The main objective in this study is whether biofeedback on the psychofysiological stress level is effective in reducing incidents in youth in residential care.
ID
Source
Brief title
Condition
- Psychiatric and behavioural symptoms NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Incidents
Secondary outcome
- psychofysiological stress
- self reported stress
- recognition of incidents
Background summary
Youth in residential care often react inadequately on stress because of
dysregulated stress systems. This expressess itself by problematic forms of the
fight or flight response like aggression or self harm. The consequences are
often serious for the youth themselves as well as for the other children and
professionals, and range from physical and psychological symptoms to
organisational consequences. Existing methods of early recognition are based on
the observation by the child itself or the professionals. However, experience
learned us that both the child and the professionals are not capable to
recognize increasing stress symptoms on time, or even not at all, which hinders
early intervention to prevent an incident. The last years the possibilities to
measure psychofysiological stress in an easy, non-intrusive and objective way
increased through the development of wireless devices. Psychofysiological
markers that strongly correlate with stress are heart rate and skin
conductance. The devices can also give biofeedback on these markers to improve
insights into stress levels. The expectation is that this will improve the
recognition of increasing stress levels and stressregulation in a complex
sample, which makes it possible to intervene in an early stage so incidents can
be prevented.
Study objective
The main objective in this study is whether biofeedback on the
psychofysiological stress level is effective in reducing incidents in youth in
residential care.
Study design
We focus on the effect of biofeedback (intervention) on psychofysiological
stress given by both a smartwatch and Sense-IT app to reduce incidents. This
study includes 20 N=1 studies with an ABA-design
(baseline-intervention-baseline) for 9 weeks.
Intervention
In this study the effect of biofeedback (intervention) is tested using a
smartwatch and Sense-IT app. The smartwatch measures heart rate, and shows this
on a scale from 1 to 10. First a baseling measurement is carried out with the
client in rest. Then a personalized threshold is determined to inform the
participant about increasing or decreasing stress levels, i.e., changes of .5,
1 or 2 standard deviations. Both visually and through a vibration of the watch,
the participant is informed about changing stress levels, controlled for
physical activities (e.g., running).
Study burden and risks
There are no risks
Montessorilaan 3
Nijmegen 6525HR
NL
Montessorilaan 3
Nijmegen 6525HR
NL
Listed location countries
Age
Inclusion criteria
age 12-18 years, the client must be admitted for at least three more months, IQ>70, the client is allowed to have a Phone or Ipad
Exclusion criteria
high risk that the client will damage or sell the smartwatch, the client only shows instrumental aggression and no frustational aggression because the goal of the study is about increasing stress and incidents
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL69503.091.19 |