Leaving Care - a Comparison Study of Implementation, Change Mechanisms, and Effects of Transition Services for Youth Leaving Out-of-home Care

Study Overview
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Brief Summary
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The purpose of this project is to increase understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes.

Detailed Description
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The purpose of this project is to increase the empirical understanding of the development, implementation and effectiveness of interventions for young people transitioning from societal care to independent living. The project examines the effect of interventions and how change mechanisms relate to a range of outcomes. In a pilot project, the investigators developed an intervention in collaboration with municipal social workers, section heads and organizational developers. In another pilot project, the investigators studied whether the content of empirically tested interventions in the USA can be generalized to a Swedish context. These two projects have resulted in a Swedish intervention: My choice - my way! Previous research shows that young people who are placed in social care are a particularly vulnerable group. Swedish social places little attention to what happens to prepare young people for leaving care. There are currently no interventions in Sweden that have empirical support of their effectiveness for this group. The aim of the project is to develop practical and empirical understanding of how interventions for young people placed in societal care in Sweden can be developed and implemented. The project takes place in close collaboration with municipalities and other youth serving organizations. Short-term, long-term and implementation effects are investigated by comparing My choice - my way! with usual services. The comparisons will shed light on practice components and change mechanisms related to outcomes and thus important to take into account in the future development of interventions. The outcomes will shed light on a range of self-reported outcomes, as well as register-based outcomes such as education, employment and crime. The analyses also include health economic outcomes. In addition, the attitudes of social workers and youth and organizational implementation initiatives will be investigated.

Official Title
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Leaving Care - a Comparison Study of Implementation, Change Mechanisms, and Effects of Transition Services for Youth Leaving Out-of-home Care

Conditions
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Self Efficacy, Help-Seeking Behavior, Mental Health Wellness 1, Frustration, Satisfaction, Health Behavior

Intervention / Treatment
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* Behavioral: My Choice - My Way!
* Behavioral: Usual services


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Living in out-of-home care 15 years or older Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>This group will receive the test intervention My Choice-My Way! | Behavioral: My Choice - My Way!<br>* Support intervention for adolescents (15+) in out-of-home care (foster care, group home care, supported living, institutional care, etc). 16-19 sessions with a MCMW coach, 4-8 months, weekly to bi-weekly sessions.<br>|
| Active Comparator: Control<br>This group will receive usual services | Behavioral: Usual services<br>* Usual services<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Needs Satisfaction and Frustration Scale (NSFS) | Autonomy, relatedness, competence | 8 months | 
| General Self-Efficacy Scale (GSE-10) | Self-efficacy | 8 months | 
| Resilience Scale (RS-14) | Resilience | 8 months | 
| Needs Satisfaction and Frustration Scale (NSFS) | Autonomy, relatedness, competence | 17 months | 
| General Self-Efficacy Scale (GSE-10) | Self-efficacy | 17 months | 
| Resilience Scale (RS-14) | Resilience | 17 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| General Health Questionnaire (GHQ-12) | Measure of psychological distress | 8 months | 
| General Help-Seeking Questionnaire (GHSQ) | Intentions, quantity, and quality of help seeking | 8 months | 
| Social Support Questionnaire (SSQ-6) | Social Support | 8 months | 
| Daily Routines (DR-18) | Daily Routine | 8 months | 
| General Health Questionnaire (GHQ-12) | Measure of psychological distress | 17 months | 
| General Help-Seeking Questionnaire (GHSQ) | Intentions, quantity, and quality of help seeking | 17 months | 
| Social Support Questionnaire (SSQ-6) | Social Support | 17 months | 
| Daily Routines (DR-18) | Daily Routine | 17 months |