Posttraumatic Stress Disorder or high posttraumatic stress symptoms (CATS-2 score > 21) F43.1
Conditions
Interventions
Group 1: Licensed psychotherapists and psychotherapists in post-gradual training who have been trained in TF-CBT and receive supervision as usual (SAU) AND fortnightly trauma-focussed case consultatio
Sponsors
Johann-Wolfgang-Goethe Universität Frankfurt
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: In this study, there are two levels of participants with their respective inclusion criteria. I) Psychotherapists (planned n = 116) inclusion: (1.) work as a (PIT) in one of the collaborating state approved postgradual psychotherapy training institutes (SAPPTIs) or as a LPT in one of the selected regions who (2) are willing to participate in the study and give informed consent. II) Patient (planned n = 580) inclusion: (1.) age 5-20 years; (2.) experience of abuse or neglect (3.) clinical diagnosis of maltreatment-related PTSD according to the diagnostic criteria of ICD-10, or any mental disorder and at least a score of 21 on the Child and Adolescent Trauma Screen (CATS-2); (4.) travel time from their place of living to the treatment site less than one hour; (5.) patients and caregiver are willing to participate in the study and give informed consent; (6.) at least one caregiver is available and committed to attending the regular treatment sessions.
Exclusion criteria
Exclusion criteria: In this study, there are two levels of participants with their respective exclusion criteria. I) Psychotherapist exclusion: the time available before the end of their training program (PIT) or their retirement (LPT) is insufficient for the training and the treatment of the patients. Time is deemed insufficient in case a PIT has less than 12 months of training at the SAPPTI’s outpatient unit before the expected graduation from the training course and in case of an LPT if retirement or change of career is planned in less than 48 months from randomization. II) Patient exclusion: (1.) severe mental retardation (intelligence quotient (IQ) of < 50; (2.) current psychosis, severe substance disorder or acute suicidality; (3.) any other current psychotherapy; (4.) stable psychotropic medication will be allowed but carefully monitored.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the number of patients who receive a sufficiently adherent TF-CBT treatment (SATT). What counts as a SATT is defined as: 1.) the patient has received at least 8 sessions 2.) Modules 1-5 ("PRAC") must be completed prior to beginning the trauma narrative. 3.) at least one therapy session on the trauma narrative has been conducted 4.) trauma narrative was started no later than patient session 22. Whether the patient has received a SATT will be rated by blinded assessors on the basis of the TF-CBT Goal Checklist with which each therapist records after each session, which TF-CBT modules he/she worked on. Analysis will proceed on an ITT basis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes for patients are: (1) the reduction of PTSS (as measured with CATS-2, caregiver and self-rating) from baseline (pre) to post and also to FU; (2) the reduction of depressive symptoms (measured with MFQ, caregiver and self-rating) from pre to post and also to FU. The analyses will be based on ITT numbers. Secondary outcomes for therapists are: (1) the session-wise self-ratings of insecurity in implementing TF-CBT; (2) their attitude towards ESTs (measured with EBPAS-36) analysed across therapists' baseline (pre web-training), post web-training, post live workshop, post implementing TF-CBT therapy. The analyses regarding therapists will proceed on an intent-to-supervise basis. “Intent-to-supervise” is an ITT-analysis regarding the therapists, who receive a training (SAU or SAU+TFS), i.e. every therapist, once randomized, will be entered into the analysis. As exploratory outcomes that allow additional in-depth analyses, several therapist and patient related measures will be analysed: Therapist outcomes: training-related outcomes (increase in knowledge and skill across the training components (as tested by the TF-CBT Knowledge and Skills Test), fear of implementing TF-CBT, readiness to implement TF-CBT and the likelihood of implementing TF-CBT) and professional quality of life; patient outcomes (therapy satisfaction): youth welfare and paediatrician outcomes: attitudes towards implementation and evidence-based practice. | — |
Countries
Germany
Contacts
Public ContactRegina Steil
Johann-Wolfgang-Goethe University Frankfurt, Institut für Klinische Psychologie und Psychotherapie
Outcome results
None listed