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The Effectiveness of Blended Forensic Ambulant Systemic Therapy

The Effectiveness of Blended Forensic Ambulant Systemic Therapy (FASTb): A Randomized Controlled Trial Comparing Blended and Regular FAST

NCT05606978•Utrecht University

View on ClinicalTrials.gov

Summary

The purpose of this study is to investigate whether blended Forensic Ambulant Systemic Therapy (FASTb) is equally effective as regular FAST (FASTr).

Detailed Description

Forensic Ambulant Systemic Therapy (FAST) is a promising treatment for juveniles aged 12-21 showing antisocial behavior and conduct disorders. Next to regular FAST (FASTr), a blended version was developed (FASTb), in which face-to-face contact is replaced by minimally 50% online contact over the duration of intervention, consisting of video-calls and eHealth modules. The primary aim of the current study is to investigate whether FASTb is equally effective as FASTr. All clients (and their caregivers) who meet the inclusion and eligibility criteria and who signed informed consent will be assigned to either the FASTr or FASTb condition. Randomization will be done on the family level and will not depend on therapist or treatment site.

Eligibility

Age

12 - 21 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•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). The score on the SCIL determiners whether an IQ-test and/or a measurement of adaptive skills using the ADAPT 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) and/or the Landelijk Instrumentarium Jeugdstrafrechtketen (LIJ);
•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.
+1 more criteria

Exclusion Criteria

•1. Juvenile exhibits severe psychiatric symptoms requiring admission;
•2. Problem behavior of the juvenile is caused by primary substance abuse problems;
•3. Caregiver(s) refuse structurally to participate in treatment
•4. 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.

Locations (2)

de Waag

Utrecht, Netherlands

Utrecht University

Utrecht, Netherlands

Key Dates

Start Date

November 14, 2022

Primary Completion Date

February 1, 2027

Completion Date

December 1, 2028

Last Updated

May 8, 2024

Enrollment

200

ESTIMATED participants

Conditions

Conduct DisorderAntisocial BehaviorBehavioral Disorder

Interventions

FASTb

BEHAVIORAL

FASTr

BEHAVIORAL

Contacts

Marjolein van Cappellen

CONTACT

+31621944124 s.m.vancappellen@uu.nl

Jessica Asscher

CONTACT

+31624584734 j.j.asscher@uu.nl

Pathways 2 Success

NCT06831123

Conduct DisorderOppositional Defiant Disorder

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ACTIVE_NOT_RECRUITINGNA

Multisite Prevention of Conduct Problems (Fast Track)

NCT01653535

Conduct DisorderAnti-Social Behavior

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: May 8, 2024Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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The Effectiveness of Blended Forensic Ambulant Systemic Therapy

Inclusion Criteria

Exclusion Criteria

Pathways 2 Success

Multisite Prevention of Conduct Problems (Fast Track)

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