TF-CBT for Adjudicated Youth in Residential Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 210
- 主要终点
- Number of youth completing TF-CBT in each condition
研究概览
简要总结
Adjudicated youth often have traumatic stress responses but rarely receive treatment for these problems. This study is a randomized controlled trial to evaluate two alternative implementation strategies for providing an evidence-based trauma treatment, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), to therapist who treat adjudicated youth in 18 residential treatment facilities (RTF) in New Hampshire, Vermont, and Connecticut: 1) web-based TF-CBT implementation strategy ("W"), consisting on only web-based training and consultation; versus 2) W plus live TF-CBT implementation strategy, consisting of W plus face-to face training and phone consultation with TF-CBT experts ("W+L").
详细描述
Therapists in each of 18 participating RTFprograms that serve adjudicated youth are randomized to receive either:
- W TF-CBT implementation strategy, provided via the free distance learning resources TF-CBTWeb, (www.musc/edu/tfcbt) and TF-CBTConsult (www.musc.edu/tfcbtconsult); or
- W+L implementation strategy, provided through W + 2 day TF-CBT training plus one year of twice monthly TF-CBT consultation calls with a TF-CBT expert trainer.
All RTF staff receive one day training in trauma-informed care. All therapists in both conditions receive training in screening youth for trauma exposure and symptoms. Data are collected regarding primary outcomes of: 1) number of youth therapists in each condition screen for trauma symptoms, 2) number of youth consent to TF-CBT treatment; 3) number of youth complete TF-CBT, 4) TF-CBT fidelity during treatment. Secondary outcomes include 1)changes in therapist knowledge and satisfaction regarding TF-CBT treatment and 2) youth outcomes including PTSD symptoms, depression and satisfaction with treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 13 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Consenting mental health therapists in participating residential treatment facilities (RTF)in New Hampshire, Vermont and Connecticut; and the adjudicated youth ages 12-17 years old who are residents in these RTF programs being treated by the participating therapists who 1) are screened positive for having at least one past trauma experience with UCLA PTSD Reaction Index score of >22; 2) assent with legal guardian consent to participate in the project; and 3) are anticipated to remain in the RTF program at least 3 months (long enough to receive TF-CBT treatment).
排除标准
- •Guardian or youth refuses;youth does not endorse trauma exposure or symptoms; youth is being discharged too soon to participate; Therapist may use clinical judgment to exclude youth from study based on clinical presentation.
结局指标
主要结局
Number of youth completing TF-CBT in each condition
时间窗: Day 240 (6 months post start of treatment)
Number of youth completing TF-CBT in W vs W+L conditions
Number of youth starting TF-CBT
时间窗: Day 60
Number of youth who begin TF-CBT treatment in W vs W+L implementation condition
Fidelity of TF-CBT implementation
时间窗: Day 240
Therapist fidelity implementing TF-CBT across and between implementation conditions using TF-CBT Fidelity Checklist (online version)
Number of youth screened for trauma exposure and PTSD symptoms
时间窗: Day 1
Number of youth screened for trauma exposure and PTSD symptoms using the UCLA PTSD Reaction Index (online version)in W vs. W+L implementation condition
次要结局
- Therapy Procedures Checklist(Day 1; Day 900 (30 monhts later))
- Attitudes toward Computer Usage Scale(Day 1; Day 900)
- TF-CBTWeb Knowledge Test(Day 1, Day 900)
- Youth UCLA PTSD Reaction Index(Day 1; Day 240 (post treatment_)
- Mood and Feelings Questionnaire-Short Version(Day 1; Day 240 (post treatment))
- Youth Satisfaction Survey(Day 240 (post treatment))
研究者
Judith Cohen
Medical Director, Professor of Psychiatry, Allegheny General Hospital, Drexel University College of Medicine
Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)