[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100604539":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":98,"collaborators":102,"id":108,"slug":109,"hasResults":110,"nctId":111,"briefTitle":112,"officialTitle":113,"acronym":18,"eligibilityCriteria":114,"healthyVolunteers":110,"sex":115,"minAge":116,"maxAge":117,"enrollmentInfo":118,"targetDuration":18,"studyType":121,"phases":122,"briefSummary":124,"conditions":125,"keywords":130,"overallStatus":39,"whyStopped":18,"lastUpdateSubmitDate":136,"lastUpdatePostDateStruct":137,"startDateStruct":140,"completionDateStruct":142,"leadSponsor":144,"locationsCount":145},{"fullName":5,"class":6},"Dartmouth-Hitchcock Medical Center","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"I-CARE","EXPERIMENTAL","I-CARE (Improving Care, Accelerating Recovery \\& Education) is a tablet-based program designed to deliver evidence-based psychosocial skills to adolescents during mental health boarding. The program consists of 7 web-based animated videos and workbook exercises, facilitated by non mental health professionals.",[13],"Behavioral: Improving Care, Accelerating Recovery & Education (ICARE)",{"label":15,"type":16,"description":17,"interventionNames":18},"Safety Supervision","NO_INTERVENTION","These hospitals currently offer basic safety supervision and medical monitoring for adolescents during mental health boarding. This is the \"usual care\" condition.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Improving Care, Accelerating Recovery & Education (ICARE)","I-CARE is a brief, digital intervention designed for adolescents who are boarding in a medical hospital awaiting transfer to a psychiatric inpatient unit. It consists of 7 tablet-based animated video modules and workbook exercises, facilitated by individuals who are not mental health professionals. All modules are grounded in evidence-based practices, such as cognitive-behavioral therapy and dialectical behavior therapy.",[9],[26],{"name":27,"affiliation":28,"role":29},"JoAnna K. Leyenaar, MD, PhD, MPH","Dartmouth College","PRINCIPAL_INVESTIGATOR",[31],{"name":32,"role":33,"phone":34,"phoneExt":18,"email":35},"Stephanie C. Acquilano, MA","CONTACT","603-848-4742","stephanie.acquilano@dartmouth.edu",[37,56,71,84],{"facility":38,"status":39,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Yale","RECRUITING","New Haven","Connecticut","06520","United States","US",{"type":46,"coordinates":47},"Point",[48,49],-72.92816,41.30815,{"lat":49,"lon":48},[52],{"name":53,"role":33,"phone":54,"phoneExt":18,"email":55},"Jaspreet Loyal, MD, MS","475-441-2333","jaspreet.loyal@yale.edu",{"facility":28,"status":57,"city":58,"state":59,"zip":60,"country":43,"countryCode":44,"cosmosGeoPoint":61,"geoPoint":65,"contacts":66},"NOT_YET_RECRUITING","Hanover","New Hampshire","03755",{"type":46,"coordinates":62},[63,64],-72.28954,43.70229,{"lat":64,"lon":63},[67],{"name":68,"role":33,"phone":69,"phoneExt":18,"email":70},"Alistar J. O'Malley, MS, PhD","603-646-5653","james.omalley@dartmouth.edu",{"facility":72,"status":57,"city":73,"state":59,"zip":74,"country":43,"countryCode":44,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"Dartmouth Health","Lebanon","03756",{"type":46,"coordinates":76},[77,78],-72.25176,43.64229,{"lat":78,"lon":77},[81],{"name":27,"role":33,"phone":82,"phoneExt":18,"email":83},"603-650-5454","JoAnna.K.Leyenaar@Dartmouth.edu",{"facility":85,"status":39,"city":86,"state":86,"zip":87,"country":43,"countryCode":44,"cosmosGeoPoint":88,"geoPoint":92,"contacts":93},"Weill Cornell Medicine","New York","10065",{"type":46,"coordinates":89},[90,91],-74.00597,40.71427,{"lat":91,"lon":90},[94],{"name":95,"role":33,"phone":96,"phoneExt":18,"email":97},"Alexandra Huttle, MD, MSc","212-746-0921","alh9128@med.cornell.edu",{"type":29,"investigatorFullName":99,"investigatorTitle":100,"investigatorAffiliation":101,"oldNameTitle":18,"oldOrganization":18},"JoAnna K. Leyenaar","Professor of Pediatrics, Professor of The Dartmouth Institute","Trustees of Dartmouth College",[103,105,107],{"name":104,"class":6},"Yale University",{"name":106,"class":6},"Weill Medical College of Cornell University",{"name":28,"class":6},"100604539","efficacy-of-the-i-care-digital-health-intervention-100604539",false,"NCT07150832","Efficacy of the I-CARE Digital Health Intervention","I-CARE: Efficacy of a Digital Health Intervention to Reduce Suicidal Ideation During Psychiatric Boarding","Inclusion Criteria:\n\n* Adolescents of any sex and gender, aged 12-17 years at ED visit or hospital encounter\n* Presenting with suicide attempt or ideation, or self-harm\n* Medically stable\n* English-speaking\n* Awaiting transfer for inpatient psychiatric care or disposition.\n\nExclusion Criteria:\n\n* Cognitive or developmental delays precluding participation (intellectual functioning \\\u003C12 years of age)\n* Behavioral limitations that preclude program participation\n* Active psychosis\n* Legal parent\u002Fcaregiver unable to speak English or unavailable to provide consent (e.g. Wards of the State)","ALL","12 Years","17 Years",{"count":119,"type":120},173,"ESTIMATED","INTERVENTIONAL",[123],"NA","When presenting to an ED with suicide, self-harm or other mental health crises, youth may also experience \"boarding\", which is defined by the Joint Commission as \"the practice of holding patients in the ED or another temporary location after the decision to admit or transfer has been made.\" A recent national survey of 88 US acute care hospitals conducted by our research team found that 98.9% of hospitals were boarding youth awaiting psychiatric hospitalization, for an average of 2-3 days. However, as illustrated in a systemic review, little research has focused on developing interventions to support youth during this highly vulnerable time. 3\n\nI-CARE is a modular, blended digital health intervention facilitated by individuals who are not mental health clinical staff to teach youth evidence-based psychosocial skills during the boarding period. This study will evaluate I-CARE's efficacy using a patient-level randomized clinical trial (RCT), randomizing youth to receive standard safety supervision or I-CARE in addition to standard safety supervision. If found to the efficacious, I-CARE could be scaled-up in new settings with limited resources and has the potential to significantly improve the quality of care received by youth experiencing boarding.",[126,127,128,129],"Mental Health Disorder","Suicide Attempt","Suicidal Ideation","Emergency Psychiatric",[131,132,133,134,135],"Children","Adolescents","Emergency Department","Mental Health Boarding","Psychosocial Skills","2025-10-29",{"date":138,"type":139},"2025-10-31","ACTUAL",{"date":141,"type":139},"2025-10-06",{"date":143,"type":120},"2027-06-30",{"name":5,"class":6},4]