title: Long-term outcomes for the Child STEPs randomized effectiveness trial: a comparison of modular and standard treatment designs with usual care.
abstract: OBJECTIVE
  This article reports outcomes from the Child STEPs randomized effectiveness trial conducted over a 2-year period to gauge the longer term impact of protocol design on the effectiveness of evidence-based treatment procedures.
  
  
  METHODS
  An ethnoracially diverse sample of 174 youths ages 7- 13 (N = 121 boys) whose primary clinical concerns involved diagnoses or clinical elevations related to anxiety, depression, or disruptive behavior were treated by community therapists randomly assigned to 1 of 3 conditions: (a) standard, which involved the use of 1 or more of 3 manualized evidence-based treatments, (b) modular, which involved a single modular protocol (Modular Approach to Treatment of Children With Anxiety, Depression, or Conduct Problems; MATCH) having clinical procedures similar to the standard condition but flexibly selected and sequenced using a guiding clinical algorithm, and (c) usual care.
  
  
  RESULTS
  As measured with combined Child Behavior Checklist and Youth Self-Report Total Problems, Internalizing, and Externalizing scales, the rate of improvement for youths in the modular condition was significantly better than for those in usual care. On a measure of functional impairment (Brief Impairment Scale), no significant differences were found among the 3 conditions. Analysis of service utilization also showed no significant differences among conditions, with almost half of youths receiving some additional services in the 1st year after beginning treatment, and roughly one third of youths in the 2nd year.
  
  
  CONCLUSIONS
  Overall, these results extend prior findings, supporting incremental benefits of MATCH over usual care over a 2-year period.
authors: Department of Psychology, University of California.
authors: Bruce F
authors: BF
authors: Chorpita
authors: John R
authors: JR
authors: Weisz
authors: Eric L
authors: EL
authors: Daleiden
authors: Sonja K
authors: SK
authors: Schoenwald
authors: Lawrence A
authors: LA
authors: Palinkas
authors: Jeanne
authors: J
authors: Miranda
authors: Charmaine K
authors: CK
authors: Higa-McMillan
authors: Brad J
authors: BJ
authors: Nakamura
authors: A Aukahi
authors: AA
authors: Austin
authors: Cameo F
authors: CF
authors: Borntrager
authors: Alyssa
authors: A
authors: Ward
authors: Karen C
authors: KC
authors: Wells
authors: Robert D
authors: RD
authors: Gibbons
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D055317:Evidence-Based Practice; D005260:Female; D005500:Follow-Up Studies; D006254:Hawaii; D006801:Humans; D008297:Male