MOTIV8 - Treatment Motivation in Forensic Youth Treatment
- Conditions
- Motivation
- Interventions
- Behavioral: Multidimensional Family Therapy
- Registration Number
- NCT06474156
- Lead Sponsor
- University of Amsterdam
- Brief Summary
This project entails to gain a deeper understanding of the development of treatment motivation over the course of intramural and outpatient forensic youth care. Research questions are 1) How does treatment motivation of youth and parents develop over the course of forensic systemic therapy, and following the transition from inpatient to outpatient therapy?; 2) Which client factors, interpersonal factors, and contextual characteristics moderate the development of treatment motivation?; 3) Which mechanisms play a role in the development of treatment motivation?; and 4) How does treatment motivation affect treatment retention and the achievement of primary therapy goals?
- Detailed Description
Multidimensional Family Therapy (MDFT) has been shown to motivate youth and parents in forensic care for treatment. The current study will investigate the development of treatment motivation of youth and parents over the course of MDFT, offered in a juvenile justice center. Furthermore, mechanisms and moderators will be examined, in addition to the impact of treatment motivation on treatment retention and goal achievement. Two studies with a Multiple Case Experimental Design (MCED), one with an ABC design (A = baseline, B = residential MDFT, and C = outpatient MDFT) and one with an AB design, will be conducted. Juveniles who enter residential MDFT, during a short detention period (study 1; 10 cases) or during a longer detention period (study 2; 6 cases) will be recruited, as will their parents.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Male
- Target Recruitment
- 16
- entering residential MDFT
- (only for short term residents) residing more than an hours' drive from the juvenile justice center after detention
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description short-stay residents juvenile justice center Multidimensional Family Therapy For the first group (first series case studies), ten short-stay residents will be included who enter residential MDFT and, after 1-3 months in the facility, continue MDFT on an outpatient basis. MDFT is a systemic intervention for juveniles and young adults exhibiting delinquent behavior and/or experiencing disorders related to alcohol and/or drug use. MDFT for short-term residents is indicated by a behavioral scientist following multidisciplinary consultation if there are serious concerns about the parent-child relationship and/or the family situation long-stay residents juvenile justice center Multidimensional Family Therapy For the second group (second series of case studies), six long-term residents will be included. For long-term residents, MDFT is routinely recommended, provided that the inclusion criteria are met.
- Primary Outcome Measures
Name Time Method Treatment motivation caregiver perspective (validated questionnaires) at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Parent Motivation Inventory (Nock \& Photos, 2006); Cooperation Scale (Tolan et al., 2002). Participants respond on a 5-point Likert scale on both questionnaires ranging from 1 (completely disagree) to 5 (completely agree). Higher total scores indicate more motivation for treatment.
Treatment motivation (qualitative data) Youth/Caregivers: at the end of each phase (A (after 2-6 weeks), B (after 1-9 months) and C (after 1-3 months)) Youth/Caregivers: semi-structured interview
Treatment motivation youth perspective (validated questionnaires) at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Treatment Motivation Questionnaire for Adolescents (van der Helm et al., 2013; van der Helm et al., 2018; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree), with a higher score indicating more motivation for treatment; Cooperation Scale (Tolan et al., 2002; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree. A higher total score indicates more motivation for treatment).
Treatment motivation therapist perspective (validated questionnaires) every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Cooperation Scale (Tolan et al., 2002; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). A higher score indicates more motivation for treatment).
- Secondary Outcome Measures
Name Time Method Therapeutic alliance youth perspective every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Session Rating Scale (SRS; Duncan et al., 2003). The SRS is scored by adding the total of the client's marks on the four 10-cm lines, with a higher total score indicating a stronger alliance.
Sense of competence youth perspective at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Basic Psychological Need Satisfaction and Frustration Scale (Chen et al., 2015), subscales Competence Satisfaction and Competence Frustration. Participants respond on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). A higher total score indicates a higher sense of competence.
Therapeutic alliance caregiver perspective every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Session Rating Scale (Duncan et al., 2003). The SRS is scored by adding the total of the client's marks on the four 10-cm lines, with a higher total score indicating a stronger alliance.
Sense of competence caregiver perspective at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months). Basic Psychological Need Satisfaction and Frustration Scale (Chen et al., 2015), subscales Competence Satisfaction and Competence Frustration. Participants respond on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). A higher total score indicates a higher sense of competence.
Aggression and rule-breaking behavior youth perspective The complete subscale is administered in phase A (2-6 weeks), every other week during phase B (1-9 months) and C (1-3 months) the (3-5) items reflecting the most severe problems are selected. Youth Self Report (YSR; Achenbach, 1991), subscale aggression and rule-breaking behavior. Youth complete the YSR by rating their behavior on a three-point scale for the 30 items in this subscale. Specifically, the child rates the behavioral symptoms as '0' if not present, a '1' if the child sometimes exhibits the symptom and '2' if the child frequently demonstrates the symptom. A higher total score indicates more aggression and rule breaking behavior.
Aggression and rule-breaking behavior caregiver perspective The complete subscale is administered in phase A (2-6 weeks), every other week during phase B (1-9 months) and C (1-3 months) the (3-5) items reflecting the most severe problems are selected. Child Behavior Checklist (CBCL; Achenbach, 1991), subscale aggression and rule-breaking behavior. Parents complete the CBCL by rating their children on a three-point scale for the 30 items in this subscale. Specifically, a parent rates the behavior as a '0' if it is not present, a '1' if the child sometimes exhibits the symptom, and a '2' if the child frequently demonstrates the symptom. A higher total score indicates more aggression and rule breaking behavior.
Trial Locations
- Locations (1)
JJC Teylingereind
🇳🇱Sassenheim, Netherlands