Ignite Creation Date:
2024-07-17 @ 10:53 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06495502
Status:
RECRUITING
Last Update Posted:
2024-07-10
First Post:
2024-06-27
Brief Title:
To Disclose a Child Sexual Abuse Within Child Adolescent Psychiatry Services
Sponsor:
Anne Revah-Levy
Organization:
Centre Hospitalier Victor Dupouy
Study Overview
Official Title:
REVEAL To Disclose a Child Sexual Abuse Within Child Adolescent Psychiatry Services a Qualitative Study
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
REVEAL
Brief Summary:
Mental health professionals investigating child sexual abuse CSA among children and adolescents is a major public health challenge Many studies have shown the obstacles to disclose with professionals having difficulties to address this issue and survivors having difficulties to disclose Many children old enough to tell what happened to them would disclose this traumatic event only many years after but they suffer from psychiatric andor somatic disorders meanwhile CSA survivors presenting psychiatric symptoms very often receive a psychiatric treatment within child adolescent psychiatric CAP departments
The investigators aim to better understand what is at stakes around the issue of disclosure of CSA by teenagers within CAP services so to draw concrete implications to improve investigation efficacy and disclosure support by mental health professionals To date no study has ever explored these issues of investigating and disclosing CSA in CAP services Qualitative methods are quite relevant here aiming as they do to in-depth explore complex issues through the lived experience of the stakeholders
The main objective of this study is to explore the lived experience of disclosing CSA among i adolescents and young adults followed in a CAP service ii parents and iii child adolescent mental health professionals working in CAP services who have experienced a CSA disclosure Crossing perspectives will bring answers to the complex question how to disclose a CSA within a CAP service and will lead to concrete implications to improve treatment of children and adolescents with an history of CSA
It is an exploratory qualitative multi-center design following the IPSE approach - Inductive Process to analyze the structure of lived experience-
The investigators aim to better understand what is at stakes around the issue of disclosure of CSA by teenagers within CAP services so to draw concrete implications to improve investigation efficacy and disclosure support by mental health professionals To date no study has ever explored these issues of investigating and disclosing CSA in CAP services Qualitative methods are quite relevant here aiming as they do to in-depth explore complex issues through the lived experience of the stakeholders
The main objective of this study is to explore the lived experience of disclosing CSA among i adolescents and young adults followed in a CAP service ii parents and iii child adolescent mental health professionals working in CAP services who have experienced a CSA disclosure Crossing perspectives will bring answers to the complex question how to disclose a CSA within a CAP service and will lead to concrete implications to improve treatment of children and adolescents with an history of CSA
It is an exploratory qualitative multi-center design following the IPSE approach - Inductive Process to analyze the structure of lived experience-
Detailed Description:
Mental health professionals investigating child sexual abuse CSA among children and adolescent is a major public health challenge Many studies have shown the obstacles to disclose with professionals having difficulties to address this issue and survivors having difficulties to disclose Many children old enough to tell what happened to them would disclose this traumatic event only many years after but they suffer from psychiatric andor somatic disorders meanwhile CSA survivors presenting psychiatric symptoms very often receive a psychiatric treatment within child adolescent psychiatric CAP departments This follow-up is to be considered as an opportunity for them to disclose Yet according to the current literature 20 of women and 39 of men would not disclose the CSA Among children and adolescents disclosure rate is estimated between 16 and 25 Reducing disclosure delay and improving the quality of mental health professionals support around the issue of disclosure and its outcomes individual family forensic could improve survivors prognostic
The investigators aim to better understand what is at stakes around the issue of disclosure of CSA by teenagers within CAP services so to draw concrete implications to improve investigation efficacy and disclosure support by mental health professionals To date no study ever explored these issues of investigating and disclosing CSA in CAP services Qualitative methods are quite relevant here aiming as they do to in-depth explore complex issues through the lived experience of the stakeholders
The main objective of this study is to explore the lived experience of disclosing CSA among i adolescents and young adults followed in a CAP service ii parents and iii child adolescent mental health professionals working in CAP services who have experienced a CSA disclosure Crossing perspectives will bring answers to the complex question how to disclose a CSA within a CAP service and will lead to concrete implications to improve treatment of children and adolescents with an history of CSA
It is an exploratory qualitative multi-center design following the IPSE approach - Inductive Process to analyze the structure of lived experience- IPSE is a five-steps process 1 set up a research group 2 ensure the originality of the research 3 organize recruitment and sampling intended to optimize exemplarity 4 collect data that enable entry into the subjects experience and 5 analyze the data This final stage is composed of one individual descriptive phase followed by two group phases i define the structure of the lived experience and ii translate the findings into concrete proposals that make a difference in care
1 - Patients i be in a well-identified care path ii Age 12-25 years old iii have experienced CSA iv Child adolescent psychiatry treatment prior to majority and after CSA regardless the reason for this treatment v No acute symptoms 2 Parents i child on a well-identified care path ii child victim of CSA iii Child disclosure during child adolescent psychiatry treatment iv not being the perpetrator in case of intrafamilial CSA perpetrated by the mother or the father the other parent could be included
3 Child adolescent mental health professionals i have experienced directly or indirectly at least one situation of CSA disclosure by a minor patient
This is a qualitative study the number of participants required cannot be known beforehand as it will be determined by the data saturation based on the principle of theoretical sufficiency
However our experience in qualitative research allows us to propose a minimum of 30 participants per subgroup for a total of 90 participants This sample size will provide better visibility of our work and will ensure theoretical sufficiency
Recruitment by local coordinatorsco-investigators Data collection will be taken place within the five French departments
The multicentric aspect is only to facilitate recruitment and to ensure data saturation but in a qualitative study it does not impact the quality and originality of the findings Intentional and non-probabilistic sampling strategy known as Purposive Sampling in maximum variation that is to select exemplaryarchetypal situations reflecting a variety of experiences in order to obtain rich and diverse narratives according to the principle of maximum variation This is the technique of choice for sampling in qualitative research
Data will be collected through semi-structured interviews by qualitative health researchers
All participants will be fully informed - orally and in writing- about the research and will express their non-opposition to participate in such research
Non-opposition of the participants collected by the researcher and confirmed on the information and non-opposition form signed before any data collection and interview
The investigators aim to better understand what is at stakes around the issue of disclosure of CSA by teenagers within CAP services so to draw concrete implications to improve investigation efficacy and disclosure support by mental health professionals To date no study ever explored these issues of investigating and disclosing CSA in CAP services Qualitative methods are quite relevant here aiming as they do to in-depth explore complex issues through the lived experience of the stakeholders
The main objective of this study is to explore the lived experience of disclosing CSA among i adolescents and young adults followed in a CAP service ii parents and iii child adolescent mental health professionals working in CAP services who have experienced a CSA disclosure Crossing perspectives will bring answers to the complex question how to disclose a CSA within a CAP service and will lead to concrete implications to improve treatment of children and adolescents with an history of CSA
It is an exploratory qualitative multi-center design following the IPSE approach - Inductive Process to analyze the structure of lived experience- IPSE is a five-steps process 1 set up a research group 2 ensure the originality of the research 3 organize recruitment and sampling intended to optimize exemplarity 4 collect data that enable entry into the subjects experience and 5 analyze the data This final stage is composed of one individual descriptive phase followed by two group phases i define the structure of the lived experience and ii translate the findings into concrete proposals that make a difference in care
1 - Patients i be in a well-identified care path ii Age 12-25 years old iii have experienced CSA iv Child adolescent psychiatry treatment prior to majority and after CSA regardless the reason for this treatment v No acute symptoms 2 Parents i child on a well-identified care path ii child victim of CSA iii Child disclosure during child adolescent psychiatry treatment iv not being the perpetrator in case of intrafamilial CSA perpetrated by the mother or the father the other parent could be included
3 Child adolescent mental health professionals i have experienced directly or indirectly at least one situation of CSA disclosure by a minor patient
This is a qualitative study the number of participants required cannot be known beforehand as it will be determined by the data saturation based on the principle of theoretical sufficiency
However our experience in qualitative research allows us to propose a minimum of 30 participants per subgroup for a total of 90 participants This sample size will provide better visibility of our work and will ensure theoretical sufficiency
Recruitment by local coordinatorsco-investigators Data collection will be taken place within the five French departments
The multicentric aspect is only to facilitate recruitment and to ensure data saturation but in a qualitative study it does not impact the quality and originality of the findings Intentional and non-probabilistic sampling strategy known as Purposive Sampling in maximum variation that is to select exemplaryarchetypal situations reflecting a variety of experiences in order to obtain rich and diverse narratives according to the principle of maximum variation This is the technique of choice for sampling in qualitative research
Data will be collected through semi-structured interviews by qualitative health researchers
All participants will be fully informed - orally and in writing- about the research and will express their non-opposition to participate in such research
Non-opposition of the participants collected by the researcher and confirmed on the information and non-opposition form signed before any data collection and interview
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None