Clinical trial NCT06474156: MOTIV8 - Treatment Motivation in Forensic Youth Treatment
Official title: Motiv8: Examining Treatment Motivation Among Youth and Parents in Forensic Treatment
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Motivation
Keywords: Treatment Motivation
Multidimensional Family Therapy
Youth
Parents
Delinquency
Lead sponsor: University of Amsterdam
Sponsor class: OTHER
Collaborators: name: Kwaliteit Forensische Zorg Jeugd
First posted: 2024-06-25
Enrollment: 16
Sex: MALE
Minimum age (years): 12
Maximum age (years): 24
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: CASE_CROSSOVER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Residents in a juvenile justice center

Brief summary: This project entails to gain a deeper understanding of the development of treatment motivation over the course of intramural and outpatient forensic youth care. Research questions are 1) How does treatment motivation of youth and parents develop over the course of forensic systemic therapy, and following the transition from inpatient to outpatient therapy?; 2) Which client factors, interpersonal factors, and contextual characteristics moderate the development of treatment motivation?; 3) Which mechanisms play a role in the development of treatment motivation?; and 4) How does treatment motivation affect treatment retention and the achievement of primary therapy goals?

Detailed description: Multidimensional Family Therapy (MDFT) has been shown to motivate youth and parents in forensic care for treatment. The current study will investigate the development of treatment motivation of youth and parents over the course of MDFT, offered in a juvenile justice center. Furthermore, mechanisms and moderators will be examined, in addition to the impact of treatment motivation on treatment retention and goal achievement. Two studies with a Multiple Case Experimental Design (MCED), one with an ABC design (A = baseline, B = residential MDFT, and C = outpatient MDFT) and one with an AB design, will be conducted. Juveniles who enter residential MDFT, during a short detention period (study 1; 10 cases) or during a longer detention period (study 2; 6 cases) will be recruited, as will their parents.

Eligibility criteria: Inclusion Criteria:

- entering residential MDFT

Exclusion Criteria:

- (only for short term residents) residing more than an hours' drive from the juvenile justice center after detention

Primary outcomes:
measure: Treatment motivation youth perspective (validated questionnaires)
timeFrame: at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Treatment motivation caregiver perspective (validated questionnaires)
timeFrame: at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Treatment motivation therapist perspective (validated questionnaires)
timeFrame: every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Treatment motivation (qualitative data)
timeFrame: Youth/Caregivers: at the end of each phase (A (after 2-6 weeks), B (after 1-9 months) and C (after 1-3 months))
Secondary outcomes:
measure: Therapeutic alliance youth perspective
timeFrame: every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Therapeutic alliance caregiver perspective
timeFrame: every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Sense of competence youth perspective
timeFrame: at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Sense of competence caregiver perspective
timeFrame: at least 5 times during phase A (2-6 weeks); every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).
measure: Aggression and rule-breaking behavior youth perspective
timeFrame: The complete subscale is administered in phase A (2-6 weeks), every other week during phase B (1-9 months) and C (1-3 months) the (3-5) items reflecting the most severe problems are selected.
measure: Aggression and rule-breaking behavior caregiver perspective
timeFrame: The complete subscale is administered in phase A (2-6 weeks), every other week during phase B (1-9 months) and C (1-3 months) the (3-5) items reflecting the most severe problems are selected.
Other outcomes:
Locations:
city: Sassenheim
country: Netherlands
facility: JJC Teylingereind
Study officials:
References:
citation: Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The Session Rating Scale: Preliminary psychometric properties of a "working" alliance measure. Journal of brief Therapy, 3(1), 3-12.
citation: Chen, B., Vansteenkiste, M., Beyers, W., Boone, L., Deci, E. L., Van der Kaap-Deeder, J., ... & Verstuyf, J. (2015). Basic psychological need satisfaction, need frustration, and need strength across four cultures. Motivation and Emotion, 39, 216-236. https://doi.org/10.1007/s11031-014-9450-1
citation: Achenbach, T. M. (1991b). Manual for the Youth Self-Report and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.
citation: Liddle, H. A. (2002). Multidimensional family therapy for adolescent cannabis users. Cannabis Youth Treatment (CYT) Series, Volume 5. Rockville: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.
citation: Nock, M. K., & Photos, V. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15, 333-346. https://doi.org/10.1007/s10826-006-9022-4
citation: Tolan PH, Hanish LD, McKay MM, Dickey MH. Evaluating process in child and family interventions: aggression prevention as an example. J Fam Psychol. 2002 Jun;16(2):220-36. doi: 10.1037//0893-3200.16.2.220.
citation: Van der Helm GH, Wissink IB, De Jongh T, Stams GJ. Measuring treatment motivation in secure juvenile facilities. Int J Offender Ther Comp Criminol. 2013 Aug;57(8):996-1008. doi: 10.1177/0306624X12443798. Epub 2012 May 23.
citation: van der Helm, P., Kuiper, C. H. Z. , & Stams, G. J. J. M. (2018). Group climate and treatment motivation in secure residential and forensic youth care from the perspective of self determination theory. Children and Youth Services Review, 93, 339-344. https://doi.org/10.1016/j.childyouth.2018.07.028