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Connecticut Child STEPs

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ClinicalTrials.gov Identifier: NCT03153904
Recruitment Status : Completed
First Posted : May 15, 2017
Last Update Posted : August 9, 2018
Sponsor:
Information provided by (Responsible Party):
John Weisz, 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.

Condition or disease Intervention/treatment Phase
Anxiety Depression Trauma Behavior Problems Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems Other: Monitoring and Feedback System Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 210 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Child STEPs for Youth Mental Health in Connecticut
Study Start Date : October 2013
Actual Primary Completion Date : June 2018
Actual Study Completion Date : June 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety

Arm Intervention/treatment
Experimental: 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.
Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems
MATCH-ADTC (Chorpita & Weisz, 2009) is designed for children aged 6-15. Unlike most evidence-based treatments (EBTs), which focus on single disorder categories (e.g., anxiety only), MATCH is designed for multiple disorders and problems encompassing anxiety, depression, post-traumatic stress, and disruptive conduct, including the conduct problems associated with ADHD. 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 Names:
  • MATCH
  • MATCH - ADTC

Other: Monitoring and Feedback System
For each child, the web-based MFS provides weekly monitoring of the MATCH modules used and the child's treatment response, in two forms (a) changes on the Brief Problem Monitor (BPM) and (b) changes in severity of the top treatment concerns identified by youths and caregivers. At the end of treatment, the MFS provides a complete record of modules used, and child treatment response, across all weeks of treatment.
Other Name: MFS

Active Comparator: 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.
Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems
MATCH-ADTC (Chorpita & Weisz, 2009) is designed for children aged 6-15. Unlike most evidence-based treatments (EBTs), which focus on single disorder categories (e.g., anxiety only), MATCH is designed for multiple disorders and problems encompassing anxiety, depression, post-traumatic stress, and disruptive conduct, including the conduct problems associated with ADHD. 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 Names:
  • MATCH
  • MATCH - ADTC

Other: Monitoring and Feedback System
For each child, the web-based MFS provides weekly monitoring of the MATCH modules used and the child's treatment response, in two forms (a) changes on the Brief Problem Monitor (BPM) and (b) changes in severity of the top treatment concerns identified by youths and caregivers. At the end of treatment, the MFS provides a complete record of modules used, and child treatment response, across all weeks of treatment.
Other Name: MFS




Primary Outcome Measures :
  1. Brief Problem Monitor (BPM) [ Time Frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up ]
  2. Top Problems Assessment (TPA) [ Time Frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up ]

Secondary Outcome Measures :
  1. Therapist Satisfaction Inventory (TSI) [ Time Frame: Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline ]
  2. Youth Services Survey for Families (YSS-F) [ Time Frame: Post-treatment, an average of 22 weeks after baseline ]
  3. Youth Self-Report and Child Behavior Checklist [ Time Frame: Change over time from Day 1 to 18 month follow-up ]
  4. Evidence-Based Practice Attitudes Scale (EBPAS) [ Time Frame: Post-treatment, an average of 22 weeks after baseline ]
  5. Early Adolescent Temperament Questionnaire Revised (EATQ-R) [ Time Frame: Change over time from Day 1 to 18 month follow-up ]
  6. Child Satisfaction Survey (CSC) [ Time Frame: Post-treatment, an average of 22 weeks after baseline ]
  7. Therapeutic Alliance Scale for Children (TASC) [ Time Frame: Post-treatment, an average of 22 weeks after baseline ]


Information from the National Library of Medicine

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Ages Eligible for Study:   7 Years to 15 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. 7 to 15 year old child and their caregivers
  2. seeking services at community mental health clinics
  3. primary problem or disorder related to anxiety, traumatic stress, depression, or conduct problems, or any combination of the four problems

Exclusion Criteria:

  1. child is outside of 7-15 age range
  2. child does not have elevations in the areas of anxiety, depression, conduct, or posttraumatic stress
  3. 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
  4. having been hospitalized for suicidal thoughts or behaviors within the past year
  5. if the problem area of focus is beyond the scope of outpatient treatment and MATCH (e.g., severe aggression, psychosis, severe current suicidal ideation)
  6. if child does not have a primary caregiver that can be involved in treatment and complete research assessments

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): NCT03153904


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, Professor and Primary Investigator, Harvard University
ClinicalTrials.gov Identifier: NCT03153904     History of Changes
Other Study ID Numbers: 13-1904
First Posted: May 15, 2017    Key Record Dates
Last Update Posted: August 9, 2018
Last Verified: August 2018

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

Additional relevant MeSH terms:
Depression
Problem Behavior
Behavioral Symptoms