Long-term outcomes for the Child STEPs randomized effectiveness trial: a comparison of modular and standard treatment designs with usual care.

Published

Journal Article

OBJECTIVE: This article reports outcomes from the Child STEPs randomized effectiveness trial conducted over a 2-year period to gauge the longer term impact of protocol design on the effectiveness of evidence-based treatment procedures. METHOD: An ethnoracially diverse sample of 174 youths ages 7- 13 (N = 121 boys) whose primary clinical concerns involved diagnoses or clinical elevations related to anxiety, depression, or disruptive behavior were treated by community therapists randomly assigned to 1 of 3 conditions: (a) standard, which involved the use of 1 or more of 3 manualized evidence-based treatments, (b) modular, which involved a single modular protocol (Modular Approach to Treatment of Children With Anxiety, Depression, or Conduct Problems; MATCH) having clinical procedures similar to the standard condition but flexibly selected and sequenced using a guiding clinical algorithm, and (c) usual care. RESULTS: As measured with combined Child Behavior Checklist and Youth Self-Report Total Problems, Internalizing, and Externalizing scales, the rate of improvement for youths in the modular condition was significantly better than for those in usual care. On a measure of functional impairment (Brief Impairment Scale), no significant differences were found among the 3 conditions. Analysis of service utilization also showed no significant differences among conditions, with almost half of youths receiving some additional services in the 1st year after beginning treatment, and roughly one third of youths in the 2nd year. CONCLUSIONS: Overall, these results extend prior findings, supporting incremental benefits of MATCH over usual care over a 2-year period.

Full Text

Duke Authors

Cited Authors

  • Chorpita, BF; Weisz, JR; Daleiden, EL; Schoenwald, SK; Palinkas, LA; Miranda, J; Higa-McMillan, CK; Nakamura, BJ; Austin, AA; Borntrager, CF; Ward, A; Wells, KC; Gibbons, RD; Research Network on Youth Mental Health,

Published Date

  • December 2013

Published In

Volume / Issue

  • 81 / 6

Start / End Page

  • 999 - 1009

PubMed ID

  • 23978169

Pubmed Central ID

  • 23978169

Electronic International Standard Serial Number (EISSN)

  • 1939-2117

Digital Object Identifier (DOI)

  • 10.1037/a0034200

Language

  • eng

Conference Location

  • United States