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Child STEPS for Youth Mental Health in Maine Sustainability

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ClinicalTrials.gov Identifier: NCT03112304
Recruitment Status : Completed
First Posted : April 13, 2017
Last Update Posted : April 13, 2017
Sponsor:
Information provided by (Responsible Party):
John Weisz, Harvard University

Brief Summary:
The overarching goal of this project is to study the sustainability of MATCH-ADTC within community mental health clinics, to learn what is needed for evidence-based practices (EBPs) to take root and thrive within a public system.

Condition or disease Intervention/treatment Phase
Anxiety Depression Trauma Behavior Problems Behavioral: MATCH-ADTC Other: TRAC Not Applicable

Detailed Description:
In this project, the investigators are randomizing children to Wave 1 (previously MATCH trained) or Wave 2 (newly MATCH trained) and using a clinical monitoring system (TRAC) to measure youth outcomes over time. Participating therapists receive weekly MATCH consultation provided by the Judge Baker Children's Center/Harvard University research team or by Maine clinic supervisors who are MATCH Associate Consultants. The investigators are also developing and testing new low-cost measures of MATCH treatment and consultation fidelity to explore the feasibility of more sustainable measures of MATCH adherence. Study data will be used to answer questions about the sustainability of MATCH in the public sector.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 153 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Child STEPS for Youth Mental Health in Maine: Sustainability of MATCH in the Public Sector
Study Start Date : September 2011
Actual Primary Completion Date : July 2014
Actual Study Completion Date : August 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
Experimental: MATCH-ADTC Wave 1
Wave 1 clinicians received MATCH training at the beginning of the project and used MATCH to treat participating children from their clinic for two years, with weekly case consultation from MATCH experts who were part of the study team, and then received consultation from their own clinic supervisors who had been trained as MATCH Associate Consultants (ACs), supported by the TRAC system.
Behavioral: MATCH-ADTC
MATCH - ADTC (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems; Chorpita & Weisz, 2009) is a psychosocial intervention designed to treat children with multiple disorders and problems encompassing anxiety, depression, post-traumatic stress, and disruptive conduct, including the conduct problems associated with ADHD. It is recommended for children aged 6-15. MATCH is composed of 33 modules—i.e., specific treatment procedures derived from decades of research on EBTs. The various modules can be organized and sequenced flexibly to tailor treatment to each child's characteristics and needs.
Other Name: MATCH

Other: TRAC
TRAC (Treatment Response Assessment for Children) is a web-based system that provides weekly monitoring of the MATCH modules used and the child's response to treatment. Child's response to treatment is based on caregiver and child reports of (a) changes in problem severity on the standardized Brief Problem Checklist, and (b) changes in severity of the top treatment concerns identified by youths and caregivers. At the end of treatment, TRAC provides a complete record of modules used, and child treatment response, across all the weeks of treatment, as illustrated in the "client dashboard."

Experimental: MATCH-ADTC Wave 2
Wave 2 clinicians provided treatment as usual (e.g., usual care) with the children they treated during the initial two years of the project. Afterwards, they trained in MATCH and used it to treat children in their clinics with weekly case consultation from our study team of MATCH experts, supported by the TRAC system.
Behavioral: MATCH-ADTC
MATCH - ADTC (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems; Chorpita & Weisz, 2009) is a psychosocial intervention designed to treat children with multiple disorders and problems encompassing anxiety, depression, post-traumatic stress, and disruptive conduct, including the conduct problems associated with ADHD. It is recommended for children aged 6-15. MATCH is composed of 33 modules—i.e., specific treatment procedures derived from decades of research on EBTs. The various modules can be organized and sequenced flexibly to tailor treatment to each child's characteristics and needs.
Other Name: MATCH

Other: TRAC
TRAC (Treatment Response Assessment for Children) is a web-based system that provides weekly monitoring of the MATCH modules used and the child's response to treatment. Child's response to treatment is based on caregiver and child reports of (a) changes in problem severity on the standardized Brief Problem Checklist, and (b) changes in severity of the top treatment concerns identified by youths and caregivers. At the end of treatment, TRAC provides a complete record of modules used, and child treatment response, across all the weeks of treatment, as illustrated in the "client dashboard."




Primary Outcome Measures :
  1. Brief Problem Checklist (BPC) [ Time Frame: Change over time from Day 1 to Day 242 (end of treatment) ]
  2. Top Problems Assessment (TPA) [ Time Frame: Change over time from Day 1 to Day 534 (18 month follow-up) ]

Secondary Outcome Measures :
  1. Youth Self-Report and Child Behavior Checklist [ Time Frame: Change over time from Day 1 to Day 534 (18 month follow-up) ]
  2. Therapeutic Alliance Scale for Children (TASC) [ Time Frame: Change over time from Day 1 to Day 267(end of treatment) ]
  3. Client Satisfaction Questionnaire- 8 (CSQ-8 ) [ Time Frame: Change over time from Day 1 to Day 267(end of treatment) ]
  4. Youth Satisfaction Questionnaire-8 (YSQ-8) [ Time Frame: Change over time from Day 1 to Day 267(end of treatment) ]
  5. Therapist Satisfaction Inventory (TSI) [ Time Frame: Change over time from Day 1 to Day 267(end of treatment) ]
  6. Evidence-Based Practice Attitudes Scale (EBPAS) [ Time Frame: Change over time from Day 1 to Day 267(end of treatment) ]


Information from the National Library of Medicine

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Ages Eligible for Study:   6 Years to 15 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 6 - 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

Exclusion Criteria:

  • child is younger than 6 years or older than 15 years on the day of the phone screen.
  • child has attempted suicide within the past year.
  • Schizophrenic spectrum disorder (including MDD with psychotic features)
  • Autism or another Pervasive Developmental Disorder (E.g., PDD NOS, Asperger's Disorder, Child Disintegration Disorder, Rett's Disorder)
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Mental Retardation
  • no relevant T-scores validate target disorders
  • ADHD identified as primary reason for seeking treatment at phone screen
  • child's medication has not been regulated for one month or longer

Information from the National Library of Medicine

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): NCT03112304


Locations
United States, Massachusetts
Harvard University
Cambridge, Massachusetts, United States, 02138
Sponsors and Collaborators
Harvard University
Investigators
Principal Investigator: John R Weisz, PhD Harvard University

Publications:
Chorpita, B.F., & Weisz, J.R. (2009). Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH-ADTC). Satellite Beach, FL: PracticeWise, LLC.

Responsible Party: John Weisz, Primary Investigator, Harvard University
ClinicalTrials.gov Identifier: NCT03112304     History of Changes
Other Study ID Numbers: H030711
First Posted: April 13, 2017    Key Record Dates
Last Update Posted: April 13, 2017
Last Verified: April 2017

Keywords provided by John Weisz, Harvard University:
children
youth
adolescents
anxiety
depression
trauma
behavior problems
evidence-based treatments
manualized
cognitive-behavioral therapy
mental health

Additional relevant MeSH terms:
Depression
Problem Behavior
Behavioral Symptoms