CBITS-RTM Pilot Study

Browse trials for

• Combat Disorders 200
• Substance-Related Disorders 2,238

Keywords

• Incarcerated youth
• Juvenile detention school
• CBITS-RTM

Combat Disorders

200 studies on the registry are indexed under Combat Disorders; 90 are open to participants now.

This study's planned enrollment of 28 is below the median of 72 across 167 interventional studies indexed under Combat Disorders.

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,169 studies on the registry; 372 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 202 (76%) have results posted.

Study arms

• Experimental
  Adapted CBITS-RTM Intervention

  Behavioral: Adapted Cognitive Behavioral Intervention for Trauma in Schools (CBITS) with a Racial Trauma Module (RTM)

Interventions

• BehavioralAdapted Cognitive Behavioral Intervention for Trauma in Schools (CBITS) with a Racial Trauma Module (RTM)

  The Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program is a school-based, group and individual intervention designed to reduce symptoms of post-traumatic stress disorder (PTSD), depression, and behavioral problems, and to improve functioning, grades and attendance, and coping skills. The CBITS intervention was adapted to juvenile justice settings with an added Racial Trauma Module (RTM), which provides youth with an overview of the effects of racism on levels of traumatic stress.

  Also known as: CBITS-RTM

Primary outcomes

1. Child PTSD Symptom Scale (CPSS)

   The CPSS is used to measure posttraumatic stress among youth (8-18 years). It assesses past month posttraumatic stress symptom severity and impairment of endorsed symptoms on daily functioning. Scores range from 0-80, with 31+ indicating probable PTSD.

   Time frame: Baseline, 3 months post-baseline

Secondary outcomes

1. Youth Alcohol and Drug Use Survey

   The Youth Alcohol and Drug Use Survey will be used to gather youth's intention to use substances post-release using items rated on a scale from 1 (unlikely) to 10 (very likely).

   Time frame: Baseline, 3 months post-baseline

2. Texas Christian University (TCU) Drug Screen

   The TCU will be administered to gather information on substance use quantity and frequency as well as risk for SUD (corresponds with DSM-5 criteria) on the 3-months prior to incarceration and past 3 months at post-release.

   Time frame: Baseline, 3-months post-baseline

Other outcomes

1. Youth Background Characteristics

   Demographics questionnaire used to gather standard demographics (e.g., age, gender, race) and information such as state agency involvement (e.g., age at first contact with juvenile legal system, number of prior arrests), immigration status.

   Time frame: Baseline

2. Treatment Acceptability Form

   This form will be used to assess the acceptability of the adapted CBITS-RTM intervention. Items are scored from 1 "Strongly disagree" to 5 "Strongly agree." Scores range from 10-50 with higher scores indicating higher acceptability.

   Time frame: 3-months post-baseline

3. CBITS-RTM Group Evaluation Posttest

   This will assess knowledge of trauma, changes in ability to cope with stress, and acceptability of the intervention and its delivery. Items are true/false or qualitative in nature.

   Time frame: 3-months post-baseline

4. Clinician personal and professional background characteristics

   Questionnaire used to gather personal and professional background characteristics (e.g., clinical discipline, experience with trauma treatment, years of practice in juvenile detention setting).

   Time frame: Baseline

5. Cognitive Behavioral Intervention for Trauma in Schools-Fidelity Adherence Measure 2.0

   This measure will be used to assess how closely clinicians adhere to the adapted CBITS-RTM intervention. The scale describes the core components expected to be covered in each session, and the rater indicates the degree to which each component was delivered with fidelity using a 4-point item rating ranging from 0 (not covered at all) to 3 (covered thoroughly). Higher item scores indicate greater fidelity to the intervention curriculum.

   Time frame: 20% of the sessions

6. The Evidence-Based Practice Attitude Scale (EBPAS)

   The EBPAS (15-items) will be used to assess clinician's attitudes toward adopting new evidence-based practices (EBPs). It consists of four subscales: appeal, requirements, openness, and divergence. Items are rated on a 5-point Likert scale from 0 (not at all) to 4 (to a very great extent). Higher scores on the Appeal, Requirements, and Openness subscales indicate more positive attitudes toward adopting EBPs, whereas higher Divergence scores indicate less favorable attitudes.

   Time frame: Baseline

Individual participant data

Plan to share: No