N/A N=126 Randomized Health Services Research

Project FACTS (Fidelity Accuracy: Comparing Three Strategies)

Assess Fidelity to Cognitive-behavioral Therapy for Youth

Bottom Line

View on ClinicalTrials.gov: NCT02820623 ↗

Enrolled (actual)

126

Serious AEs

0.0%

Results posted

Jan 2023

Primary outcome: Primary: Total Fidelity Scores for Each Study Condition Measured Via Direct Observation (TPOCS-RS) and Study Arm Fidelity Method Scores — 5.28; 4.53; 4.09; 3.42 Maximum CBT score on a scale

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Self-report (Behavioral); Chart-Stimulated Recall (Behavioral); Behavioral Rehearsal (Behavioral)
Age: Pediatric, Adult, Older Adult · 3+ yrs
Sex: All
Sponsor: Northwestern University
Primary completion: Jun 2020

Outcome Measures

Outcome	Result	p-value
PRIMARY Total Fidelity Scores for Each Study Condition Measured Via Direct Observation (TPOCS-RS) and Study Arm Fidelity Method Scores	5.28; 4.53; 4.09; 3.42; 3.69; 3.72	—

Summary

The objective is to compare the accuracy, costs, and cost-effectiveness of three fidelity measurement methods to assess fidelity to cognitive-behavioral therapy for youth. The investigators will randomize 135 therapists, implementing cognitive-behavioral therapy, to 3 conditions: self-report, chart stimulated recall, and behavioral rehearsal (N = 45 for each group). To calculate the outcomes of interest, each condition will be compared to the gold-standard fidelity measurement method, direct observation.

Eligibility Criteria

Inclusion Criteria: Therapists

they provide mental health treatment services in community mental health agencies in the City of Philadelphia participating in this study and
have been trained in cognitive-behavioral therapy (CBT) through the City-sponsored CBT evidence-based practice initiatives, and/or
respond to a brief screening survey that they use CBT; and/or
are nominated by a supervisor as a therapist who uses CBT.

Exclusion Criteria: Therapists

n/a

Inclusion Criteria: Supervisors

they are supervisors or administrators (i.e., they hold leadership positions) in community mental health agencies in the City of Philadelphia participating in this study.

Exclusion Criteria: Supervisors

n/a

Inclusion Criteria: Youth and their Legal Guardians

Youth and their legal guardians will be eligible to participate in this study if the youth
is 3-24 years old and
has completed at least one session with a therapist who has enrolled to participate in this study.

Exclusion Criteria: Youth and their Legal Guardians

if the child does not have a legal guardian who is able to consent (e.g., the Department of Human Services (DHS) is the guardian).

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02820623). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.