Evidence map›Paper›PMID 26525144›Full record

Trial reportTrials2015

Evaluation of multisystemic therapy pilot services in Services for Teens Engaging in Problem Sexual Behaviour (STEPS-B): study protocol for a randomized controlled trial.

Peter Fonagy, Stephen Butler, Geoffrey Baruch, Sarah Byford, Michael C Seto, James Wason, Charles Wells, Jessie Greisbach, Rachel Ellison, Elizabeth Simes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Peter FonagyResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK. p.fonagy@ucl.ac.uk.
Stephen ButlerResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK. stephen.butler@ucl.ac.uk.
Geoffrey BaruchBrandon Centre, London, UK. geoffreybaruch@brandoncentre.org.uk.
Sarah ByfordCentre for the Economics of Mental Health, Institute of Psychiatry, King's College London, London, UK. s.byford@kcl.ac.uk.
Michael C SetoRoyal Ottawa Health Care Group, Ottawa, Ontario, Canada. michael.seto@theroyal.ca.
James WasonMRC Biostatistics Unit, University of Cambridge, Cambridge, UK. james.wason@mrc-bsu.cam.ac.uk.
Charles WellsBrandon Centre, London, UK. charleswells@brandoncentre.org.uk.
Jessie GreisbachResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK. j.greisbach@ucl.ac.uk.
Rachel EllisonResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK. r.ellison@ucl.ac.uk.
Elizabeth SimesResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK. e.simes@ucl.ac.uk.

Funding

Department of Health 12/136/70
6 · The paper itself

Abstract

backgroundClinically effective and cost-effective methods for managing problematic sexual behaviour in adolescents are urgently needed. Adolescents who show problematic sexual behaviour have a range of negative psychosocial outcomes, and they and their parents can experience stigma, hostility and rejection from their community. Multisystemic therapy (MST) shows some evidence for helping to reduce adolescent sexual reoffending and is one of the few promising interventions available to young people who show problematic sexual behaviour. This paper describes the protocol for Services for Teens Engaging in Problem Sexual Behaviour (STEPS-B), a feasibility trial of MST for problem sexual behaviour (MST-PSB) in antisocial adolescents at high risk of out-of-home placement due to problematic sexual behaviour. METHODS/

designEighty participants and their families recruited from five London boroughs will be randomized to MST-PSB or management as usual with follow-up to 20 months post-randomization. The primary outcome is out-of-home placement at 20 months. Secondary outcomes include sexual and non-sexual offending rates and antisocial behaviours, participant well-being, educational outcomes and total service and criminal justice sector costs. Feasibility outcomes include mapping the clinical service pathways needed to recruit adolescents displaying problematic sexual behaviour, acceptability of a randomized controlled trial to the key systems involved in managing these adolescents, and acceptability of the research protocol to young people and their families. Data will be gathered from police computer records, the National Pupil Database and interviews and self-report measures administered to adolescents and parents and will be analysed on an intention-to-treat basis. DISCUSSION: The STEPS-B feasibility trial aims to inform policymakers, commissioners of services and professionals about the potential for implementing MST-PSB as an intervention for adolescents showing problem sexual behaviour. Should MST-PSB show potential, STEPS-B will determine what would be necessary to implement the programme more fully and at a scale that would warrant a full trial.

trial registrationISRCTN28441235 (registered 25 January 2012).

Indexed as

Adolescent BehaviorChild BehaviorSexual BehaviorAdolescentAge FactorsBehavior TherapyChildClinical ProtocolsFamily TherapyFeasibility StudiesHouse CallsHumansIntention to Treat AnalysisLondonPilot ProjectsProblem Behavior

Identifiers

PMID26525144
PMCPMC4631080

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.