Connecticut Child STEPs
- Conditions
- Behavior ProblemsDepressionAnxietyTrauma
- Interventions
- Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct ProblemsOther: Monitoring and Feedback System
- Registration Number
- NCT03153904
- Lead Sponsor
- Harvard University
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 210
- 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
-
child is outside of 7-15 age range
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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
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if the problem area of focus is beyond the scope of outpatient treatment and MATCH (e.g., severe aggression, psychosis, severe current suicidal ideation)
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if child does not have a primary caregiver that can be involved in treatment and complete research assessments
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MATCH Training plus MATCH Consultation Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems 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. MATCH Training only Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems 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. MATCH Training plus MATCH Consultation Monitoring and Feedback System 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. MATCH Training only Monitoring and Feedback System 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.
- Primary Outcome Measures
Name Time Method Brief Problem Monitor (BPM) Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up Top Problems Assessment (TPA) Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
- Secondary Outcome Measures
Name Time Method 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
Trial Locations
- Locations (1)
Harvard University
🇺🇸Cambridge, Massachusetts, United States