Community Study of Outcome Monitoring for Emotional Disorders in Teens (COMET): A Comparative Effectiveness Trial of a Transdiagnostic Treatment and a Measurement Feedback System

Overview

Journal Contemp Clin Trials

Publisher Elsevier

Date 2018 Oct 4

PMID 30282056

Citations 11

Authors

Amanda Jensen-Doss

Jill Ehrenreich-May

Monica M Nanda

Colleen A Maxwell

Jamie LoCurto

Ashley M Shaw

Heather Souer

David Rosenfield

Golda S Ginsburg

Affiliations

Soon will be listed here.

Abstract

Emotional disorders, encompassing a range of anxiety and depressive disorders, are the most prevalent and comorbid psychiatric disorders in adolescence. Unfortunately, evidence-based psychosocial therapies typically focus on single disorders, are rarely adopted by community mental health center clinicians, and effect sizes are modest. This article describes the protocol for a comparative effectiveness study of two novel interventions designed to address these challenges. The first intervention is a transdiagnostic treatment (the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents, UP-A), a promising new approach that uses a small number of common strategies to treat a broad range of emotional disorders, and their underlying shared emotional vulnerabilities. The second intervention is a standardized measurement feedback system, the Youth Outcomes Questionnaire (YOQ), designed to improve clinical decision making using weekly symptom and relational data. The three study arms are treatment as usual (TAU), TAU plus the YOQ (TAU+), and UP-A (used in combination with the YOQ). The primary aims of the study are to [1] compare the effects of the UP-A and TAU+ to TAU in community mental health clinics, [2] to isolate the effects of measurement and feedback by comparing the UP-A and TAU+ condition, and [3] to examine the mechanisms of action of both interventions. Design considerations and study methods are provided to inform future effectiveness research.

Citing Articles

Consultation Content and Techniques for measurement-Based Care Implementation in Youth Community Mental Health Settings.

Casline E, Woodard G, Lane E, Pollowitz S, Douglas S, Ehrenreich-May J Adm Policy Ment Health. 2024; 52(2):401-414.

PMID: 39397117 DOI: 10.1007/s10488-024-01417-8.

A collaborative realist review of remote measurement technologies for depression in young people.

Walsh A, Naughton G, Sharpe T, Zajkowska Z, Malys M, van Heerden A Nat Hum Behav. 2024; 8(3):480-492.

PMID: 38225410 PMC: 10963268. DOI: 10.1038/s41562-023-01793-5.

Characterizing measurement-based care implementation using therapist report.

Casline E, Woodard G, Patel Z, Phillips D, Ehrenreich-May J, Ginsburg G Evid Based Pract Child Adolesc Ment Health. 2023; 8(4):549-559.

PMID: 38031580 PMC: 10683951. DOI: 10.1080/23794925.2022.2124555.

External and Internal Validity Considerations in Youth Effectiveness Trials: Lessons Learned from the COMET Study.

Jensen-Doss A, Woodard G, Patel-Syed Z, Ehrenreich-May J, Rosenfield D, Ginsburg G J Clin Child Adolesc Psychol. 2023; 52(6):735-749.

PMID: 37947431 PMC: 10655847. DOI: 10.1080/15374416.2023.2272958.

Treatment Engagement in Adolescents: The Associations of Sociodemographic Characteristics, Caregiver Perceived Barriers, and Clinical Impairment.

Phillips D, Ginsburg G, Ehrenreich-May J, Jensen-Doss A J Clin Child Adolesc Psychol. 2023; :1-14.

PMID: 37347999 PMC: 10739653. DOI: 10.1080/15374416.2023.2222387.

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