A Multimodal Day Treatment Program for Multi-problem Young Adults: Study Protocol for a Randomized Controlled Trial

Overview

Journal Trials

Publisher Biomed Central

Specialties General Medicine
Pharmacology

Date 2017 May 21

PMID 28526087

Citations 10

Authors

Marie-Jolette A Luijks

Floor Bevaart

Josjan Zijlmans

Laura van Duin

Reshmi Marhe

Theo A H Doreleijers

Henning Tiemeier

Jessica J Asscher

Arne Popma

Affiliations

Soon will be listed here.

Abstract

Background: Effective interventions for young adults with severe, multiple problems - such as psychosocial and psychiatric problems, delinquency, unemployment and substance use - are scarce but urgently needed in order to support an adequate transition to adulthood. A multimodal day treatment program called "New Opportunities" (in Dutch: "De Nieuwe Kans"; DNK) was specifically developed to target multi-problem young adults in The Netherlands. The aim of this study protocol is to describe the design of a randomized controlled trial (RCT) in clinical practice to examine the effectiveness of DNK in comparison with care as usual (CAU).

Methods/design: Multi-problem young adults in Rotterdam, The Netherlands, will be assigned randomly to DNK (expected N = 150) and CAU (expected N = 150). Primary outcome measures are recidivism and self-sufficiency. Secondary outcome measures include quality of life, attending school/work, psychological functioning, cognitive distortions and substance use. Participant and program characteristics will be examined as potential moderators of effectiveness. Additionally, cost-effectiveness will be measured. During 14 months, data from multiple resources will be collected at four time points.

Discussion: This study is one of the first RCTs on the effectiveness of interventions developed for multi-problem young adults. The results will contribute to the currently scant knowledge about what works for various multi-problem young adults in their transition to adulthood. In addition, the study protocol will provide insight into implementing an RCT in a dynamic setting of clinical practice.

Trial Registration: Dutch Trial Register, identifier: NTR5163 . Registered on 17 April 2015; retrospectively registered during the recruitment phase.

Citing Articles

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Brief report: Free-living physical activity levels and cognitive control in multi-problem young adults.

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Neurobiological Responses towards Stimuli Depicting Aggressive Interactions in Delinquent Young Adults and Controls: No Relation to Reactive and Proactive Aggression.

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The Longitudinal Interplay Between Social Network and Psychopathology in Multi-Problem Young Adult Men; Separating Within-and Between-Person Effects.

Schenk L, Sentse M, Marhe R, van Duin L, Engbersen G, Popma A Front Psychol. 2021; 12:727432.

PMID: 34955956 PMC: 8695720. DOI: 10.3389/fpsyg.2021.727432.

The predictive value of neurobiological measures for recidivism in delinquent male young adults.

Zijlmans J, Marhe R, Bevaart F, van Duin L, Luijks M, Franken I J Psychiatry Neurosci. 2021; 46(2):E271-E280.

PMID: 33844482 PMC: 8061739. DOI: 10.1503/jpn.200103.

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