Redesigning trauma-focused cognitive behavioral therapy for use in schools

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Investigators will compare a locally redesigned, school-adapted TF-CBT (S-TF) to the original TF-CBT on usability, engagement, and appropriateness for school settings while keeping training and implementation supports constant. They will measure implementation outcomes (adoption, fidelity, adaptations, reach) among school-based providers and evaluate mechanisms (trauma cognitions, emotion regulation, avoidance) and student mental health outcomes. The trial includes a design/build phase with providers and students giving input followed by a test phase enrolling providers without prior TF-CBT training and students aged 7–19 with trauma exposure and elevated PTSD symptoms. The analysis includes noninferiority testing to confirm that the adapted intervention preserves core clinical effects while improving implementation metrics.

Why it matters

Who can join: the full rules

INCLUSION CRITERIA

Discover, Design/Build Phase:

* Providers. Providers will be included if they (a) deliver mental health treatment on school grounds; (b) English speaking.
* Students. Youth participants will meet eligibility criteria for this study, including (a) be within the TF-CBT developmental range, ages 7-19; (b) are receiving, or have previously received, school mental health services; and (c) are English speaking.

Test Phase:

* Providers. Providers will be included if they (a) deliver mental health treatment on school grounds; (b) have not previously received formal training in TF-CBT; and (c) are English speaking
* Students. Youth participants will meet eligibility criteria for this study, including (a) be within the TF-CBT developmental range, ages 7-19; (b) have traumatic event exposure (e.g., exposure to violence); (c) demonstrate significant post-traumatic stress symptoms (have a trauma history as defined as a score \>31 on the Child PTSD Symptoms Scale for DSM-V \[CPSS-V\]); and (d) are English speaking.

EXCLUSION CRITERIA

Discover, Design/Build Phase:

\- Students with intellectual impairments documented in education or mental health records.

Test Phase:

* Providers. Providers will be excluded if they participated in the redesign process for TF-CBT.
* Students. Students will be excluded if they (a) have intellectual impairments documented in education or mental health records and (2) are not trauma exposed.

Where it's running

• University of Washington
  Seattle, Washington, United States Recruiting

Study contacts

• Principal investigator: Aaron Lyon, PhD — University of Washington
• Study coordinator: Katie Osterhage
• Email: katieost@uw.edu
• Phone: 206-543-3350

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.