Systematic Redesign of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Recruiting now · Not applicable
Conditions studied: Trauma, Psychological, Trauma and Stressor Related Disorders
In brief
Trauma-focused cognitive behavior therapy (TF-CBT) has the strongest evidence of any clinical intervention for youth trauma but is rarely adopted in the education sector - the most common setting for youth mental healthcare. Use of TF-CBT in schools is limited by (1) problems with its usability (e.g., rigid structures, complicated patient identification workflows) and (2) provider perceptions that some core elements (e.g., exposure) are not contextually appropriate for schools; both of which hinder provider and student engagement with TF-CBT. Our preliminary studies identified that TF-CBT demonstrates "below average" usability, suggesting that many providers are likely to experience it as excessively onerous (e.g., due to lengthy sessions, low caregiver engagement). Without a systematic process for redesign, treatment adaptations made to improve intervention-setting fit can be reactive and risk omitting their core elements or functions. Locally driven, user focused redesign of TF-CBT for schools that maintains its core functions can enhance the accessibility and impact of evidence-based trauma treatment for youth. In light of the need for usable, contextually appropriate, and engaging interventions for youth trauma, the current project will iteratively adapt TF-CBT for use by school-based providers (e.g., school counselors, school social workers) via the University of Washington ALACRITY Center's (UWAC) Discover, Design/Build, Test (DDBT) approach and methods drawn from the field of human-centered design.
Key facts
- Study ID
- NCT06941428
- Run by
- University of Washington
- People needed
- 102
- Starts
- 2025-06-22
- Expected to finish
- 2027-03-01
- Last updated by the study team
- 2026-02-27
Who can join
Age: 7 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Discover, Design/Build Phase:
- Providers. Providers will be included if they (a) deliver mental health treatment on school grounds; (b) English speaking.
- Students. Youth participants will meet eligibility criteria for this study, including (a) be within the TF-CBT developmental range, ages 7-19; (b) are receiving, or have previously received, school mental health services; and (c) are English speaking.
- Test Phase:
- Providers. Providers will be included if they (a) deliver mental health treatment on school grounds; (b) have not previously received formal training in TF-CBT; and (c) are English speaking
- Students. Youth participants will meet eligibility criteria for this study, including (a) be within the TF-CBT developmental range, ages 7-19; (b) have traumatic event exposure (e.g., exposure to violence); (c) demonstrate significant post-traumatic stress symptoms (have a trauma history as defined as a score >31 on the Child PTSD Symptoms Scale for DSM-V [CPSS-V]); and (d) are English speaking.
You may not qualify if…
- Discover, Design/Build Phase:
- Students with intellectual impairments documented in education or mental health records.
- Test Phase:
- Providers. Providers will be excluded if they participated in the redesign process for TF-CBT.
- Students. Students will be excluded if they (a) have intellectual impairments documented in education or mental health records and (2) are not trauma exposed.
Where it is running
- University of Washington — Seattle, Washington, United States (enrolling)
Full record on ClinicalTrials.gov
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