Study Results
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Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2024-02-01
2026-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
TREATMENT
NONE
Study Groups
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Phase 2
Cohort 1 and 2 youth will then complete baseline assessments (see 4.5) and Cohort 2 will continue receiving TAU while Cohort 1 begins receiving DBT-A (randomized by facility to either in-person or via telehealth delivery) for the next six months while Cohort 1 staff continue consultation with DBT-A. After six months, Phase 2 of this study will conclude with the youth of Cohorts 1 and 2 completing their first follow-up assessment. The implementation plan will be altered accordingly based on feedback from stakeholders prior to the start of Phase 2. The modified implementation plan will be used in the training of the staff in DBT-A at the second four facilities prior to the launch of Phase 3.
Dialetical Behavioral Therapy for Adolescents
DBT is an evidence-based treatment for individuals with complex clinical presentations, including borderline personality disorder (BPD), suicidality, and NSSI. Standard DBT (which includes individual therapy, skills group, between-session skills coaching, and peer consultation for therapists) is associated with symptom reductions in patients across a variety of domains, including BPD symptoms, SA, NSSI, hospitalizations, and social functioning. DBT focuses on teaching skills (e.g., emotion regulation) and facilitating the replacement of impulsive and/or ineffective behaviors (e.g., NSSI), with more effective/skillful behaviors.
No intervention
Cohort 2 will not receive any treatment during Phase 2 of the study, which is the first part of the clinical trial. They will serve as a comparison group for Cohort 1.
Dialetical Behavioral Therapy for Adolescents
DBT is an evidence-based treatment for individuals with complex clinical presentations, including borderline personality disorder (BPD), suicidality, and NSSI. Standard DBT (which includes individual therapy, skills group, between-session skills coaching, and peer consultation for therapists) is associated with symptom reductions in patients across a variety of domains, including BPD symptoms, SA, NSSI, hospitalizations, and social functioning. DBT focuses on teaching skills (e.g., emotion regulation) and facilitating the replacement of impulsive and/or ineffective behaviors (e.g., NSSI), with more effective/skillful behaviors.
Phase 3
Phase 3 will begin with making any modifications to the treatment protocol based on a review of feedback from stakeholder interviews from Phase 2. Cohort 2 facilities will be randomized to delivering DBT-A in-person or via telehealth (one long-term and one short-term facility will be assigned to each condition). Staff in Cohort 2 will receive training and consultation in DBT-A and implement either telehealth or in-person delivered DBT-A in their facilities. Cohort 1 facilities will cross-over from in-person delivery of DBT-A to telehealth delivery, or vice-versa, thereby facilitating a within-facility comparison of DBT-A delivery methods. After six months, Phase 3 will conclude with the youth of Cohorts 1 and 2 completing their second follow-up assessment and all stakeholders of Cohorts 1 and 2 completing stakeholder interviews.
Dialetical Behavioral Therapy for Adolescents
DBT is an evidence-based treatment for individuals with complex clinical presentations, including borderline personality disorder (BPD), suicidality, and NSSI. Standard DBT (which includes individual therapy, skills group, between-session skills coaching, and peer consultation for therapists) is associated with symptom reductions in patients across a variety of domains, including BPD symptoms, SA, NSSI, hospitalizations, and social functioning. DBT focuses on teaching skills (e.g., emotion regulation) and facilitating the replacement of impulsive and/or ineffective behaviors (e.g., NSSI), with more effective/skillful behaviors.
Interventions
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Dialetical Behavioral Therapy for Adolescents
DBT is an evidence-based treatment for individuals with complex clinical presentations, including borderline personality disorder (BPD), suicidality, and NSSI. Standard DBT (which includes individual therapy, skills group, between-session skills coaching, and peer consultation for therapists) is associated with symptom reductions in patients across a variety of domains, including BPD symptoms, SA, NSSI, hospitalizations, and social functioning. DBT focuses on teaching skills (e.g., emotion regulation) and facilitating the replacement of impulsive and/or ineffective behaviors (e.g., NSSI), with more effective/skillful behaviors.
Eligibility Criteria
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Inclusion Criteria
* can speak, read, and understand English well enough to participate in a DBT-A therapy program,
* there is written informed assent, and
* verbal parental/guardian or youth advocate informed consent has been obtained.
Exclusion Criteria
10 Years
21 Years
ALL
Yes
Sponsors
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Butler Hospital
OTHER
The Catholic University of America
OTHER
Responsible Party
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Principal Investigators
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Melissa D Grady, PhD
Role: PRINCIPAL_INVESTIGATOR
Catholic University
Locations
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Catholic University
Washington D.C., District of Columbia, United States
Countries
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References
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Carson-Wong A, Hughes CD, Rizvi SL. The effect of therapist use of validation strategies on change in client emotion in individual dbt treatment sessions. Personal Disord. 2018 Mar;9(2):165-171. doi: 10.1037/per0000229. Epub 2016 Dec 5.
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Pistorello J, Jobes DA, Compton SN, Locey NS, Walloch JC, Gallop R, Au JS, Noose SK, Young M, Johnson J, Dickens Y, Chatham P, Jeffcoat T, Dalto G, Goswami S. Developing Adaptive Treatment Strategies to Address Suicidal Risk in College Students: A Pilot Sequential, Multiple Assignment, Randomized Trial (SMART). Arch Suicide Res. 2017 Oct-Dec;22(4):644-664. doi: 10.1080/13811118.2017.1392915. Epub 2018 Feb 12.
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Related Links
Access external resources that provide additional context or updates about the study.
Center for Disease Control Injury Data
Ford JD, Chapman JF, Hawke J, Albert D. Trauma among youth in the juvenile justice system: Critical issues and new directions. National Center for Mental Health and Juvenile Justice. 2007;6:2007.
Wilks CR, Gurtovenko K. Virtual delivery of dialectical behavior therapy. In: Rolnik A, ed. Advances in online therapy. ; in press.
National Action Alliance for Suicide Prevention: Research Prioritization Task Force. A prioritized research agenda for suicide prevention: An action plan to save lives. . 2014.
Courtney-Seidler, E. A., Burns, K., Zilber, I., \& Miller, A. L. (2014). Adolescent suicide and self-injury: Deepening the understanding of the biosocial theory and applying dialectical behavior therapy.
Drake EK, Barnoski RP. Recidivism findings for the juvenile rehabilitation administration's mentoring program. Washington State Institute for Public Policy; 2006.
Harned MS, Coyle TN, Garcia NM. The inclusion of ethnoracial, sexual, and gender minority groups in randomized controlled trials of dialectical behavior therapy: A systematic review of the literature. Clinical Psychology: Science and Practice. 2022.
BOND DM, HOMAN J, BEACH B. DBT in juvenile justice programs. Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings. 2020;159.
Schatten TH, Hughes CD. The patient with nonsuicidal self-injury.
Hughes CD, Rizvi SL. Applying a cognitive-behavioral, principle-based approach to the treatment of personality disorders: An extension of Rosenthal, Wyatt, and McMahon.
Hughes CD, King AM, Kranzler A, et al. Anxious and overwhelming affects and repetitive negative thinking as ecological predictors of self-injurious thoughts and behaviors. Cognitive Therapy and Research. 2019;43(1):88-101.
Guarino D, Lesnewich LM, Clemow L, Hughes CD, Rizvi SL. Implementing a dbt group intervention in a primary care setting: A feasibility and acceptability study. . 2020;54:S333.
Jobes DA. Commonsense recommendations for standard care of suicidal risk. Journal of Health Service Psychology. 2020;46(4):155-163.
Miller AL, Rathus JH, Linehan MM. Dialectical behavior therapy with suicidal adolescents. Guilford Press; 2006.
Rathus JH, Miller AL. DBT skills manual for adolescents. Guilford Publications; 2014.
Ford JD. TARGET: Trauma affect regulation: Guide for education and therapy. University of Connecticut Health Center. 2006.
Rathus JH, Wagner D, Miller AL. Psychometric evaluation of the life problems inventory, a measure of borderline personality features in adolescents. Journal of Psychology \& Psychotherapy. 2015;5(4):1-9.
Harned MS, Schmidt SC, Korslund KE. No title. The dialectical behavior therapy adherence checklist for individual therapy (DBT AC-I). 2021.
Attkisson CC, Greenfield TK. The client satisfaction questionnaire (CSQ) scales and the service satisfaction scale-30 (SSS-30). Outcomes assessment in clinical practice. 1996;120(7):120-127.
Other Identifiers
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CUA-002
Identifier Type: -
Identifier Source: org_study_id
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