Implementation and Evaluation of the ChildTaks+ Intervention in the Czech Republic

Study Overview
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Brief Summary
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Aims of the study. The aim of this study is to evaluate the effectiveness of the ChildTalks+ intervention and to implement it in education and practice. By delivering the ChildTalks+ intervention, i.e. educating parents about the transgenerational transmission of the disorder, informing them about the impact on their children, strengthening their parenting competencies, supporting communication within the family and informing COPMI about their parents' mental disorder, listening to their needs and providing emotional and social support to the family, the investigators expect the following outcomes: improved family communication, including children's awareness of their parents' mental health problems, improved overall well-being of COPMI, heightened perceptions of parental competence, increased family protective factors, including strengthened social support, sustained over time. Part of the intervention consists of early identification of social-emotional problems in children and referral for further professional help. The research questions the investigators will focus on are: What are the effects of the ChildTalks+ intervention in families where parents have a mental health disorder? Is the ChildTalks+ intervention feasible for therapists who treat patients with mental disorder? Is the ChildTalks+ intervention feasible in families where one parent has an eating disorder? Should the ChildTalks+ intervention be modified for this group of families where parent has an eating disorders?

Detailed Description
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Background: Children of parents with mental illness - COPMI face a high risk of developing a mental disorder themselves as a result of transgenerational transmission. Without effective interventions, COPMI represent the next generation of psychiatric patients. ChildTalks+ is a preventive intervention, consists of four structured psychoeducational sessions, designed for parents affected by any mental disorder and their children. Its key strategy is to prevent and reduce the risk of mental disorders in COPMI. In this study, given the clinical practice, the investigators include the diagnostic group of patients with eating disorders. The aim of the project, which will run in the Czech Republic, is to implement and evaluate the effectiveness of ChildTalks+ methodology. Methods: 66 families with a parent being treated for any mental health disorder and with a child aged 6-18 are recruited by ChildTalks+ therapists, professionals from health, social and educational facilities. Paired allocation into intervention group IG (N = 33) and control group CG (N = 33) is based on the number of risk factors identified in the family. IG and CG complete questionnaires at the baseline assessment (T0), at the post-test assessment (T1), and at the follow-up assessments after 6 months (T2) and 12 months (T3). IG receive the ChildTalks+ intervention within 2 months after T0 and CG after the T3 assessment. Questionnaires are completed by parents and children aged 12/15. Quantitative data will be supplemented with qualitative data from ChildTalks+ therapists working with patients with eating disorders. Discussion: The ChildTalks+ intervention is expected to strengthen parenting competencies and family protective factors, improve family communication, increase awareness of parental mental health issues, and improve the overall well-being of COPMI with long-term sustainable outcomes. The current study will be an important contribution to the international evidence base for the ChildTalks+ program and will help identify key themes in the implementation of other similar preventive interventions.

Official Title
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Implementation and Evaluation of the ChildTaks+ Intervention in the Czech Republic Aimed at COPMI

Conditions
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Mental Disorder, Mental Health Issue, Parent-Child Relations, Parent-child Problem, Child Mental Disorder, Eating Disorders, Eating Disorders in Adolescence

Intervention / Treatment
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* Behavioral: ChildTaks+ intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A parent is being treated for any mental disorder (according to DSM-5 or ICD-10 diagnostic criteria). A child in the family is between the ages of 6-18. Exclusion Criteria: Parental substance or alcohol dependence that is currently untreated. Acute mental disorder with significant and distressing symptoms, including suicidal tendencies, requiring immediate treatment for both children and parents. Parental inability to provide consent due to intellectual disability, or language reasons.

Ages Eligible for Study
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Minimum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Methods: 66 families with a parent being treated for any mental health disorder and with a child aged 6-18 are recruited by ChildTalks+ therapists, professionals from health, social and educational facilities. Paired allocation into intervention group IG (N = 33) and control group CG (N = 33) is based on the number of risk factors identified in the family. IG and CG complete questionnaires at the baseline assessment (T0), at the post-test assessment (T1), and at the follow-up assessments after 6 months (T2) and 12 months (T3). IG receive the ChildTalks+ intervention within 2 months after T0 and CG after the T3 assessment. Questionnaires are completed by parents and children aged 12/15. Quantitative data will be supplemented with qualitative data from ChildTalks+ therapists working with patients with eating disorders.
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Control Group<br>Paired allocation into intervention group IG (N = 33) and control group CG (N = 33) is based on the number of risk factors identified in the family. IG and CG complete questionnaires at the baseline assessment (T0), at the post-test assessment (T1), and at the follow-up assessments after 6 months (T2) and 12 months (T3). | Behavioral: ChildTaks+ intervention<br>* The ChildTalks+ Intervention ChildTalks+ is a preventive intervention originally developed in the Netherlands, targeting children up to 18 years of age. It has been implemented in Norway, Italy, and Portugal. It has a clear and well-described theoretical basis focusing on psychoeducation. Its key strategy is to provide feasible and replicable interventions to improve the quality of life of families where parents are affected by a mental disorder.<br>|
| Active Comparator: Intervention Group<br>IG receive the ChildTalks+ intervention within 2 months after T0 and CG after the T3 assessment. | Behavioral: ChildTaks+ intervention<br>* The ChildTalks+ Intervention ChildTalks+ is a preventive intervention originally developed in the Netherlands, targeting children up to 18 years of age. It has been implemented in Norway, Italy, and Portugal. It has a clear and well-described theoretical basis focusing on psychoeducation. Its key strategy is to provide feasible and replicable interventions to improve the quality of life of families where parents are affected by a mental disorder.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The health-related Quality of life (KIDSCREEN): children 12 - 18, parents of children 8 - 18 | Improvement in child's overal well-being | Up to 14 months | 
| The Strengths and Difficulties Questionnaire (SDQ) children: 15 - 18,parents of children: 6 - 18 | Improvement in child's overal well-being | Up to 14 months | 
| Mental Health Literacy Scale: children 15 - 18 | Increase awareness of parental mental health problems | Up to 14 months | 
| Eating questionnaire youth version (CHEDE-Q): children 12 - 18 | Detect child behavioral and emotional problems at an early stage | Up to 14 months | 
| Parents' Evaluations of Developmental Status (PEDS): parents of children 0 - 8 | Detect child behavioral and emotional problems at an early stage | Up to 14 months | 
| Parenting Sense of Competence (PSOC): parents of children 6 - 18 | Increase in perceiving parental competences | Up to 14 months | 
| Parent-Child Communication Scale (PCCS): children 12 - 18, parents of children 6 - 18 | Open family communication | Up to 14 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ChildTalks+,COPMI,mental health prevention,eating disorders