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| Name | Class |
|---|---|
| UMR UA11INSERM-UMIDESP Institut Desbrest d'Épidémiologie et de Santé Publique | UNKNOWN |
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DSPPea34 (Shared Care Program for Children and Adolescents) is an experimental health program designed to provide rapid, guided care orientation for youth aged 6-18 when a first-line psychological follow-up is considered by a general practitioner or pediatrician. The program links hospital-based services and community providers by offering prompt contact and assessment by a registered nurse and/or psychiatrist, with structured feedback to the referring physician.
Primary objective: To identify facilitators that support the engagement of all professionals involved in the care pathway of children and adolescents with psychological difficulties. Facilitators will be mapped across five stages of the pathway: (1) intake, (2) assessment, (3) orientation/referral, (4) inter-partner collaboration, and (5) discharge from the program. Results will be used to refine DSPPea34 specifications to inform broader implementation.
Methods and study population (primary objective): A Delphi survey will be conducted with stakeholders directly interacting with families and youth within DSPPea34 (e.g., general practitioners (GP), pediatricians, program clinicians) as well as with program users.
Secondary objectives and data sources: To describe (i) the sociodemographic and clinical characteristics of youth using DSPPea34 services and (ii) their care trajectories using quantitative methods. Data will be extracted from DSPPea34 records via the SPICO coordination file (the tool used to facilitate exchanges between the GP/pediatrician, DSPPea34, and the psychologist in charge of follow-up) and complemented by soliciting longitudinal outcome information from the referring physician based on DSPPea34 follow-up.
Findings from this mixed-methods evaluation are expected to guide the optimization and potential scale-up of the DSPPea34 model.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the professionals directly in contact with families and young people within the framework of DSPPea3 |
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| users of the DSPPea34 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| structured online questionnaire | Other | A structured, online Delphi survey conducted in up to three iterative rounds to co-develop and refine proposals related to the DSPPea34 specifications. Questionnaires are developed by study facilitators based on the initial DSPPea34 specifications and new proposals arising from the interim evaluation. Content and Response Format: Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each proposal. Free-text fields allow participants to provide comments and suggested rewording. Iterative Adaptation Across Rounds: Based on prior-round results, items may be revised, added, or removed. Refinements aim to improve clarity and relevance, while preserving traceability of changes. Consensus Rule (Stopping/Exclusion Criterion for Items): If an item achieves ≥70% agreement (to retain or to remove the proposal) with concordant votes in both Round 1 and Round 2, the proposal is considered |
| Measure | Description | Time Frame |
|---|---|---|
| Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization | These facilitators will be identified at different stages: 1) addressing, 2) evaluation, 3) orientation, 4) collaboration between partners, 5) exit from the device and will allow to evolve the specifications of DSPPea in view of its generalization. Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each proposal. Free-text fields allow participants to provide comments and suggested rewording. Iterative Adaptation Across Rounds: Based on prior-round results, items may be revised, added, or removed. Refinements aim to improve clarity and relevance, while preserving traceability of changes. Consensus Rule (Stopping/Exclusion Criterion for Items): If an item achieves ≥70% agreement (to retain or to remove the proposal) with concordant votes in both Round 1 and Round 2, the proposal is considered | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Characterization at Baseline | Clinical profile including reason for referral, prior or ongoing mental-health follow-up, and functioning assessment coded as ICD-11 diagnostic categories and Children's Global Assessment | At program entry (Baseline) |
| Reason for referral to the program |
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Inclusion Criteria:
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the population of this study (participants responding to the DELPHI questionnaire) includes professionals directly in contact with families and young people within the framework of DSPPea34 as well as users of DSPPea34.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Diane PURPER OUAKIL, MD PhD | Contact | 04 67 33 60 09 | +33 | mpea@chu-montpellier.fr |
| Name | Affiliation | Role |
|---|---|---|
| Diane PURPER OUAKIL, MD PhD | CHU de Montpellier | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Montpellier - Réseau DSPPea34 de l'Hérault | Montpellier | Hérault | France |
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| descriptive analysis of patient characteristics and their care pathways, based on electronic medical records | Other | Data collected from all users of the DSPPea34 program since its inception (approximately 1,200 cases) will include:
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Proportion of patients according to broad categories of referral reasons Unit of Measure: % of participants. |
| Baseline |
| Number of Requests and Referrals (DSPPea34 vs. Outside DSPPea34) | Count of requests and final referral directions (within DSPPea34 or redirected outside DSPPea34). | Baseline |
| Number of Psychiatric Clinical Interviews within DSPPea34 | Total number of psychiatric clinical interviews conducted as part of DSPPea34. | At program entry (intake) to program completion (from 1 month to 12 months) |
| Number of Joint City-Hospital Follow-Ups | Count of joint follow-up episodes involving community (city) providers and hospital-based teams. | At program entry (intake) to program completion (from 1 month to 12 months) |
| Number of Follow-Ups Coordinated by Primary Care | Count of follow-up episodes coordinated by primary care actors (e.g., GP or pediatrician). | At program entry (intake) to program completion (from 1 month to 12 months) |
| Youth Status at Program Exit | Disposition at discharge (e.g., type of ongoing follow-up, referral destination) and youth outcome at exit | At program entry (intake) to program completion (from 1 month to 12 months) |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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