Anxiety, Behavior Problems, Depression, Trauma
Conditions
Keywords
anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized treatments, cognitive-behavioral therapy, youth, mental health
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.
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.
Interventions
BEHAVIORALModular 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.
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.
Sponsors
Harvard University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 15 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Brief Problem Monitor (BPM) | Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up |
| Top Problems Assessment (TPA) | Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Youth Self-Report and Child Behavior Checklist | Change over time from Day 1 to 18 month follow-up |
| Evidence-Based Practice Attitudes Scale (EBPAS) | Post-treatment, an average of 22 weeks after baseline |
| Therapist Satisfaction Inventory (TSI) | Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline |
| Child Satisfaction Survey (CSC) | Post-treatment, an average of 22 weeks after baseline |
| Therapeutic Alliance Scale for Children (TASC) | Post-treatment, an average of 22 weeks after baseline |
| Early Adolescent Temperament Questionnaire Revised (EATQ-R) | Change over time from Day 1 to 18 month follow-up |
| Youth Services Survey for Families (YSS-F) | Post-treatment, an average of 22 weeks after baseline |
Countries
United States
Outcome results
None listed