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BMJ Open. 2019 Aug 22;9(8):e029349. doi: 10.1136/bmjopen-2019-029349.

Clinical and cost-effectiveness of teen online problem-solving for adolescents who have survived an acquired brain injury in the UK: protocol for a randomised, controlled feasibility study (TOPS-UK).

Author information

1
University of Exeter, Exeter, UK.
2
Cincinnati Children's Hospital Medical Center, Cincinnati, UK.
3
Peninsula Clinical Trials Unit, Plymouth University, Plymouth, UK.
4
Peninsula Clinical Trials Unit, University of Plymouth, Plymouth, Devon, UK.
5
University of Exeter Medical School, Institute of Health Research, Exeter, UK.
6
Patient Representative, Exeter, UK.
7
Psychology, University of Exeter, Exeter, UK.

Abstract

INTRODUCTION:

Paediatric acquired brain injury is a leading cause of mortality in children in the UK. Improved treatment during the acute phase has led to increased survival rates, although with life-long morbidity in terms of social and emotional functioning. This is the protocol for a feasibility randomised controlled trial with an embedded qualitative study and feasibility economic evaluation. If feasible, a later definitive trial will test the effectiveness and cost-effectiveness of an online intervention to enhance problem solving ability versus treatment as usual.

METHODS AND ANALYSIS:

Twenty-five adolescents and their families identified by primary or secondary care clinicians at participating UK National Health Service Trusts will be recruited and individually randomised in a 1:1 ratio to receive the online intervention or treatment as usual. Participants will be followed up by online questionnaires 17 weeks after randomisation to capture acceptability of the study and intervention and resource use data. Qualitative interviews will capture participants' and clinicians' experiences of the study.

ETHICS AND DISSEMINATION:

This study has been granted ethical approval by the South West-Exeter Research Ethics Committee (ref 17/SW/0083). Results will be disseminated via peer-reviewed publications and will inform the design of a larger trial.

TRIAL REGISTRATION NUMBER:

ISRCTN10906069.

KEYWORDS:

Childand adolescent psychology; asymptomatic; bilious; executive function; ladd’s; online; problem-solving; randomised controlled trialmalrotation; volvulus

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