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.
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
- Type of treatment
- Lifestyle or therapy programme
- 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.
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.
- Conditions
- Anxiety, Depression, Trauma, Behavior Problems
- 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 group | Role | What they receive |
|---|---|---|
| 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. Receives: 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. 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.
Brief Problem Monitor (BPM)
Measured: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
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)
Therapist Satisfaction Inventory (TSI)
Measured: Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline
Youth Services Survey for Families (YSS-F)
Measured: Post-treatment, an average of 22 weeks after baseline
Youth Self-Report and Child Behavior Checklist
Measured: Change over time from Day 1 to 18 month follow-up
Evidence-Based Practice Attitudes Scale (EBPAS)
Measured: Post-treatment, an average of 22 weeks after baseline
Early Adolescent Temperament Questionnaire Revised (EATQ-R)
Measured: Change over time from Day 1 to 18 month follow-up
Child Satisfaction Survey (CSC)
Measured: Post-treatment, an average of 22 weeks after baseline
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.
- First posted15 May 2017
- Study startOct 2013
- Primary completionJun 2018
- Study completionJun 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Harvard University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, John Weisz, Harvard University
- Investigators
- John R Weisz, PhD, Principal investigator, Harvard University
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 39621369Susman 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 38285175Evans 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 33935825Weisz 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
Study at a glance
From the registry record, last updated by the sponsor on 9 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Child STEPs for Youth Mental Health in Connecticut
- ClinicalTrials.gov ID
- NCT03153904
- Acronym / sponsor ID
- 13-1904
- Conditions
- Anxiety, Depression, Trauma, Behavior Problems
- Keywords
- anxiety, depression, trauma, behavior problems, evidence-based treatments, manualized treatments, cognitive-behavioral therapy, youth
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 210 participants (actual)
- Lead sponsor
- Harvard UniversityUniversity, hospital or other
- Study start
- Oct 2013
- Primary completion
- Jun 2018 (actual)
- Study completion
- Jun 2018 (actual)
- First posted
- 15 May 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MATCH Training plus MATCH Consultation | Experimental | Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems, Other: Monitoring and Feedback SystemTherapists 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. |
| MATCH Training only | Active comparator | Behavioral: Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems, Other: Monitoring and Feedback SystemTherapists 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. |
Who may qualify
- Ages
- 7 to 15 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (11 listed)
- 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)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct ProblemsAlso: MATCH, MATCH - ADTCMATCH-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. | Behavioural | MATCH Training only, MATCH Training plus MATCH Consultation |
| Monitoring and Feedback SystemAlso: MFSFor 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. | Other | MATCH Training only, MATCH Training plus MATCH Consultation |
Primary outcome
Brief Problem Monitor (BPM)
Time frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Top Problems Assessment (TPA)
Time frame: Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
7 secondary outcomes
Therapist Satisfaction Inventory (TSI)
Time frame: Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline
Youth Services Survey for Families (YSS-F)
Time frame: Post-treatment, an average of 22 weeks after baseline
Youth Self-Report and Child Behavior Checklist
Time frame: Change over time from Day 1 to 18 month follow-up
Evidence-Based Practice Attitudes Scale (EBPAS)
Time frame: Post-treatment, an average of 22 weeks after baseline
Early Adolescent Temperament Questionnaire Revised (EATQ-R)
Time frame: Change over time from Day 1 to 18 month follow-up
Child Satisfaction Survey (CSC)
Time frame: Post-treatment, an average of 22 weeks after baseline
Therapeutic Alliance Scale for Children (TASC)
Time frame: Post-treatment, an average of 22 weeks after baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Aug 2018.
- BackgroundChorpita, 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.
- Derived from this study: PubMed 39621369Johansen 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.
- Derived from this study: PubMed 38285175Susman 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.
- Derived from this study: PubMed 33935825Evans 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.
- Derived from this study: PubMed 33370131Weisz 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
John R Weisz, PhD principal investigator
Harvard University
1 site in 1 country: see every site and its status.
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.