MOTIV8 - Treatment Motivation in Forensic Youth Treatment

NCT06474156 | Recruiting DMC

• 1 other identifier: JWesterveld
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

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?

Conditions

Motivation

Keywords

Treatment Motivation; Multidimensional Family Therapy; Youth; Parents; Delinquency

Outcome Measures

Primary Outcomes (4)

• Treatment motivation youth perspective (validated questionnaires)

  Treatment Motivation Questionnaire for Adolescents (van der Helm et al., 2013; van der Helm et al., 2018; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree), with a higher score indicating more motivation for treatment; Cooperation Scale (Tolan et al., 2002; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree. A higher total score indicates more motivation for treatment).

  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).

• Treatment motivation caregiver perspective (validated questionnaires)

  Parent Motivation Inventory (Nock \& Photos, 2006); Cooperation Scale (Tolan et al., 2002). Participants respond on a 5-point Likert scale on both questionnaires ranging from 1 (completely disagree) to 5 (completely agree). Higher total scores indicate more motivation for treatment.

  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).

• Treatment motivation therapist perspective (validated questionnaires)

  Cooperation Scale (Tolan et al., 2002; 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). A higher score indicates more motivation for treatment).

  every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).

• Treatment motivation (qualitative data)

  Youth/Caregivers: semi-structured interview

  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 (6)

• Therapeutic alliance youth perspective

  every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).

• Therapeutic alliance caregiver perspective

  every other week during phase B (1-9 months; at least 5 assessments), at least 5 times during phase C (1-3 months).

• Sense of competence youth perspective

  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).

• Sense of competence caregiver perspective

  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).

• Aggression and rule-breaking behavior youth perspective

  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.

Study Arms (2)

short-stay residents juvenile justice center

For the first group (first series case studies), ten short-stay residents will be included who enter residential MDFT and, after 1-3 months in the facility, continue MDFT on an outpatient basis. MDFT is a systemic intervention for juveniles and young adults exhibiting delinquent behavior and/or experiencing disorders related to alcohol and/or drug use. MDFT for short-term residents is indicated by a behavioral scientist following multidisciplinary consultation if there are serious concerns about the parent-child relationship and/or the family situation

Behavioral: Multidimensional Family Therapy

long-stay residents juvenile justice center

For the second group (second series of case studies), six long-term residents will be included. For long-term residents, MDFT is routinely recommended, provided that the inclusion criteria are met.

Behavioral: Multidimensional Family Therapy

Interventions

Multidimensional Family Therapy BEHAVIORAL

Multidimensional family therapy is a manualized,evidence-based, intensive intervention program with assessment and treatment modules focusing on four areas: (a) the individual adolescents' issues regarding substance use disorder, delinquency, and comorbid psychopathology, (b) the parents' child-rearing skills and personal functioning, (c) communication and relationship between adolescent and parent(s), and (d) interactions between family members and key social systems (Liddle, 2002).

Also known as: MDFT

long-stay residents juvenile justice center; short-stay residents juvenile justice center

Eligibility Criteria

• Age: 12 Years - 24 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Residents in a juvenile justice center

You may qualify if:

• \- entering residential MDFT

You may not qualify if:

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

Sponsors & Collaborators

• University of Amsterdam: lead
• Kwaliteit Forensische Zorg Jeugd: collaborator

Study Sites (1)

JJC Teylingereind

Sassenheim, Netherlands

RECRUITING

Related Publications (8)

• 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.

  BACKGROUND

• 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

  BACKGROUND

• Achenbach, T. M. (1991b). Manual for the Youth Self-Report and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.

  BACKGROUND

• 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.

  BACKGROUND

• 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

  BACKGROUND

• 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.

  PMID: 12085734 BACKGROUND

• 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.

  PMID: 22627687 BACKGROUND

• 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

  BACKGROUND

Central Study Contacts

Hanneke E Creemers

CONTACT

+31 (0)6 55 40 28 94; h.e.creemers@uva.nl

Jet Westerveld

CONTACT

j.westerveld@uva.nl

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Target Duration: 9 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc.

Study Record Dates

• First Submitted: June 5, 2024
• First Posted: June 25, 2024
• Study Start: March 5, 2024
• Primary Completion: May 1, 2025
• Study Completion: October 1, 2025
• Last Updated: June 25, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)