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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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. |
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| 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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:
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
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| Name | Affiliation | Role |
|---|---|---|
| John R Weisz, PhD | Harvard University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harvard University | Cambridge | Massachusetts | 02138 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | 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. | ||
| 39621369 | Derived | 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. | |
| 38285175 |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| D014947 | Wounds and Injuries |
| D001523 | Mental Disorders |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D010549 | Personal Satisfaction |
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| 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. |
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| 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 |
| Child Satisfaction Survey (CSC) | Post-treatment, an average of 22 weeks after baseline |
| Therapeutic Alliance Scale for Children (TASC) | Post-treatment, an average of 22 weeks after baseline |
| 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. |
| 33935825 | 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. |
| 33370131 | 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. |