Child STEPS for Youth Mental Health in Maine: Sustainability of MATCH in the Public Sector
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 153
- 试验地点
- 1
- 主要终点
- Brief Problem Checklist (BPC)
研究概览
简要总结
The overarching goal of this project is to study the sustainability of MATCH-ADTC within community mental health clinics, to learn what is needed for evidence-based practices (EBPs) to take root and thrive within a public system.
详细描述
In this project, the investigators are randomizing children to Wave 1 (previously MATCH trained) or Wave 2 (newly MATCH trained) and using a clinical monitoring system (TRAC) to measure youth outcomes over time. Participating therapists receive weekly MATCH consultation provided by the Judge Baker Children's Center/Harvard University research team or by Maine clinic supervisors who are MATCH Associate Consultants. The investigators are also developing and testing new low-cost measures of MATCH treatment and consultation fidelity to explore the feasibility of more sustainable measures of MATCH adherence. Study data will be used to answer questions about the sustainability of MATCH in the public sector.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •6 - 15 year old child and their caregivers
- •seeking services at community mental health clinics
- •primary problem or disorder related to anxiety, traumatic stress, depression, or conduct problems, or any combination of the four problems
排除标准
- •child is younger than 6 years or older than 15 years on the day of the phone screen.
- •child has attempted suicide within the past year.
- •Schizophrenic spectrum disorder (including MDD with psychotic features)
- •Autism or another Pervasive Developmental Disorder (E.g., PDD NOS, Asperger's Disorder, Child Disintegration Disorder, Rett's Disorder)
- •Anorexia Nervosa
- •Bulimia Nervosa
- •Mental Retardation
- •no relevant T-scores validate target disorders
- •ADHD identified as primary reason for seeking treatment at phone screen
- •child's medication has not been regulated for one month or longer
研究组 & 干预措施
MATCH-ADTC Wave 1
Wave 1 clinicians received MATCH training at the beginning of the project and used MATCH to treat participating children from their clinic for two years, with weekly case consultation from MATCH experts who were part of the study team, and then received consultation from their own clinic supervisors who had been trained as MATCH Associate Consultants (ACs), supported by the TRAC system.
干预措施: MATCH-ADTC (Behavioral)
MATCH-ADTC Wave 1
Wave 1 clinicians received MATCH training at the beginning of the project and used MATCH to treat participating children from their clinic for two years, with weekly case consultation from MATCH experts who were part of the study team, and then received consultation from their own clinic supervisors who had been trained as MATCH Associate Consultants (ACs), supported by the TRAC system.
干预措施: TRAC (Other)
MATCH-ADTC Wave 2
Wave 2 clinicians provided treatment as usual (e.g., usual care) with the children they treated during the initial two years of the project. Afterwards, they trained in MATCH and used it to treat children in their clinics with weekly case consultation from our study team of MATCH experts, supported by the TRAC system.
干预措施: MATCH-ADTC (Behavioral)
MATCH-ADTC Wave 2
Wave 2 clinicians provided treatment as usual (e.g., usual care) with the children they treated during the initial two years of the project. Afterwards, they trained in MATCH and used it to treat children in their clinics with weekly case consultation from our study team of MATCH experts, supported by the TRAC system.
干预措施: TRAC (Other)
结局指标
主要结局
Brief Problem Checklist (BPC)
时间窗: Change over time from Day 1 to Day 242 (end of treatment)
Top Problems Assessment (TPA)
时间窗: Change over time from Day 1 to Day 534 (18 month follow-up)
次要结局
- Youth Self-Report and Child Behavior Checklist(Change over time from Day 1 to Day 534 (18 month follow-up))
- Client Satisfaction Questionnaire- 8 (CSQ-8 )(Change over time from Day 1 to Day 267(end of treatment))
- Youth Satisfaction Questionnaire-8 (YSQ-8)(Change over time from Day 1 to Day 267(end of treatment))
- Evidence-Based Practice Attitudes Scale (EBPAS)(Change over time from Day 1 to Day 267(end of treatment))
- Therapeutic Alliance Scale for Children (TASC)(Change over time from Day 1 to Day 267(end of treatment))
- Therapist Satisfaction Inventory (TSI)(Change over time from Day 1 to Day 267(end of treatment))
研究者
John Weisz
Primary Investigator
Harvard University