Child STEPs for Youth Mental Health in Connecticut
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 210
- 试验地点
- 2
- 主要终点
- Brief Problem Monitor (BPM)
研究概览
简要总结
Connecticut Child STEPS is a randomized controlled trail investigating the effectiveness of MATCH-ADTC in treating anxiety, depression, trauma, and/or behavioral problems in children seeking services at four Department of Children and Families (DCF) funded clinics in the state of Connecticut. The study will evaluate child outcomes following two forms of therapist training in the MATCH model.
详细描述
This randomized controlled trial (RCT) will investigate the effectiveness of a modular, transdiagnostic treatment protocol for youth with anxiety, depression, trauma, and/or behavioral problems (MATCH-ADTC) in four DCF funded clinics in the state of Connecticut. MATCH synthesizes common elements found across dozens of evidence-based treatments into one model that is flexible and responsive to the complex needs of children and families. The RCT will evaluate child outcomes following two forms of therapist training in the MATCH model: (1) the 6-day MATCH training only; (2) the 6-day MATCH training plus weekly ongoing case consultation with a MATCH consultant. Participating children are between the ages of 7 and 15.
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
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 7 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •7 to 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 outside of 7-15 age range
- •child does not have elevations in the areas of anxiety, depression, conduct, or posttraumatic stress
- •child is experiencing other primary clinical problems outside of MATCH focus such as:
- •ADHD identified as primary reason for seeking treatment
- •Schizophrenic spectrum disorder including Major Depressive Disorder with psychotic features
- •Autism spectrum disorder including Pervasive Developmental Disorder, Asperger's Disorder, Child Disintegrative Disorder, Rett's Disorder
- •Eating disorder including Anorexia Nervosa and Bulimia Nervosa
- •Mental Retardation
- •having been hospitalized for suicidal thoughts or behaviors within the past year
- •if the problem area of focus is beyond the scope of outpatient treatment and MATCH (e.g., severe aggression, psychosis, severe current suicidal ideation)
- •if child does not have a primary caregiver that can be involved in treatment and complete research assessments
研究组 & 干预措施
MATCH Training plus MATCH Consultation
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists participate in weekly consultation meetings that are led by a MATCH Consultant from the study team. MATCH Consultants review sessions and the clinical monitoring and feedback system, provide recommendations for upcoming sessions, and review MATCH modules via role-plays and models.
干预措施: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (Behavioral)
MATCH Training plus MATCH Consultation
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists participate in weekly consultation meetings that are led by a MATCH Consultant from the study team. MATCH Consultants review sessions and the clinical monitoring and feedback system, provide recommendations for upcoming sessions, and review MATCH modules via role-plays and models.
干预措施: Monitoring and Feedback System (Other)
MATCH Training only
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists use MATCH as they think best and receive supervision from supervisors at the clinic.
干预措施: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (Behavioral)
MATCH Training only
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists use MATCH as they think best and receive supervision from supervisors at the clinic.
干预措施: Monitoring and Feedback System (Other)
结局指标
主要结局
Brief Problem Monitor (BPM)
时间窗: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Top Problems Assessment (TPA)
时间窗: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
次要结局
- Early Adolescent Temperament Questionnaire Revised (EATQ-R)(Change over time from Day 1 to 18 month follow-up)
- Child Satisfaction Survey (CSC)(Post-treatment, an average of 22 weeks after baseline)
- Therapist Satisfaction Inventory (TSI)(Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline)
- Evidence-Based Practice Attitudes Scale (EBPAS)(Post-treatment, an average of 22 weeks after baseline)
- Youth Services Survey for Families (YSS-F)(Post-treatment, an average of 22 weeks after baseline)
- Youth Self-Report and Child Behavior Checklist(Change over time from Day 1 to 18 month follow-up)
- Therapeutic Alliance Scale for Children (TASC)(Post-treatment, an average of 22 weeks after baseline)
研究者
John Weisz
Professor and Primary Investigator
Harvard University