sort Crutzen, Rik
collection PubMed
description BACKGROUND: Psychosocial problems are highly prevalent among Dutch adolescents. We have conducted a trial to test whether offering chat-based consultations could be of added value within the context of Dutch Youth Health Care. This trial was ended prematurely because of recruitment issues. The aim of this study is to learn from this failed trial and to provide more insight into non-participation. Sources of data were non-participation forms, oral clarification, patient records, telephone interviews with adolescents that declined to participate, and a questionnaire-based process evaluation among nurses. RESULTS: Non-participation appears to be a multi-factorial problem. Of those 290 adolescents eligible to participate, the majority (n = 165, 57%) declined to do so. Two-third of those (n = 109) also refused usual care, which might be indicative of not wanting help and/or experiencing problems and the validity of the assessment instrument. The other one-third (n = 56) did enrol in usual care and indicated other reasons for non-participation, such as a preference for face-to-face consultations, the extensive information that was provided, and not liking the idea of being randomized. CONCLUSIONS: This study shows that even if a trial fails, we can learn about the challenges of recruiting adolescents in intervention trials. TRIAL REGISTRATION: NL37668.068.11/METC11-3-077.
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spelling pubmed-42475992014-11-30 What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems Crutzen, Rik Bosma, Hans Havas, Jano Feron, Frans BMC Res Notes Research Article BACKGROUND: Psychosocial problems are highly prevalent among Dutch adolescents. We have conducted a trial to test whether offering chat-based consultations could be of added value within the context of Dutch Youth Health Care. This trial was ended prematurely because of recruitment issues. The aim of this study is to learn from this failed trial and to provide more insight into non-participation. Sources of data were non-participation forms, oral clarification, patient records, telephone interviews with adolescents that declined to participate, and a questionnaire-based process evaluation among nurses. RESULTS: Non-participation appears to be a multi-factorial problem. Of those 290 adolescents eligible to participate, the majority (n = 165, 57%) declined to do so. Two-third of those (n = 109) also refused usual care, which might be indicative of not wanting help and/or experiencing problems and the validity of the assessment instrument. The other one-third (n = 56) did enrol in usual care and indicated other reasons for non-participation, such as a preference for face-to-face consultations, the extensive information that was provided, and not liking the idea of being randomized. CONCLUSIONS: This study shows that even if a trial fails, we can learn about the challenges of recruiting adolescents in intervention trials. TRIAL REGISTRATION: NL37668.068.11/METC11-3-077. BioMed Central 2014-11-20 /pmc/articles/PMC4247599/ /pubmed/25409911 http://dx.doi.org/10.1186/1756-0500-7-824 Text en © Crutzen et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Crutzen, Rik
Bosma, Hans
Havas, Jano
Feron, Frans
What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title_full What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title_fullStr What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title_full_unstemmed What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title_short What can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
title_sort what can we learn from a failed trial: insight into non-participation in a chat-based intervention trial for adolescents with psychosocial problems
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247599/
https://www.ncbi.nlm.nih.gov/pubmed/25409911
http://dx.doi.org/10.1186/1756-0500-7-824
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