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Completed

NCT Number: NCT02402205

TF-CBT for Adjudicated Youth in Residential Treatment

Adjudicated youth often have traumatic stress responses but rarely receive treatment for these problems. This study is a randomized controlled trial to evaluate two alternative implementation strategies for providing an evidence-based trauma treatment, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), to therapist who treat adjudicated youth in 18 residential treatment facilities (RTF) in New Hampshire, Vermont, and Connecticut: 1) web-based TF-CBT implementation strategy ("W"), consisting on only web-based training and consultation; versus 2) W plus live TF-CBT implementation strategy, consisting of W plus face-to face training and phone consultation with TF-CBT experts ("W+L").

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Key information

Conditions

PTSD Mental Disorders Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Trauma and Stressor Related Disorders Wounds and Injuries

Age range

13 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Therapists in each of 18 participating RTFprograms that serve adjudicated youth are randomized to receive either:

  • W TF-CBT implementation strategy, provided via the free distance learning resources TF-CBTWeb, (www.musc/edu/tfcbt) and TF-CBTConsult (www.musc.edu/tfcbtconsult); or
  • W+L implementation strategy, provided through W + 2 day TF-CBT training plus one year of twice monthly TF-CBT consultation calls with a TF-CBT expert trainer.

All RTF staff receive one day training in trauma-informed care. All therapists in both conditions receive training in screening youth for trauma exposure and symptoms. Data are collected regarding primary outcomes of: 1) number of youth therapists in each condition screen for trauma symptoms, 2) number of youth consent to TF-CBT treatment; 3) number of youth complete TF-CBT, 4) TF-CBT fidelity during treatment. Secondary outcomes include 1)changes in therapist knowledge and satisfaction regarding TF-CBT treatment and 2) youth outcomes including PTSD symptoms, depression and satisfaction with treatment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Consenting mental health therapists in participating residential treatment facilities (RTF)in New Hampshire, Vermont and Connecticut; and the adjudicated youth ages 12-17 years old who are residents in these RTF programs being treated by the participating therapists who 1) are screened positive for having at least one past trauma experience with UCLA PTSD Reaction Index score of >22; 2) assent with legal guardian consent to participate in the project; and 3) are anticipated to remain in the RTF program at least 3 months (long enough to receive TF-CBT treatment).

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Exclusion criteria

Guardian or youth refuses;youth does not endorse trauma exposure or symptoms; youth is being discharged too soon to participate; Therapist may use clinical judgment to exclude youth from study based on clinical presentation.

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Treatment and study plan

TF-CBT

Behavioral

Web TF-CBT implementation or Web + Live TF-CBT implementation

Primary outcomes

  1. Number of youth screened for trauma exposure and PTSD symptoms

    Time frame: Day 1

    Number of youth screened for trauma exposure and PTSD symptoms using the UCLA PTSD Reaction Index (online version)in W vs. W+L implementation condition

  2. Number of youth starting TF-CBT

    Time frame: Day 60

    Number of youth who begin TF-CBT treatment in W vs W+L implementation condition

  3. Number of youth completing TF-CBT in each condition

    Time frame: Day 240 (6 months post start of treatment)

    Number of youth completing TF-CBT in W vs W+L conditions

  4. Fidelity of TF-CBT implementation

    Time frame: Day 240

    Therapist fidelity implementing TF-CBT across and between implementation conditions using TF-CBT Fidelity Checklist (online version)

Secondary outcomes

  1. Therapy Procedures Checklist

    Time frame: Day 1; Day 900 (30 monhts later)

    Therapist comfort with cognitive therapy practices (or change in this during the study) as a predictor of other outcomes between the W vs. W+L group

  2. Attitudes toward Computer Usage Scale

    Time frame: Day 1; Day 900

    Attitudes toward computer usage as a potential covariate of outcomes

  3. TF-CBTWeb Knowledge Test

    Time frame: Day 1, Day 900

    Change in knowledge related to TF-CBT as a moderator of outcomes

  4. Youth UCLA PTSD Reaction Index

    Time frame: Day 1; Day 240 (post treatment_

    Change in youth PTSD scores across and between implementation conditions to be examined as a secondary outcome

  5. Mood and Feelings Questionnaire-Short Version

    Time frame: Day 1; Day 240 (post treatment)

    Change in youth depression scores in youth across and between implementation conditions

  6. Youth Satisfaction Survey

    Time frame: Day 240 (post treatment)

    Youth satisfaction with therapy across and between implementation conditions

Sponsors and collaborators

Lead sponsor

Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)

Other

Collaborators

  • Dartmouth-Hitchcock Medical Center

Registry information

Important dates

Study start
2011
Primary completion
2014
Study completion
2014
First posted
Mar 30, 2015
Registry last updated
Mar 30, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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