Ethnicity and income as predictors of clinical outcomes of a youth-focused personalizable modular treatment.

IF 6 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2025-10-01 DOI:10.1037/ccp0000979

Evelyn Cho,Bruce F Chorpita,Kendal Reeder,Margarita Alegría,Maggi A Price,John R Weisz,

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Abstract

OBJECTIVE Personalizable modular treatments may be helpful in addressing the mental health needs of minoritized youths. We used data from five randomized effectiveness trials of the Modular Approach to Therapy for Children, a personalizable, individually tailored, modular treatment for common youth mental health concerns, to investigate whether clinical outcomes were predicted by ethnicity, family income, and their interaction. METHOD Participants were drawn from a pool of 537 clinically referred youths treated for internalizing and/or externalizing problems in community clinics and their caregivers. The mean youth age was 9.97 (SD = 2.59); 57% were male; 49% were White, 22% Hispanic or Latinx, 14% Black, 13% multiethnic, 1% Asian, and 1% other ethnicity. Family income ranged from 21% to 776% of the federal poverty threshold, with 38% below the threshold. Youths and caregivers completed standardized measures of internalizing and externalizing problems quarterly for up to 24 months and standardized measures of internalizing and externalizing problems and idiographic top problem severity weekly throughout treatment. RESULTS Following adjustment for multiple analyses, ethnicity, income, and their interaction did not predict symptom improvement on any youth or caregiver-reported outcomes. CONCLUSIONS Youths treated with the Modular Approach to Therapy for Children experienced comparable clinical benefits across ethnic groups and income levels, with no predictor effects when the number of tests was controlled for. The findings support future research on personalizable modular treatment for minoritized youths. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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种族和收入作为以青年为中心的个性化模块化治疗临床结果的预测因素。

目的：个性化模块化治疗可能有助于解决少数民族青少年的心理健康需求。我们使用了来自儿童模块化治疗方法的五项随机有效性试验的数据，这是一种针对常见青少年心理健康问题的个性化、量身定制的模块化治疗，我们研究了临床结果是否与种族、家庭收入及其相互作用有关。参与者从537名在社区诊所接受内化和/或外化问题治疗的临床转诊青少年及其护理人员中抽取。青年平均年龄为9.97岁（SD = 2.59）；57%为男性;49%为白人，22%为西班牙裔或拉丁裔，14%为黑人，13%为多种族，1%为亚洲人，1%为其他种族。家庭收入在联邦贫困线的21%到776%之间，有38%低于贫困线。在长达24个月的时间里，青少年和照顾者每季度完成内化和外化问题的标准化测量，并在整个治疗过程中每周完成内化和外化问题和具体顶级问题严重程度的标准化测量。结果：对多重分析进行调整后，种族、收入及其相互作用不能预测任何青少年或照顾者报告的结果的症状改善。结论：接受儿童模块化治疗方法治疗的青少年在不同种族和收入水平的临床获益相当，在控制测试数量时没有预测效应。研究结果支持未来针对少数族裔青少年的个性化模块化治疗研究。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.