Clinician Training, Then What? Randomized Clinical Trial of Child STEPs Psychotherapy Using Lower-Cost Implementation Supports with versus without Expert Consultation

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dc.contributor.authorWeisz, John R.
dc.contributor.authorThomassin, Kristel
dc.contributor.authorHersh, Jacqueline
dc.contributor.authorSantucci, Lauren C.
dc.contributor.authorMacPherson, Heather A.
dc.contributor.authorRodriguez, Gabriela M.
dc.contributor.authorBearman, Sarah Kate
dc.contributor.authorLang, Jason M.
dc.contributor.authorVanderploeg, Jeffrey J.
dc.contributor.authorMarshall, Timothy M.
dc.contributor.authorLu, Jack J.
dc.contributor.authorJensen-Doss, Amanda
dc.contributor.authorEvans, Spencer C.
dc.contributor.departmentPsychiatry, School of Medicineen_US
dc.date.accessioned2022-03-25T15:48:34Z
dc.date.available2022-03-25T15:48:34Z
dc.date.issued2020-12
dc.description.abstractObjective: Implementation of evidence-based treatments in funded trials is often supported by expert case consultation for clinicians; this may be financially and logistically difficult in clinical practice. Might less costly implementation support produce acceptable treatment fidelity and clinical outcomes? Method: To find out, we trained 42 community clinicians from four community clinics in Modular Approach to Therapy for Children (MATCH), then randomly assigned them to receive multiple lower-cost implementation supports (LC) or expert MATCH consultation plus lower-cost supports (CLC). Clinically referred youths (N = 200; ages 7–15 years, M = 10.73; 53.5% male; 32.5% White, 27.5% Black, 24.0% Latinx, 1.0% Asian, 13.5% multiracial, 1.5% other) were randomly assigned to LC (n = 101) or CLC (n = 99) clinicians, and groups were compared on MATCH adherence and competence, as well as on multiple clinical outcomes using standardized measures (e.g., Child Behavior Checklist, Youth Self-Report) and idiographic problem ratings (Top Problems Assessment). Results: Coding of therapy sessions revealed substantial therapist adherence to MATCH in both conditions, with significantly stronger adherence in CLC; however, LC and CLC did not differ significantly in MATCH competence. Trajectories of change on all outcome measures were steep, positive, and highly similar for LC and CLC youths, with no significant differences; a supplemental analysis of posttreatment outcomes also showed similar LC and CLC posttreatment scores, with most LC–CLC differences nonsignificant. Conclusions: The findings suggest that effective implementation of a complex intervention in clinical practice may be supported by procedures that are less costly and logistically challenging than expert consultation.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationWeisz, J. R., Thomassin, K., Hersh, J., Santucci, L. C., MacPherson, H. A., Rodriguez, G. M., Bearman, S. K., Lang, J. M., Vanderploeg, J. J., Marshall, T. M., Lu, J. J., Jensen-Doss, A., & Evans, S. C. (2020). Clinician training, then what? Randomized clinical trial of child STEPs psychotherapy using lower-cost implementation supports with versus without expert consultation. Journal of Consulting and Clinical Psychology, 88(12), 1065–1078. https://doi.org/10.1037/ccp0000536en_US
dc.identifier.urihttps://hdl.handle.net/1805/28297
dc.language.isoenen_US
dc.publisherAPAen_US
dc.relation.isversionof10.1037/ccp0000536en_US
dc.relation.journalJournal of Consulting and Clinical Psychologyen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectchildrenen_US
dc.subjectadolescentsen_US
dc.subjectpsychotherapyen_US
dc.titleClinician Training, Then What? Randomized Clinical Trial of Child STEPs Psychotherapy Using Lower-Cost Implementation Supports with versus without Expert Consultationen_US
dc.typeArticleen_US
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