Subproject 3: Efficacy

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Although the Hamburg COSIP-intervention is a quality-assured, practice-tested, published concept for child-centered medical family counseling and therapy and has been evaluated both in terms of acceptance and particularly helpful / less helpful aspects of intervention, there is still the need to prove its preventive efficacy. An intervention study aims to examine this under controlled conditions and compare it with a waiting list control group.

 

This will examine the following question:

  • Can a significant effect, measured at two points (T2, T3), be proven in the COSIP-intervention group in comparison with the waiting list control group?

 

In order to more closely examine counseling efficacy, families will be included in a prospective, open, randomized, controlled three-arm study under consideration of defined inclusion and exclusion criteria. An intervention group (study arm 1) will be compared with a waiting list control group (study arm 2) which will not receive counseling during this time. Patients who decline to participate in randomization will be examined in a third study arm in a routine procedure in terms of counseling efficacy in the generic evaluation of the network project (study arm 3) in order to capture selection mechanisms.

 

Data sources will be therapists and doctors implementing the intervention on the one side, and parents and children on the other. All persons participating in counseling will be included. An objective perspective, formed via objective questionnaires, will be supplemented with subjective evaluations by test persons, e.g. on satisfaction with treatment and goal fulfillment. Change will be measured indirectly by means of repeat measurement and directly via asking about changes.

 

The study is based on the classic action model “independent variable - dependent variable”. The independent variable is group affiliation (intervention group vs. control group). The dependent variable is measured outcome characteristics.

 

 The moderating and target variables subject to examination are:

Child:

  • Health-related quality of life (Kidscreen),
  • Psychological strain / child symptoms: emotional symptoms, behavior symptoms, hyperactivity / attention deficits, problems in peer relations, prosocial behavior (SDQ & CBCL / YSR)

 

Parent:

  • Anxiety and depression (HADS),
  • Subjective experience of parental competence (SBI-E)

 

Family:

  • Familial functions: communication, emotionality, affective relationship initiation, general functioning level (FAD)
  • Familial coping: capacity to seek help and accept support (F-COPES)
  • Reduction of age-inadequate parentification of child

 

Responsible:

PD Dr. med. Georg Romer

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Prof. Dr. med. Dr. phil. Uwe Koch

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Project Management:

Dr. phil. Birgit Möller

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Dr. phil. Corinna Bergelt

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University Medical Center Hamburg-Eppendorf

Center for Psychosocial Medicine

Department of Child and Adolescent Psychiatry and Psychotherapy

Martinistraße 52, W35

20246 Hamburg

Telephone: 040 / 7410 - 52202

Clinic Homepage: www.uke.de/kliniken/kinderpsychiatrie

Project Homepage: www.uke.uni-hamburg.de/cosip

 

University Medical Center Hamburg-Eppendorf

Center for Psychosocial Medicine

Clinic and Polyclinic for Medical Psychology

Martinistraße 52, W26

20246 Hamburg

Telephone: 040 / 7410 - 52863

Institute Homepage: http://zpm.uke.uni-hamburg.de/medpsych

Project Homepage: http://zpm.uke.uni-hamburg.de/4DACTION/W_AG_suche?L=P2&DieKreisID=KA125