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Trial registered on ANZCTR
Registration number
ACTRN12612000462886
Ethics application status
Approved
Date submitted
18/04/2012
Date registered
26/04/2012
Date last updated
15/05/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Interactive voice response (IVR) – an automated follow-up technique for adolescents discharged from acute psychiatric inpatient care. A randomised controlled trial.
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Scientific title
Among adolescents discharged from acute psychiatric inpatient care Interactive voice response is a feasible follow-up technique.
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Secondary ID [1]
280305
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Nil
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Universal Trial Number (UTN)
U1111-1129-9082
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
To study if IVR is a feasible method of collecting self-reported data on current mood
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Condition category
Condition code
Mental Health
286485
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Sixty inpatients were recruited from a child and adolescent psychiatric emergency ward in Malmo, Sweden. Patients were either called every second (N = 30) or every fourth (N = 30) day from the first day after discharge until their first visit in outpatient care. At each call, a pre-recorded voice asked them to evaluate their current mood using the keys on their mobile phones. The patients were also asked to respond to whether they had been to an outpatient care consultation since the last time they were contacted by the IVR system. Patients answering that they had not visited an outpatient care unit were called again according to schedule, while patients answering that they had been to an outpatient care consultation after discharge were not called again. At the end of each call, patients were informed to talk to someone trusted or to contact the emergency unit if experiencing accentuated symptoms. Each call, depending on answers given, lasted for 3-5 minutes. At the last call, which occurred 31 days after discharge, or after the first outpatient care visit, the participant was informed that no additional calls were to be made from the IVR system.
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Intervention code [1]
284655
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Not applicable
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Comparator / control treatment
Patients were either called every second (N = 30) or every fourth (N = 30) day from the first day after discharge until their first visit in outpatient care. The every forth day call group was deemed the control intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Response rate. The computer registered the answering frequences. No other equipment or tests were used.
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Assessment method [1]
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Timepoint [1]
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30 days
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Secondary outcome [1]
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Mood. Patients rated their mood on a 10-point scale using the keys on their mobile phones where 0 indicated worst possible mood and 9 mood as good as possible.
No other equipment or tests were used.
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Assessment method [1]
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Timepoint [1]
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30 days
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Eligibility
Key inclusion criteria
*Consecutive adolescents, treated between December 2008 and November 2009 at the Department of Child & Adolescent psychiatry in Malmo, Sweden, who were discharged to outpatient treatment
* Holder of a mobile phone
* Having parents' acceptance of participation
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Minimum age
13
Years
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Maximum age
17
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Mental retardation
* Non-Swedish speaking
* Not dischargable to outpatient care
* First visit in outpatient care on the day of discharge or the day after
* Deviant registration
* Treatment less than 24 hours
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4250
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Sweden
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State/province [1]
4250
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Skane county council's research and development foundation
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Address [1]
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SE 205 25 Malmo
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Country [1]
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Sweden
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Primary sponsor type
University
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Name
Lund University
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Address
Clinical Health Promotion Centre
(former Clinical Alcohol Research)
Skane University Hospital
SE 205 02 Malmo
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Country
Sweden
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Skane University Hospital
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Address [1]
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Department of Child & Adolescent Psychiatry
Psychiatry Skane
SE 205 02 Malmo
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Country [1]
283991
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Sweden
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Regional Ethical Review Board
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Ethics committee address [1]
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Box 133 SE 221 00 Lund
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Ethics committee country [1]
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Sweden
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Date submitted for ethics approval [1]
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Approval date [1]
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23/10/2007
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Ethics approval number [1]
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H15 460/2007
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Summary
Brief summary
It is important to develop new follow-up methods easy for young people to handle. Previous studies indicate that Interactive Voice Response (IVR) could be a new promising technique to follow up adolescents with psychiatric syndromes. IVR is an automated telephone system in which a central computer is programmed to administer incoming calls or to dial designated phone numbers. Subjects respond to questions by pressing a number on the telephone keypad. Sixty inpatients were recruited from a psychiatric emergency unit in Sweden. Patients were either called every second (N=30) or every fourth (N=30) day from the first day after discharge until their first visit in outpatient care. At each call, a pre-recorded voice asked them to evaluate their current mood using their mobile phones. The average response rate was 91%. A response rate of 100% was obtained by 71%. The probability of answering at least 75% of the calls was 88% in both groups. Sex, age and length of inpatient treatment did not affect the response rate, nor did randomisation. The boys estimated their current mood on average better than the girls did. Patients treated for less than three days estimated their current mood better than those treated for at least three days. Automated IVR is a feasible method of collecting follow-up data on current mood among adolescents discharged from a psychiatric emergency unit. The technology offers new promising ways of remote collection of self-reported data among adolescents.
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Trial website
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Trial related presentations / publications
1. Remvall S, Bjorgell R, Johansson BA, Lindgren A, Andersson C. [Interactive voice response – an automated follow-up technique for adolescents discharged from acute psychiatric inpatient care. A randomised controlled trial.] Swedish. Poster presentation. The Annual General Meeting of the Swedish Society of Medicine, Gothenburg 2010. 2. Remvall S, Bjorgell R, Johansson BA, Andersson C. [Interactive voice response – an automated follow-up technique for adolescents discharged from acute psychiatric inpatient care. A randomised controlled trial.] Swedish. Poster presentation. The Spring meeting of the Swedish CAP association, Gothenburg 2010.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Bjorn Axel Johansson
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Address
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Department of Child & Adolescent Psychiatry
Skane University Hospital
SE 205 02 Malmo
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Country
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Sweden
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Phone
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+46 40 331675
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Fax
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+46 40 333269
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Email
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[email protected]
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Contact person for scientific queries
Name
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Bjorn Axel Johansson
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Address
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Department of Child & Adolescent Psychiatry
Skane University Hospital
SE 205 02 Malmo
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Country
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Sweden
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Phone
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+46 40 331675
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Fax
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+46 40 333269
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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