Connecticut Child STEPs

Harvard University210 enrolled

Overview

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.

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

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

210

Conditions

Anxiety Depression Trauma Behavior Problems

Interventions

Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct ProblemsBEHAVIORAL

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.

Monitoring and Feedback SystemOTHER

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.

Eligibility

Sex: ALLMin age: 7 YearsMax age: 15 Years

Medical Language ↔ Plain English

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

Locations (1)

Harvard University

Cambridge, Massachusetts, United States

Outcomes

Primary Outcomes

Brief Problem Monitor (BPM)

Time frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up

Secondary Outcomes

Therapist Satisfaction Inventory (TSI)

Time frame: Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline

Youth Services Survey for Families (YSS-F)

Time frame: Post-treatment, an average of 22 weeks after baseline

Youth Self-Report and Child Behavior Checklist

Time frame: Change over time from Day 1 to 18 month follow-up

Evidence-Based Practice Attitudes Scale (EBPAS)

Time frame: Post-treatment, an average of 22 weeks after baseline

Early Adolescent Temperament Questionnaire Revised (EATQ-R)

Time frame: Change over time from Day 1 to 18 month follow-up

Child Satisfaction Survey (CSC)

Time frame: Post-treatment, an average of 22 weeks after baseline

Therapeutic Alliance Scale for Children (TASC)

Time frame: Post-treatment, an average of 22 weeks after baseline

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.