Connecticut Child STEPs

NCT03153904 | Completed DMC

• 1 other identifier: 13-1904
• Study Type: interventional
• Target: 210
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Anxiety; Depression; Trauma; Behavior Problems

Keywords

anxiety; depression; trauma; behavior problems; evidence-based treatments; manualized treatments; cognitive-behavioral therapy; youth; mental health

Outcome Measures

Primary Outcomes (2)

• Brief Problem Monitor (BPM)

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

• Top Problems Assessment (TPA)

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

Secondary Outcomes (7)

• Therapist Satisfaction Inventory (TSI)

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

• Youth Services Survey for Families (YSS-F)

  Post-treatment, an average of 22 weeks after baseline

• Youth Self-Report and Child Behavior Checklist

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

• Evidence-Based Practice Attitudes Scale (EBPAS)

  Post-treatment, an average of 22 weeks after baseline

• Early Adolescent Temperament Questionnaire Revised (EATQ-R)

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

Study Arms (2)

MATCH Training plus MATCH Consultation

EXPERIMENTAL

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; Other: Monitoring and Feedback System

MATCH Training only

ACTIVE COMPARATOR

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; Other: Monitoring and Feedback System

Interventions

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

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.

Also known as: MATCH, MATCH - ADTC

MATCH Training only; MATCH Training plus MATCH Consultation

Monitoring and Feedback System OTHER

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.

Also known as: MFS

MATCH Training only; MATCH Training plus MATCH Consultation

Eligibility Criteria

• Age: 7 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• to 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

You may not qualify if:

• child is outside of 7-15 age range
• child does not have elevations in the areas of anxiety, depression, conduct, or posttraumatic stress
• 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
• having been hospitalized for suicidal thoughts or behaviors within the past year
• if the problem area of focus is beyond the scope of outpatient treatment and MATCH (e.g., severe aggression, psychosis, severe current suicidal ideation)
• if child does not have a primary caregiver that can be involved in treatment and complete research assessments

Sponsors & Collaborators

• Harvard University: lead

Study Sites (1)

Harvard University

Cambridge, Massachusetts, 02138, United States

Location

Related Publications (5)

• 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.

  BACKGROUND

• Johansen K, Saran I, Cho E, Weisz JR, Price MA. Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes. J Consult Clin Psychol. 2024 Nov;92(11):769-778. doi: 10.1037/ccp0000919.

  PMID: 39621369 DERIVED

• Susman ES, Weisz JR, McLaughlin KA, Coulombe P, Evans SC, Thomassin K. Is respiratory sinus arrhythmia a modifiable index of symptom change in cognitive behavioral therapy for youth? A pooled-data analysis of a randomized trial. Psychother Res. 2025 Feb;35(2):337-351. doi: 10.1080/10503307.2024.2308149. Epub 2024 Jan 29.

  PMID: 38285175 DERIVED

• Evans SC, Wei MA, Harmon SL, Weisz JR. Modular Psychotherapy Outcomes for Youth With Different Latent Profiles of Irritability and Emotion Dysregulation. Front Psychiatry. 2021 Apr 16;12:618455. doi: 10.3389/fpsyt.2021.618455. eCollection 2021.

  PMID: 33935825 DERIVED

• Weisz JR, Thomassin K, Hersh J, Santucci LC, MacPherson HA, Rodriguez GM, Bearman SK, Lang JM, Vanderploeg JJ, Marshall TM, Lu JJ, Jensen-Doss A, Evans SC. Clinician training, then what? Randomized clinical trial of child STEPs psychotherapy using lower-cost implementation supports with versus without expert consultation. J Consult Clin Psychol. 2020 Dec;88(12):1065-1078. doi: 10.1037/ccp0000536.

  PMID: 33370131 DERIVED

MeSH Terms

Conditions

Anxiety Disorders; Depression; Wounds and Injuries; Mental Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Personal Satisfaction

Study Officials

• John R Weisz, PhD

  Harvard University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor and Primary Investigator

Study Record Dates

• First Submitted: March 28, 2017
• First Posted: May 15, 2017
• Study Start: October 1, 2013
• Primary Completion: June 1, 2018
• Study Completion: June 1, 2018
• Last Updated: August 9, 2018

Record last verified: 2018-08

Locations

US (1)