Efficacy of measurement-based care (MBC) in routine child and youth behavioral therapy: A pragmatic randomized controlled trial.

IF 3.8 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-10-17 DOI:10.1080/10503307.2026.2721647

Christopher Hautmann, Felix Oswald, Jana Egemann, Nina Geldermann, Martin Hellmich, Kerstin Daniela Rosenberger, Kim de Jong, Maartje A M S van Sonsbeek, Danny Gehlen, Katrin Woitecki, Daniel Walter, Lydia Dachs, Anja Görtz-Dorten, Hildegard Goletz, Claudia Kinnen, Christiane Rademacher, Stephanie Schürmann, Tanja Wolff Metternich-Kaizman

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引用次数: 0

Abstract

Objective: This pragmatic randomized trial evaluated a low-frequency measurement-based care (MBC) approach in children and youth. Method: In the modified intention-to-treat sample (mITT), 317 children (6-10) and youth (11-17) were randomized to behavioral therapy with or without MBC; 169 completed the trial per protocol (PP). Outcomes were assessed by masked raters, therapists, caregivers, and youth. Results: Average MBC participation ranged from 69% to 87% across informants, while therapists discussed the report at least once in only 29.3% of cases. In the mITT analysis, masked ratings of total symptoms (SFSS-I) showed no effect, d = 0.00, 95% CI [-0.22, 0.22], while caregiver-rated externalizing symptoms (FBB-SCREEN) showed a small reduction, d = -0.17, [-0.33, -0.01]. In the PP analysis, masked ratings (SFSS-I) remained nonsignificant, d = -0.29, [-0.59, 0.01], but caregiver ratings showed significant reductions in externalizing (FBB-SCREEN), d = -0.29, [-0.53, -0.05], and internalizing symptoms (CBCL), d = -0.32, [-0.61, -0.03]. Conclusions: Low-frequency MBC may offer practical advantages for child and youth therapy, such as good participation, but its efficacy remained insufficient, likely reflecting implementation challenges. Differences between caregiver and masked outcomes may indicate a risk of overestimating treatment effects when assessments are unblinded.Trial registration: German Clinical Trials Register identifier: DRKS00016737.

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基于测量的护理（MBC）在常规儿童和青少年行为治疗中的疗效：一项实用的随机对照试验。

目的：这项实用的随机试验评估了儿童和青少年的低频测量为基础的护理（MBC）方法。方法：在改良意向治疗样本（mITT）中，317名儿童（6-10岁）和青少年（11-17岁）随机接受有或没有MBC的行为治疗；169例完成了每个方案（PP）的试验。结果由蒙面评分者、治疗师、护理者和青少年进行评估。结果：被调查者的MBC平均参与率从69%到87%不等，而治疗师至少在29.3%的病例中讨论过报告一次。在mITT分析中，总症状的掩盖评分（SFSS-I）显示没有影响，d = 0.00, 95% CI[-0.22, 0.22]，而护理者评定的外化症状（FBB-SCREEN）显示有轻微的减少，d = -0.17,[-0.33, -0.01]。在PP分析中，掩饰评分（SFSS-I）仍然不显著，d = -0.29,[-0.59, 0.01]，但护理者评分显示外化（FBB-SCREEN）， d = -0.29,[-0.53, -0.05]和内化症状（CBCL）， d = -0.32,[-0.61, -0.03]显著降低。结论：低频MBC可能为儿童和青少年治疗提供了实际优势，如良好的参与性，但其有效性仍然不足，可能反映了实施方面的挑战。护理者和被掩盖者结果之间的差异可能表明，当评估是非盲法时，存在高估治疗效果的风险。试验注册：德国临床试验注册标识符：DRKS00016737。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.