Table 2.
Benchmarking integrity, acceptability, and clinical outcomes of current studies with the 2017 FIRST trial.
| 2017 FIRST Trial | Study 1 | Study 2 | |||||||
|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||
| Acceptability | |||||||||
| % Treatment completion | 68.20% | 86.36% | 73.07% | ||||||
| % Sessions attended | 92.70% | 94.70% | 83.33% | ||||||
| % Caregiver participation | 76.20% | 99.19% | 98. 23% | ||||||
| M (SD) Youth TPOCS-A | 3.57 (0.85) | 3.82 (0.69) | 3.72 (0.81) | ||||||
| M (SD) Caregiver TPOCS-A | 3.94 (0.66) | 3.69 (0.56) | 3.59 (0.57) | ||||||
| M (SD) Effectiveness rating | - | 7.11 (1.27) | 7.00 (1.00) | ||||||
| M (SD) Difficulty rating | - | 2.00 (2.83) | 2.78 (1.79) | ||||||
| % Post-study FIRST use | - | 83.33% | 33.33% | ||||||
| Integrity | |||||||||
| Therapist Competence M (SD) | 2.29 (0.79) | 2.24 (0.50) | 2.40 (0.49) | ||||||
| % Protocol Adherence (SD) | 88.50% (25.24) | 97.72% (7.51) | 98.61% (8.58) | ||||||
| Clinical Benefit | slope a | p | ES | slope a | p | ES | slope a | p | ES |
| BPC Total - P | −0.80 | <.001 | 0.66 | −1.63 | <.001 | 1.35 | −0.73 | <.001 | 0.98 |
| BPC Total - Y | −0.35 | .013 | 0.41 | −1.71 | <.001 | 0.69 | −0.12 | .583 | 0.22 |
| TPA - Pb | −0.78 | <.001 | 1.91 | −0.31 | .001 | 1.41 | −0.24 | <.001 | 1.74 |
| TPA - Yb | −0.72 | .001 | 2.66 | −0.31 | .007 | 1.15 | −0.09 | .024 | 0.75 |
| CBCL Total | −8.68 | .012 | 0.85 | −7.96 | .001 | 0.90 | −6.24 | <.001 | 0.74 |
| YSR Total | −12.62 | <.001 | 1.15 | −8.83 | <.001 | 0.44 | −5.74 | <.001 | 0.67 |
| CBCL Internalizing | −6.08 | .038 | 0.51 | −7.66 | <.001 | 0.81 | −7.95 | <.001 | 1.27 |
| YSR Internalizing | −11.18 | .005 | 0.94 | −6.28 | .015 | 0.35 | −6.22 | .002 | 0.79 |
| CBCL Externalizing | −8.73 | .021 | 0.93 | −9.44 | .001 | 0.85 | −4.52 | .003 | 0.64 |
| YSR Externalizing | −8.62 | .008 | 0.94 | −7.94 | .003 | 0.33 | −3.64 | .004 | 0.30 |
| P M ES = 0.97 | P M ES = 1.06 | P M ES = 1.07 | |||||||
| YM ES = 1.22 | Y M ES = 0.59 | Y M ES = 0.55 | |||||||
| Total M ES = 1.10 | Total M ES = 0.83 | Total M ES = 0.81 | |||||||
2017 FIRST Trial = Weisz, Bearman et al. (2017); TPOCS-A = Therapy Process Observational Coding System-Alliance Scale; P = Parent/Caregiver, Y = Youth, BPC = Brief Problems Checklist, TPA = Top Problems Assessment, CBCL = Child Behavior Checklist, YSR = Youth Self Report.
a
Slopes from multilevel models (change per log day) for BPC and TPA and estimated pre-post change for CBCL and YSR.
b
TPA was rated on a 0–2 scale instead of the 1–10 used in Weisz, Bearman et al. (2017).