Project FACTS (Fidelity Accuracy: Comparing Three Strategies)
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|ClinicalTrials.gov Identifier: NCT02820623|
Recruitment Status : Completed
First Posted : July 1, 2016
Last Update Posted : July 2, 2020
|Condition or disease||Intervention/treatment||Phase|
|Assess Fidelity to Cognitive-behavioral Therapy for Youth||Behavioral: Self-report Behavioral: Chart-Stimulated Recall Behavioral: Behavioral Rehearsal||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||126 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Increasing Accuracy and Efficiency of Fidelity Measurement in CBT|
|Study Start Date :||November 2016|
|Actual Primary Completion Date :||June 30, 2020|
|Actual Study Completion Date :||June 30, 2020|
Therapists randomized to this condition will complete a brief self-report measure, the Therapy Process Observational Coding System for Child Psychotherapy Strategies Scale-Self Report version (TPOCS-SR) for each of the recorded clinical encounters with enrolled youth. The TPOCS-SR will be a self-report version of the Therapy Process Observational Coding System for Child Psychotherapy-Strategies Scale (TPOCS-S) and will be created in collaboration with the instrument developer (McLeod). In this condition, the investigators will (a) provide an operational definition for each item on the TPOCS-SR (e.g., cognitive education: teaches client the cognitive model (e.g., thoughts influence behavior)/identifies how the cognitive model applies to a specific aspects of the client's life), and (b) provide therapists with a 30-minute training session that includes sample vignettes of particular behaviors and information about how those vignettes should be rated.
Experimental: Chart Stimulated Recall
Therapists randomized to this condition will be asked to bring the charts of three enrolled youth to the chart-stimulated recall interview. A trained interviewer will ask the therapists how well they recall the encounter (rating of memory quality) followed by an open-ended question ("Talk me through your last session with your client. Tell me what you did."). While the therapists are speaking, the interviewer will note any elements that represent a prescribed CBT strategy. The interviewer will go through a list of cognitive-behavioral strategies based upon the TPOCS-S and probe to determine if the therapists completed any of the strategies. Follow-up questions will be used to explore to what degree an element was used and how skillfully and responsively the strategies were used.
Behavioral: Chart-Stimulated Recall
Experimental: Behavioral Rehearsal
Therapists randomized to this condition will be asked to engage in role-plays demonstrating the CBT strategies used with the three enrolled youth. The investigators will provide therapists with a list of the TPOCS-S CBT strategies and ask them to identify the CBT strategies used in their recorded encounter. The investigators will randomly select one of the strategies they report for each role-play. The investigators will then tell them, "Please role-play how you used this strategy in session with your client, with the trained actor in front of you." Later, an independent rater will rate therapists' adherence and skill based on established scoring criteria.
Behavioral: Behavioral Rehearsal
- Total fidelity t-score of direct observation when compared to randomized fidelity method [ Time Frame: through study completion, an average of 1 month ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02820623
|Principal Investigator:||Rinad S Beidas, PhD||University of Pennsylvania|