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Trauma-Focused Cognitive Behavior Therapy for Youth: Effectiveness in a Community Setting

NCT ID: NCT01649141

Last Updated: 2012-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2012-12-31

Brief Summary

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This effectiveness study is being conducted to determine whether Trauma-Focused Cognitive Therapy (TF-CBT), a treatment model developed in specialty clinics by experts in the treatment of child sexual abuse, can be effectively transported to a state-contracted community mental health agency in the state of Delaware and used effectively by clinicians with little prior TF-CBT experience. The sample is comprised of youths receiving public mental health services and with diverse trauma histories.

Detailed Description

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This investigation aims to examine the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in treating child traumatic stress when implemented in community settings on a state-wide level in Delaware. Youth (ages 7-16 years) with a history of documented trauma (sexual or physical abuse, traumatic loss, domestic or community violence) and symptoms of Posttraumatic Stress Disorder (PTSD) receive approximately 10 sessions of TF-CBT delivered in a state-contracted mental health agency. Children and adolescents are recruited from a public mental health population. PTSD symptoms and internalizing and externalizing behavior problems have been assessed in the first 72 participants at pre-treatment and then at 3-, 6-, 9-, and 12-months after intake; subsequent participants (n=38) are only being assessed for symptoms and problems at pre-treatment and then at 3-, 6-months after intake.

Conditions

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Posttraumatic Stress Disorder

Keywords

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posttraumatic stress disorder trauma-focused cognitive behavioral therapy trauma child abuse

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Group

Trauma-Focused Cognitive Behavioral Therapy

Group Type EXPERIMENTAL

Trauma-Focused Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a structured, 12-16 session outpatient intervention originally developed to treat Posttraumatic Stress Disorder (PTSD) and related emotional and behavioral difficulties in youth with a history of child sexual abuse. TF-CBT's eight components are delivered in 90-minute weekly sessions split evenly between children and their parents. These components are summarized by the acronym PRACTICE including: psychoeducation and parenting skills (P), relaxation (R), affective expression and regulation (A), cognitive coping (C), trauma narrative development and processing (T), in vivo gradual exposure (I), conjoint parent/child sessions (C) and enhancing safety and future development (E).

Interventions

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Trauma-Focused Cognitive Behavioral Therapy

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a structured, 12-16 session outpatient intervention originally developed to treat Posttraumatic Stress Disorder (PTSD) and related emotional and behavioral difficulties in youth with a history of child sexual abuse. TF-CBT's eight components are delivered in 90-minute weekly sessions split evenly between children and their parents. These components are summarized by the acronym PRACTICE including: psychoeducation and parenting skills (P), relaxation (R), affective expression and regulation (A), cognitive coping (C), trauma narrative development and processing (T), in vivo gradual exposure (I), conjoint parent/child sessions (C) and enhancing safety and future development (E).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* child is 7-17 years old
* positive screen for PTSD
* child qualifies for public insurance
* parent willing to co-participate in treatment
* English-speaking (child and parent)

Exclusion Criteria

* intellectual disability (child)
* untreated psychosis (child)
* untreated substance abuse (child)
* sibling already in study
* unable to participate in year-long follow-up (e.g., moving out of state)
Minimum Eligible Age

7 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Medicine and Dentistry of New Jersey

OTHER

Sponsor Role collaborator

University of Delaware

OTHER

Sponsor Role collaborator

Delaware Division of Prevention and Behavioral Health Services

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles P Webb, Ph.D.

Role: STUDY_DIRECTOR

Division of Prevention and Behavioral Health Services

Nancy Widdoes, M.A.

Role: PRINCIPAL_INVESTIGATOR

Division of Prevention and Behavioral Health Services

Locations

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Division of Prevention and Behavioral Health Services

Wilmington, Delaware, United States

Site Status

Countries

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United States

Other Identifiers

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SM57145

Identifier Type: -

Identifier Source: org_study_id