Connecticut Child STEPs

August 8, 2018 updated by: John Weisz, Harvard University

Child STEPs for Youth Mental Health in Connecticut

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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

Enrollment (Actual)

210

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

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

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

7 years to 15 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: MATCH Training plus MATCH Consultation
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists participate in weekly consultation meetings that are led by a MATCH Consultant from the study team. MATCH Consultants review sessions and the clinical monitoring and feedback system, provide recommendations for upcoming sessions, and review MATCH modules via role-plays and models.
Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems
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.
Other Names:
  • MATCH
  • MATCH - ADTC
Other: Monitoring and Feedback System
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.
Other Names:
  • MFS
Active Comparator: MATCH Training only
Therapists at local, community clinics attend a 6-day training on the Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems (MATCH; Chorpita & Weisz, 2009). After the training, therapists use MATCH as they think best and receive supervision from supervisors at the clinic.
Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems
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.
Other Names:
  • MATCH
  • MATCH - ADTC
Other: Monitoring and Feedback System
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.
Other Names:
  • MFS

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Brief Problem Monitor (BPM)
Time Frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Top Problems Assessment (TPA)
Time Frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up

Secondary Outcome Measures

Outcome Measure
Time Frame
Therapist Satisfaction Inventory (TSI)
Time Frame: Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline
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
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
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
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
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
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
Post-treatment, an average of 22 weeks after baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Harvard University

Investigators

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

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2013

Primary Completion (Actual)

June 1, 2018

Study Completion (Actual)

June 1, 2018

Study Registration Dates

First Submitted

March 28, 2017

First Submitted That Met QC Criteria

May 12, 2017

First Posted (Actual)

May 15, 2017

Study Record Updates

Last Update Posted (Actual)

August 9, 2018

Last Update Submitted That Met QC Criteria

August 8, 2018

Last Verified

August 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 13-1904

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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