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Child STEPS for Youth Mental Health in Maine Sustainability

Primary Purpose

Anxiety, Depression, Trauma

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

MATCH-ADTC

TRAC

About this trial

This is an interventional treatment trial for Anxiety focused on measuring children, youth, adolescents, anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized, cognitive-behavioral therapy, mental health

Eligibility Criteria

6 Years - 15 Years (Child)All SexesAccepts Healthy Volunteers

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

Sites / Locations

Harvard University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Arm Label

MATCH-ADTC Wave 1

MATCH-ADTC Wave 2

Arm Description

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.

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.

Outcomes

Primary Outcome Measures

Brief Problem Checklist (BPC)

Secondary Outcome Measures

Youth Self-Report and Child Behavior Checklist

Therapeutic Alliance Scale for Children (TASC)

Client Satisfaction Questionnaire- 8 (CSQ-8 )

Youth Satisfaction Questionnaire-8 (YSQ-8)

Therapist Satisfaction Inventory (TSI)

Evidence-Based Practice Attitudes Scale (EBPAS)

Full Information

NCT ID

NCT03112304

First Posted

March 28, 2017

Last Updated

April 7, 2017

Sponsor

Harvard University

1. Study Identification

Unique Protocol Identification Number

NCT03112304

Brief Title

Child STEPS for Youth Mental Health in Maine Sustainability

Official Title

Child STEPS for Youth Mental Health in Maine: Sustainability of MATCH in the Public Sector

Study Type

Interventional

2. Study Status

Record Verification Date

April 2017

Overall Recruitment Status

Completed

Study Start Date

September 2011 (undefined)

Primary Completion Date

July 2014 (Actual)

Study Completion Date

August 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Harvard University

4. Oversight

Data Monitoring Committee

Yes

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Anxiety, Depression, Trauma, Behavior Problems

Keywords

children, youth, adolescents, anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized, cognitive-behavioral therapy, mental health

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

153 (Actual)

8. Arms, Groups, and Interventions

Arm Title

MATCH-ADTC Wave 1

Arm Type

Experimental

Arm Description

Arm Title

MATCH-ADTC Wave 2

Arm Type

Experimental

Arm Description

Intervention Type

Behavioral

Intervention Name(s)

MATCH-ADTC

Other Intervention Name(s)

MATCH

Intervention Description

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.

Intervention Type

Other

Intervention Name(s)

TRAC

Intervention Description

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 Measure Information:

Title

Brief Problem Checklist (BPC)

Time Frame

Change over time from Day 1 to Day 242 (end of treatment)

Title

10. Eligibility

Sex

All

Minimum Age & Unit of Time

6 Years

Maximum Age & Unit of Time

15 Years

Accepts Healthy Volunteers

Eligibility 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

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

John R Weisz, PhD

Organizational Affiliation

Harvard University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Harvard University

City

Cambridge

State/Province

Massachusetts

ZIP/Postal Code

02138

Country

United States

12. IPD Sharing Statement

Citations:

Citation

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.

Results Reference

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Child STEPS for Youth Mental Health in Maine Sustainability

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