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AnxietyNCT03153904

Connecticut Child STEPs

A study testing Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems and Monitoring and Feedback System in people with Anxiety and Depression, run by Harvard University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 7 to 15 years
Conditions the study is for
Anxiety, Depression, Trauma
What is being tested?
Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems and Monitoring and Feedback System
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
1 siteUnited States
Study dates
Oct 2013to Jun 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 7 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

Who cannot join

  • 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
Show all 11Show fewer
  • 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

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Harvard University

    Cambridge, Massachusetts, 02138

Other trials in United States

About this study

Official title: 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.

Read the 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.

Being tested
Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems, Monitoring and Feedback System
Keywords
anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized treatments, cognitive-behavioral therapy, youth, mental health
Medical subject headings
Anxiety Disorders, Depression, Wounds and Injuries, Mental Disorders, Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct ProblemsBehavioural

    Also called MATCH, MATCH - ADTC

    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.

  • Monitoring and Feedback SystemOther

    Also called MFS

    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.

Study groups in NCT03153904
Study groupRoleWhat they receive
MATCH Training plus MATCH ConsultationExperimentalTherapists 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.
Receives: Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems; Other: Monitoring and Feedback System
MATCH Training onlyActive comparatorTherapists 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.
Receives: Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems; Other: Monitoring and Feedback System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Brief Problem Monitor (BPM)

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

  2. Top Problems Assessment (TPA)

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

Secondary outcomes (7)
  1. Therapist Satisfaction Inventory (TSI)

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

  2. Youth Services Survey for Families (YSS-F)

    Measured: Post-treatment, an average of 22 weeks after baseline

  3. Youth Self-Report and Child Behavior Checklist

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

  4. Evidence-Based Practice Attitudes Scale (EBPAS)

    Measured: Post-treatment, an average of 22 weeks after baseline

  5. Early Adolescent Temperament Questionnaire Revised (EATQ-R)

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

  6. Child Satisfaction Survey (CSC)

    Measured: Post-treatment, an average of 22 weeks after baseline

  7. Therapeutic Alliance Scale for Children (TASC)

    Measured: Post-treatment, an average of 22 weeks after baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2017
  2. Study startOct 2013
  3. Primary completionJun 2018
  4. Study completionJun 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03153904
Sponsor's protocol ID
13-1904
Status last verified
Aug 2018
First submitted
28 Mar 2017
Last updated
9 Aug 2018
Results posted
No
Data monitoring committee
Yes

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.

  • 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.

    PubMed 39621369
  • 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.

    PubMed 38285175
  • 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.

    PubMed 33935825
  • 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.

    PubMed 33370131

Questions about this trial

What is this clinical trial studying?

A study testing Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems and Monitoring and Feedback System in people with Anxiety and Depression, run by Harvard University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Brief Problem Monitor (BPM) (time frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03153904, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Aug 2018.

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