Trial Summary
What is the purpose of this trial?This research project is a hybrid type 2 effectiveness-implementation trial that simultaneously examines (1) the effectiveness of a trauma-focused intervention for youth in the education sector and (2) the impact of a theory-driven pragmatic implementation strategy designed to increase the adoption, fidelity, and sustainment of evidence-based treatments (EBTs). This trial will include 120 clinicians and 480 students, and it is designed to test the cost effectiveness and impact of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in a new setting that increases access to mental health care - schools (Aim 1); test the cost effectiveness, immediate impact, and sustained impact of the Beliefs and Attitudes for Successful Implementation in Schools (BASIS) implementation strategy on proximal mechanisms and implementation outcomes (Aims 2a, 2b, 2d); and conduct sequential mixed-methods data collection to explain residuals (i.e., clinicians whose implementation behavior is unaccounted for by the mediation model) (Aim 2c).
Eligibility Criteria
This trial is for school-based clinicians without prior TF-CBT training and students in grades 3-12 who have experienced trauma, like exposure to violence, and show significant stress symptoms. Clinicians already supporting another trauma-focused intervention or students outside the specified grade range cannot participate.Inclusion Criteria
You are not currently receiving help for another type of therapy to treat trauma.
You have severe symptoms related to a traumatic event that may affect your ability to participate in the study.
I have never been formally trained in TF-CBT.
+3 more
Participant Groups
The study tests Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) effectiveness in schools and evaluates a strategy called BASIS aimed at helping clinicians adopt and stick with evidence-based treatments. It involves 120 clinicians, 480 students, and looks into cost-effectiveness as well as long-term success.
3Treatment groups
Experimental Treatment
Group I: Enhanced Treatment as UsualExperimental Treatment1 Intervention
Implementation intervention: non-applicable
Clinical Intervention: control arm (Enhanced TAU)
Group II: BASIS with TF-CBTExperimental Treatment2 Interventions
Implementation intervention: experimental arm (Beliefs and Attitudes for Successful Implementation in Schools)
Clinical Intervention: experimental arm (Trauma-Focused CBT)
Group III: AC with TF-CBTExperimental Treatment2 Interventions
Implementation intervention: control arm
Clinical Intervention: experimental arm (Trauma-Focused CBT)
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
University of WashingtonSeattle, WA
Loading ...
Who Is Running the Clinical Trial?
University of WashingtonLead Sponsor
National Institute of Mental Health (NIMH)Collaborator
University of MinnesotaCollaborator