Clinical trial NCT03112304: 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
Overall status: COMPLETED
Phase: NA
Conditions: Anxiety
Depression
Trauma
Behavior Problems
Keywords: children
youth
adolescents
anxiety
depression
trauma
behavior problems
evidence-based treatments
manualized
cognitive-behavioral therapy
mental health
Lead sponsor: Harvard University
Sponsor class: OTHER
First posted: 2017-04-13
Enrollment: 153
Sex: ALL
Minimum age (years): 6
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

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

Primary outcomes:
measure: Brief Problem Checklist (BPC)
timeFrame: Change over time from Day 1 to Day 242 (end of treatment)
measure: Top Problems Assessment (TPA)
timeFrame: Change over time from Day 1 to Day 534 (18 month follow-up)
Secondary outcomes:
measure: Youth Self-Report and Child Behavior Checklist
timeFrame: Change over time from Day 1 to Day 534 (18 month follow-up)
measure: Therapeutic Alliance Scale for Children (TASC)
timeFrame: Change over time from Day 1 to Day 267(end of treatment)
measure: Client Satisfaction Questionnaire- 8 (CSQ-8 )
timeFrame: Change over time from Day 1 to Day 267(end of treatment)
measure: Youth Satisfaction Questionnaire-8 (YSQ-8)
timeFrame: Change over time from Day 1 to Day 267(end of treatment)
measure: Therapist Satisfaction Inventory (TSI)
timeFrame: Change over time from Day 1 to Day 267(end of treatment)
measure: Evidence-Based Practice Attitudes Scale (EBPAS)
timeFrame: Change over time from Day 1 to Day 267(end of treatment)
Other outcomes:
Locations:
city: Cambridge
country: United States
facility: Harvard University
state: Massachusetts
Study officials:
affiliation: Harvard University
name: John R Weisz, PhD
role: PRINCIPAL_INVESTIGATOR
References:
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.