Recruiting

Observational Study

Sponsor:

Training and Implementation Associates

Code:

NCT05772858

Conditions

Traditional Face to Face Training

Family Therapy Training and Implementation Platform (FTTIP)

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Accepted

Interventions

Training on CIFFTA competencies using Family Therapy Training and Implementation Platform (FTTIP)

Training on CIFFTA competencies using Training and Coaching as Usual (TCAU).

Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA).

Agency Readiness Consultation- Family Therapy Training and Implementation Platform (FTTIP)

Agency Engagement and Orientation as Usual

Study Details

Brief summary:

The goal of this clinical trial is to compare whether mental health therapists trained by a Family Therapy Training and Implementation Platform (FTTIP) or those trained in traditional face-to-face training differ on learning key family therapy domains, including competencies, agency readiness, and client outcomes. The main questions it aims to answer are:

  • Will 75 FTTIP mental health therapists show improvement in all core family therapy competencies that are not inferior to 75 providers receiving traditional in person family therapy training?
  • Will 150 families (child, parent, dyad) receiving CIFFTA family therapy show adequate retention in treatment therapeutic alliance and significant pre-post treatment improvements on family environment and presenting problems?
  • Will 15 agency leaders receiving FTTIP agency readiness consultations show more pre and post change in agency readiness and knowledge than 15 leaders receiving agency engagement as usual?

Participants will participate in:

  • Complete pre and post surveys
  • 20 hours of training in an evidenced based family therapy treatment
  • 24 weeks of biweekly coaching to implement the treatment
  • 24 weeks of implementation of the treatment with one family
  • Agency leaders will complete 2 weeks of organizational readiness engagement

Researchers will compare the Family Therapy Training and Implementation Platform (FTTIP) and traditional face-to-face training to see if FTTIP is not inferior to traditional training in key domains, including competencies, agency readiness, and client outcomes in mental health therapists.

Conditions

Traditional Face to Face Training

Family Therapy Training and Implementation Platform (FTTIP)

Study ID

NCT05772858

Start date

Apr 1, 2022

Status verified date

Mar, 2023

Completion date

Mar 31, 2024

Anticipated

Primary completion date

Mar 31, 2024

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • 150 Bachelor's level counselors with 2 years of experience or Master's level counselors and therapists who have not had family therapy training in the past year and who are broadly representative of the potential trainees in the general population, including educational background and job experience with different client populations (e.g., varied demographics and presenting problems). All therapists must be actively providing treatment to youth and be willing to deliver the family intervention to at least one family during the project period.
  • For each trainee that is part of the research study, we will select one client family (1 child and 1 caregiver) that we will assess and follow during the study. Once a trainee completes training and begins coaching, the next child/family that is assigned to the trainee, meets criteria for CIFFTA, and consent/assents to participate will be considered a participant in the study. The child must be between the ages of 11-18 years. Other than that, there are no exclusion of any specific age or age range group in the rest of the study participants (agency leaders, counselors)
  • 30 leaders will be randomized to the two conditions. To be included in the study, agency leaders must have the authority to allocate agency resources (e.g., giving trainees protected time to participate in training activities, allowing smaller caseloads as they begin implementation) and be willing to participate in agency readiness and implementation consultation.

Exclusion Criteria:

  • We are not limiting inclusion of any group by sex/gender, race, and/or ethnicity
  • Agencies that are unwilling to participate in all study activities, that have nontraditional funding sources (e.g., totally charity funded), or that are so small they cannot assign sufficient counselors to the study.

Study Design

Enrollment

150 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Other

Interventions and Outcome Measures

Arms

experimental: Family Therapy Training and Implementation Platform (FTTIP)

Participants will be trained for 20 hours on an online platform practicing family therapy competencies with animated families and provided recorded video responses to receive feedback from trainers.

active comparator: Traditional in person Training as Usual

Participants will attend 20 hours of a traditional in person training learning about the family therapy evidenced based treatment.

experimental: Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA).

All of the 150 families will receive Family Therapy, Individual Therapy, and Psycho-educational Modules, delivered over 16 weeks in a two session (60 minutes each) per week format.

experimental: Agency Readiness Consultation- Family Therapy Training and Implementation Platform (FTTIP)

Agency leaders assigned to this condition will complete an online assessment of agency readiness, participate in a webinar and live discussion, complete an online meeting with leaders and clinical supervisors

active comparator: Agency Engagement and Orientation as Usual

Agency leaders assigned to this condition will receive a traditional engagement of leadership at their agency including a description of study procedures and engagement with study team.

Interventions

Training on CIFFTA competencies using Family Therapy Training and Implementation Platform (FTTIP)

An Innovative Web-based Tool to train mental health therapists in family therapy competencies with animated families and provided recorded video responses to receive feedback from trainers.

Training on CIFFTA competencies using Training and Coaching as Usual (TCAU).

Therapists receive training using the traditional face to-face training method for 2.5 days followed by coaching.

Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA).

CIFFTA has three major components: Family Therapy, Individual Therapy, and Psycho-educational Modules, delivered over 16 weeks in a two session (60 minutes each) per week format. One session will typically be a family session which may include Family Therapy or Psychoeducational modules designed for the family or parents alone. The other session is typically with the adolescent alone which may include individual treatment or Psycho-educational modules designed for the adolescent.

Agency Readiness Consultation- Family Therapy Training and Implementation Platform (FTTIP)

The FTTIP agency readiness work begins with a pre-recorded FTTIP introduction webinar presented separately to each agency which presents overall goals of the project and the different FTTIP components, and key decisions agencies often make when seeking to sustain a new EBT.

Agency Engagement and Orientation as Usual

Work with the agency leaders will consist of the traditional engagement of the leadership so that they agree to collaboration with the study team, with the training team, and with the study procedures.

Primary outcome measure

  • Retention in family therapy as measured by the number of sessions received by each study family [ Time Frame: Post therapy at 24 weeks ]
  • Change from pre therapy to post therapy treatment in family cohesion and family conflict as measured by the Family Environment Scale [ Time Frame: Pre therapy (at baseline) and post therapy at 24 weeks ]
  • Change from pre therapy to post therapy treatment in adolescent behavior problems as measured by The Achenbach System of Empirically Based Assessments Brief Problem Monitoring (BPM) for 6-18 year old Scales [ Time Frame: Pre therapy (at baseline) and post therapy at 24 weeks ]
  • Change in organizational readiness as measured by Training and Implementation Associates (TIA) Organizational Readiness Measure, Director Form [ Time Frame: Pre(baseline) and post organizational consultation (2 weeks) ]
  • Dates of the training process as measured by The Training Process Log [ Time Frame: 6 months ]
  • Optimization of technology platform will be measured using the Technology Optimization Log [ Time Frame: 4 months ]
  • Competency in evidenced based treatment as measured by CIFFTA Competencies Rating [ Time Frame: Pre-training phase and post-training phase (4 weeks later) ]

Central Contacts and Locations

Central contacts

Melissa Gutierrez, M.S.Ed.

305-986-2243melissag@tiainternational.org

Alejandra Santisteban, MPH

305-984-7246alejandra@tiainternational.org

Locations

Pacific Clinics

Recruiting

Los Angeles, California, United States, 91748

Contacts

Scott Fairhurst, PhD

sfairhurst@pacificclinics.org

Miami Dade County Public Schools

Recruiting

Miami, Florida, United States, 33132

Contacts

Rhea Lee, M.S.

305-995-1020rhealee@dadeschools.net

More Information

Sponsor

Training and Implementation Associates

Last update posted

Mar 16, 2023

Last verified

Mar, 2023

Keywords

  • Mental health
  • Family therapy
  • Mental health training

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Training and Implementation Associates on 2023-03-16.