@article{ref1,
title="BEST FOR CAN - bringing empirically supported treatments to children and adolescents after child abuse and neglect: study protocol",
journal="European journal of psychotraumatology",
year="2020",
author="Muche, Rainer and Lechner-Meichsner, Franziska and Ebert, David Daniel and Christiansen, Hanna and Albrecht, Björn and Barke, Antonia and Rosner, Rita and Steil, Regina and Zarski, Anna-Carlotta",
volume="11",
number="1",
pages="e1837531-e1837531",
abstract="BACKGROUND: Despite a large body of evidence demonstrating the effectiveness of psychotherapy for posttraumatic stress for children and adolescents, the adoption of  empirically supported treatments (ESTs) in routine care is low. <br><br>OBJECTIVE: This  implementation study aims to evaluate the dissemination of Trauma-Focused Cognitive  Behavioural Therapy (TF-CBT) for children and adolescents with posttraumatic stress  symptoms (PTSS) after child abuse and neglect (CAN) with a focus on supervision. <br><br>METHOD: In a cluster-randomized controlled trial, the study will evaluate the  implementation of TF-CBT focussing on the training of therapists including the  provision of supervision. The effectiveness of specialized trauma-focused  supervision will be compared to supervision as usual with respect to the successful  implementation of TF-CBT for youths with PTSS administered by psychotherapists with  different levels of professional experience. The primary outcome is whether the  patient receives a treatment with sufficient adherence to the TF-CBT manual. The  unit of randomization will be the therapists. The main outcome will be analysed  using multilevel logistic regressions. Secondary outcomes will concern further  patient-related (reduction of PTSS and depressive symptoms) and therapist-related  (professional quality of life) variables. Additional exploratory analyses are  planned. <br><br>DISCUSSION: Since the trial is designed as an implementation study, it  permits naturalistic referrals to the participating therapists by patients,  caregivers, child and youth welfare agencies and paediatricians. The strict primary  outcome will help evaluating the role of model-based supervision in the  implementation process. The explorative outcomes will evaluate whether  implementation success translates into better patient outcomes. We expect that the  dissemination measures will lead to a successful implementation of TF-CBT and  promote sustainable structures in routine care that will remain in place after study  completion and offer access to ESTs for future children and youths with a history of  CAN.<p /> <p>Language: en</p>",
language="en",
issn="2000-8198",
doi="10.1080/20008198.2020.1837531",
url="http://dx.doi.org/10.1080/20008198.2020.1837531"
}