Author:
Finkbeiner Marlene,Kühnhausen Jan,Schmid Johanna,Conzelmann Annette,Dürrwächter Ute,Wahl Lena-Marie,Kelava Augustin,Gawrilow Caterina,Renner Tobias J.
Abstract
Abstract
Background
During reintegration to daily school life following psychiatric hospitalization, children and adolescents are confronted with various challenges and are at risk for rehospitalization. Tailored post-discharge services could support a successful readjustment and accompany the high-risk transition period after discharge. The study DigiPuR (“Digital gestützte Psychotherapie und Reintegration,” digitally supported psychotherapy and reintegration) aims to establish and to evaluate an innovative digital aftercare program to alleviate challenges during reintegration and improve cross-sectoral care.
Methods
DigiPuR is a randomized controlled trial comparing a digital aftercare service with regular aftercare (TAU) (planned N = 150, 25 children/adolescents, 25 parents, and 25 teachers in each group). In the intervention group, direct communication via secure and regular video calls until 8 weeks after discharge and a secure messenger system between the hospital, family, and school, as well as, if needed, external support systems, are established. A longitudinal pre-post-follow-up assessment at admission, discharge, and 8, 24, and 36 weeks after discharge takes place supplemented by a daily smartphone-based ambulatory assessment from a triadic perspective of patients, parents, and teachers. Primary outcomes include whether participants in the intervention group have fewer readmissions and higher treatment satisfaction and health-related quality of life as well as lower symptom severity than participants in the control group.
Discussion
The present study is essential to address the cross-sectoral challenges associated with reintegration into daily (school) life following child and adolescent psychiatric hospitalization and to determine possible needed adaptations in partial or full inpatient settings. If applicability and efficacy of the aftercare service can be demonstrated, integration into regular care will be sought.
Trial registration
ClinicalTrials.govNCT04986228. Registered on August 2, 2021
Funder
Ministerium für Soziales und Integration Baden-Württemberg
Universitätsklinikum Tübingen
Publisher
Springer Science and Business Media LLC
Subject
Pharmacology (medical),Medicine (miscellaneous)
Reference86 articles.
1. Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatr. 2015;56:345–65.
2. Barkmann C, Schulte-Markwort M. Prevalence of emotional and behavioural disorders in German children and adolescents: a meta-analysis. J Epidemiol Commun Health. 2012;66:194–203.
3. Remschmidt H, Belfer M. Mental health care for children and adolescents worldwide: a review. World Psychiatry. 2005;4:147–53.
4. Statistisches Bundesamt. Pauschalierendes Entgeltsystem für Psychiatrie und Psychosomatik (PEPP). 2021. https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Krankenhaeuser/Tabellen/pauschalierendes-entgeltsystem-psychiatrie-psychosomatik.html?nn=210520. Accessed 09 Mar 2022.
5. Statistisches Bundesamt. Gesundheit: Grunddaten der Krankenhäuser 2019. 2021. https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Krankenhaeuser/Publikationen/Downloads-Krankenhaeuser/grunddaten-krankenhaeuser-2120611197004.html. Accessed 09 Mar 2022.