Anxiety, Behavior Problems, Depression, Trauma
Conditions
Keywords
children, youth, adolescents, anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized, cognitive-behavioral therapy, mental health
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.
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.
Interventions
BEHAVIORALMATCH-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.
OTHERTRAC
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.
Sponsors
Harvard University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 15 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Brief Problem Checklist (BPC) | Change over time from Day 1 to Day 242 (end of treatment) |
| Top Problems Assessment (TPA) | Change over time from Day 1 to Day 534 (18 month follow-up) |
Secondary
| Measure | Time frame |
|---|---|
| Client Satisfaction Questionnaire- 8 (CSQ-8 ) | Change over time from Day 1 to Day 267(end of treatment) |
| Youth Satisfaction Questionnaire-8 (YSQ-8) | Change over time from Day 1 to Day 267(end of treatment) |
| Youth Self-Report and Child Behavior Checklist | Change over time from Day 1 to Day 534 (18 month follow-up) |
| Evidence-Based Practice Attitudes Scale (EBPAS) | Change over time from Day 1 to Day 267(end of treatment) |
| Therapist Satisfaction Inventory (TSI) | Change over time from Day 1 to Day 267(end of treatment) |
| Therapeutic Alliance Scale for Children (TASC) | Change over time from Day 1 to Day 267(end of treatment) |
Countries
United States
Outcome results
None listed