[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100588440":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":39,"responsibleParty":58,"collaborators":61,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":25,"eligibilityCriteria":71,"healthyVolunteers":67,"sex":72,"minAge":73,"maxAge":25,"enrollmentInfo":74,"targetDuration":25,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":84,"overallStatus":41,"whyStopped":25,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"University of Washington","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)","ACTIVE_COMPARATOR","Participants in this arm will receive TF-CBT gold-standard training and 6 months of follow-up consultation will be delivered by a certified trainer.",[13],"Behavioral: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)",{"label":15,"type":16,"description":17,"interventionNames":18},"School-Adapted TF-CBT (S-TF)","EXPERIMENTAL","Participants in this arm will receive S-TF training and consultation procedures will align with those for TF-CBT to ensure comparable training\u002Fconsultation dose.",[19],"Behavioral: School-Adapted TF-CBT (S-TF)",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","TF-CBT is a cognitive-behavioral individual intervention for children aged 3 to 18 years with trauma exposure and related mental health sequelae.TF-CBT core components include psychoeducation, relaxation skills, affective regulation skills, cognitive coping skills, construction of a trauma narrative to facilitate imaginal exposure and cognitive processing of the traumatic events, and in vivo exposure to trauma reminders. TF-CBT is hypothesized to operate on specific mechanisms that influence improvements in clinical outcomes.",[9],null,{"type":22,"name":15,"description":27,"armGroupLabels":28,"otherNames":25},"S-TF is a version of Trauma-Focused Cognitive Behavioral Therapy modified for delivery by providers in the education sector. Although modifications will be determined by Study 1 activities, we anticipate that S-TF might modify treatment pacing, session length, or content sequencing. Regardless, the core functions of TF-CBT will be retained in the S-TF redesign.",[15],[30],{"name":31,"affiliation":5,"role":32},"Aaron Lyon, PhD","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":25,"email":38},"Katie Osterhage","CONTACT","206-543-3350","katieost@uw.edu",[40],{"facility":5,"status":41,"city":42,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"RECRUITING","Seattle","Washington","98115","United States","US",{"type":48,"coordinates":49},"Point",[50,51],-122.33207,47.60621,{"lat":51,"lon":50},[54],{"name":55,"role":36,"phone":56,"phoneExt":25,"email":57},"Vaughan Collins","206-616-0210","uwtrip@uw.edu",{"type":32,"investigatorFullName":59,"investigatorTitle":60,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"Aaron Lyon","Professor, Department of Psychiatry and Behavioral Sciences",[62],{"name":63,"class":64},"National Institute of Mental Health (NIMH)","NIH","100588440","systematic-redesign-of-trauma-focused-cognitive-behavioral-therapy-tf-cbt-100588440",false,"NCT06941428","Systematic Redesign of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)","Systematic Redesign of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to Enhance Usability, Engagement, Appropriateness, and Impact in Schools","INCLUSION CRITERIA\n\nDiscover, Design\u002FBuild Phase:\n\n* Providers. Providers will be included if they (a) deliver mental health treatment on school grounds; (b) English speaking.\n* 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.\n\nTest Phase:\n\n* 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\n* 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.\n\nEXCLUSION CRITERIA\n\nDiscover, Design\u002FBuild Phase:\n\n\\- Students with intellectual impairments documented in education or mental health records.\n\nTest Phase:\n\n* Providers. Providers will be excluded if they participated in the redesign process for TF-CBT.\n* Students. Students will be excluded if they (a) have intellectual impairments documented in education or mental health records and (2) are not trauma exposed.","ALL","7 Years",{"count":75,"type":76},102,"ESTIMATED","INTERVENTIONAL",[79],"NA","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\u002FBuild, Test (DDBT) approach and methods drawn from the field of human-centered design.",[82,83],"Trauma, Psychological","Trauma and Stressor Related Disorders",[85,86],"School Mental Health","Trauma-Focused Cognitive Behavioral Therapy","2026-02-23",{"date":89,"type":90},"2026-02-27","ACTUAL",{"date":92,"type":90},"2025-06-22",{"date":94,"type":76},"2027-03-01",{"name":5,"class":6},1]