Child STEPS for Youth Mental Health in Maine Sustainability

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

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.

Study Overview

• Status: Completed
• Conditions: Depression; Anxiety; Trauma; Behavior Problems
• Intervention / Treatment: Behavioral: MATCH-ADTC; Other: TRAC

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.

• Study Type: Interventional
• Enrollment (Actual): 153
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Massachusetts
    • Cambridge, Massachusetts, United States, 02138
      • Harvard University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years to 15 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: MATCH-ADTC Wave 1; 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.	Behavioral: MATCH-ADTC; 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.; Other Names: MATCH; Other: TRAC; 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."
Experimental: MATCH-ADTC Wave 2; 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.	Behavioral: MATCH-ADTC; 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.; Other Names: MATCH; Other: TRAC; 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."

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Brief Problem Checklist (BPC)	Change over time from Day 1 to Day 242 (end of treatment)
Top Problems Assessment (TPA)	Change over time from Day 1 to Day 534 (18 month follow-up)

Secondary Outcome Measures

Outcome Measure	Time Frame
Youth Self-Report and Child Behavior Checklist	Change over time from Day 1 to Day 534 (18 month follow-up)
Therapeutic Alliance Scale for Children (TASC)	Change over time from Day 1 to Day 267(end of treatment)
Client Satisfaction Questionnaire- 8 (CSQ-8 )	Change over time from Day 1 to Day 267(end of treatment)
Youth Satisfaction Questionnaire-8 (YSQ-8)	Change over time from Day 1 to Day 267(end of treatment)
Therapist Satisfaction Inventory (TSI)	Change over time from Day 1 to Day 267(end of treatment)
Evidence-Based Practice Attitudes Scale (EBPAS)	Change over time from Day 1 to Day 267(end of treatment)

Collaborators and Investigators

• Sponsor: Harvard University
• Investigators: Principal Investigator: John R Weisz, PhD, Harvard University

Publications and helpful links

General Publications

• 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.

Study record dates

Study Major Dates

• Study Start: September 1, 2011
• Primary Completion (Actual): July 1, 2014
• Study Completion (Actual): August 1, 2015

Study Registration Dates

• First Submitted: March 28, 2017
• First Submitted That Met QC Criteria: April 7, 2017
• First Posted (Actual): April 13, 2017

Study Record Updates

• Last Update Posted (Actual): April 13, 2017
• Last Update Submitted That Met QC Criteria: April 7, 2017
• Last Verified: April 1, 2017

More Information

Terms related to this study

• Keywords: trauma; depression; children; mental health; anxiety; adolescents; youth; behavior problems; cognitive-behavioral therapy; evidence-based treatments; manualized
• Additional Relevant MeSH Terms: Behavioral Symptoms; Depression; Problem Behavior
• Other Study ID Numbers: H030711