The Effectiveness of Blended Forensic Ambulant Systemic Therapy
- Conditions
- Antisocial BehaviorBehavioral DisorderConduct Disorder
- Interventions
- Behavioral: FASTrBehavioral: FASTb
- Registration Number
- NCT05606978
- Lead Sponsor
- Utrecht University
- Brief Summary
The purpose of this study is to investigate whether blended Forensic Ambulant Systemic Therapy (FASTb) is equally effective as regular FAST (FASTr).
- Detailed Description
Forensic Ambulant Systemic Therapy (FAST) is a promising treatment for juveniles aged 12-21 showing antisocial behavior and conduct disorders. Next to regular FAST (FASTr), a blended version was developed (FASTb), in which face-to-face contact is replaced by minimally 50% online contact over the duration of intervention, consisting of video-calls and eHealth modules. The primary aim of the current study is to investigate whether FASTb is equally effective as FASTr. All clients (and their caregivers) who meet the inclusion and eligibility criteria and who signed informed consent will be assigned to either the FASTr or FASTb condition. Randomization will be done on the family level and will not depend on therapist or treatment site.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 200
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description FASTr FASTr Participants receive FAST regular (FASTr): face-to-face therapy FASTb FASTb Participants receive FAST blended (FASTb): a combination of face-to-face and online therapy
- Primary Outcome Measures
Name Time Method Change in Aggression and Delinquency assessed by the Youth Self Report (YSR) T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The YSR is a self-reported instrument. The Externalizing scale contains 30 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the YSR Externalizing scale will be administered.
Percentage of Participants with Out of Home Placement assessed using File Analysis T1 (baseline); T2 (post-intervention) up to 9 months A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement is registered by therapists during treatment as part of the standard FAST procedure.
Change in Delinquency assessed with the Self-Report Delinquent Behavior (ZDG) T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The Self-report Delinquent Behavior \[Zelfrapportage Delinquent Gedrag; ZDG\] is a self-reported instrument, assessing how many times the juvenile has done certain (rule-breaking) things in the past year. The ZDG contains 30 items. For the monthly assessment, a shortened version of the ZDG will be administered.
Percentage of Participants with Out of Home Placement assessed using an Out of Home Placement Questionnaire T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement will be assessed using a questionnaire measuring living situation, which is filled in by juveniles and caregivers. The questionnaire contains one item assessing where the juvenile lives most days of the week.
Change in Aggression and Delinquency assessed with the Child Behavior Checklist (CBCL) T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The CBCL is a caregiver-reported instrument. The Externalizing scale contains 36 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the CBCL Externalizing scale will be administered.
Change in Recidivism Risk assessed with the RAF GGZ Youth T1 (baseline); T2 (post-intervention) up to 9 months The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring recidivism risk. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure. Possible scores range from 1 (low) to 5 (high).
Percentage of Participants having Recidivated T4 (two years post-intervention) Recidivism is defined as a conviction, which is coded from official judicial records.
- Secondary Outcome Measures
Name Time Method Change in Internalizing Problems assessed with the Youth Self Report (YSR) T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The YSR is a self-reported instrument. The Internalizing scale contains 31 items, with possible scores ranging from 0 (never) to 2 (often).
Change in Internalizing Problems assessed with the Child Behavior Checklist (CBCL) T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The CBCL is a caregiver-reported instrument. The Internalizing scale contains 32 items, with possible scores ranging from 0 (never) to 2 (often).
Change in Substance Use assessed with the RAF GGZ Youth T1 (baseline); T2 (post-intervention) up to 9 months The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring substance use. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure.
Change in Substance Use assessed with the Monitoring Station Substance Use T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention Monitoring Station Substance Use \[Peilstation Middelengebruik\] is a self-reported instrument. It contains five items assessing frequency and intensity of substance use.
Change in Substance Use assessed with the FAST Goal Lists T1 (baseline); T2 (post-intervention) up to 9 months The FAST Goals Lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. The list includes 1 item on change in substance use. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Change in Contact with Deviant Peers assessed with the Basic Questionnaire Peers (BVL) T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The Basic Questionnaire Peers \[Basisvragenlijst Leeftijdsgenoten; BVL\] is a self-reported instrument with 13 items. Possible scores differ per question, for instance measuring amount of friends, or 0 (never) to 4 (5 times or more).
Change in Contact with Deviant Peers assessed with the Family, Friends, & Self Scale (FFSS) T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention The FFSS is a self-reported instrument and contains 16 items. Possible scores range from 1 (none) to 5 (almost all of them).
Change in Client Formulated Goals assessed by the FAST Goal Lists T1 (baseline); T2 (post-intervention) up to 9 months The FAST goal lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Trial Locations
- Locations (2)
de Waag
🇳🇱Utrecht, Netherlands
Utrecht University
🇳🇱Utrecht, Netherlands