The main goal of the current study is to investigate whether FASTb is equally effective as FASTr.
ID
Source
Brief title
Condition
- Personality disorders and disturbances in behaviour
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcomes are aggression, delinquency, out of home placement, and
recidivism (risk).
Secondary outcome
Seconday outcomes are internalizing problems of the youth, substance use,
contact of the youth with deviant peers, and client formulated goals.
Background summary
Antisocial behavior and conduct disorders during adolescence can have
long-lasting effects for juveniles in terms of persistent
antisocial behavior, delinquency and substance abuse during adulthood, and can
severely diminish quality of life, given
comorbidity often present. Moreover, juvenile antisocial behavior leads to high
societal costs, in terms of the costs of damage
caused by the behavior and increased societal unsafety. Even though there are
several interventions targeting antisocial behavior and conduct disorders in
youth, these interventions are relatively expensive and limited in their
ability to be tailored to the individual clients needs. Therefore, Forensic
Ambulant System Therapy (FAST) was developed. Within FAST, the intensity,
content and duration of the intervention can be adjusted to individual needs of
the juvenile and his/her system. FAST is evaluated as effective based on first
indications by the Dutch Youth Institute Committee for Judicial Interventions
and Youth Interventions. Next to regular FAST (FASTr), a blended version was
developed (FASTb), in which clients receive the intervention partially online
by using, for example, eHealth and videocalls.
Study objective
The main goal of the current study is to investigate whether FASTb is equally
effective as FASTr.
Study design
Participating families are randomly assigned to FASTb or FASTr. During the
study, participants (youth and caregiver(s)) will fill in monthly
questionnaires (5-10 minutes). The amount of monthly questionnaires will depend
on the duration of the intervention. Further, participants will fill in three
more elaborate questionnaires (30-60 minutes): prior to intervention
(pre-test), immediately after intervention (post-test), and 6 months after
intervention (6 months follow-up). The therapist will fill in a questionnaire
(5-10 minutes) two times (at pre-test and post-test). Additionally,
participants (juveniles, caregivers, and therapists), fill in questionnaire
that are part of the standard FAST procedure. These will be analyzed for the
study using file analysis, and therefore do not pose extra burden for the
participants. Further, two years after interventions (2-year follow-up),
official recidivism data will be collected through judicial records. This data
collection does not pose any burden to participating families and therapists.
Intervention
Both groups will receive Forensic Ambulant System Therapy (FAST), but in a
different form. The goal of FAST is to reduce antisocial and delinquent
behavior of youth and prevent out of home placement.
One group will receive FAST in the regular, face-to-face form (FASTr). The
other group will receive FAST in the blended (FASTb) form. The content of both
interventions correspond, only the way the intervention is offered differs.
Study burden and risks
In our opinion, the risks accompanying participation can be viewed as
negligible. The burden of participation consists of filling out questionnaires.
Receiving the intervention is independent from participation; clients will
receive FAST regardless of whether they participate in the study.
Heidelberglaan 1
Utrecht 3584CS
NL
Heidelberglaan 1
Utrecht 3584CS
NL
Listed location countries
Age
Inclusion criteria
Every juvenile and caregiver who meets the FAST inclusion criteria is
considered for the study. FAST therapists determine whether clients meet the
inclusion criteria during the standard FAST intake procedure. The inclusion
criteria are:
1. Juvenile has an estimated IQ-score of 80 or higher and/or sufficient
adaptive skills to benefit from the intervention. The estimated IQ-score is
measured using the Screener voor intelligentie en licht verstandelijke
beperking (SCIL; Kaal et al., 2015). The score on the SCIL determiners whether
an IQ-test and/or a measurement of adaptive skills using the ADAPT (Jonker &
Nijman, 2021) is necessary;
2. Juvenile is aged 12-21 years old at intervention start;
3. Juvenile exhibits externalizing behavior that results in problems in at
least two areas of life (family, school, leisure time), determined by referrer
information and/or intake;
4. Juvenile has a medium to high recidivism risk, measured by the
Risicotaxatie-instrument voor de Ambulante Forensische GGZ Jeugd (RAF GGZ
Jeugd; Van Horn et al., 2013) and/or the Landelijk Instrumentarium
Jeugdstrafrechtketen (LIJ; Ministerie van Veiligheid en Justitie, 2012);
5. Presence of juvenile-caregiver relationship problems, as measured by the RAF
GGZ Jeugd;
6. Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined
using case file analysis or a new diagnostic process;
7. Caregiver(s) and juvenile cannot be motivated to follow treatment at the
outpatient clinic;
8. Juvenile and caregiver(s) have sufficient Dutch language skills, as
estimated by the FAST therapist team;
9. Treatment can be offered in either a voluntary or mandatory framework;
10. Juvenile resides with their caregiver(s) or is expected to return to
residing with caregiver(s) within the first two months of intervention.
Exclusion criteria
1. Clients meet the FAST exclusion criteria, which are:
a. Juvenile exhibits severe psychiatric symptoms requiring admission;
b. Problem behavior of the juvenile is caused by primary substance abuse
problems;
c. Caregiver(s) refuse structurally to participate in treatment
d. The safety of the therapist or family members cannot be guaranteed
sufficiently;
2. Clients do not have an electronic device or suitable internet connection to
receive blended care;
3. Clients have insufficient digital literacy to receive blended care;
4. Families need a translator to receive the intervention.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL81698.041.22 |