Evidence map›Paper›PMID 31872896›Full record

ArticleJournal of community psychology2020

Sociodemographic characteristics of youth in a trauma focused-cognitive behavioral therapy effectiveness trial in the city of Philadelphia.

Briana S Last, Brittany N Rudd, Courtney A Gregor, Hilary E Kratz, Kamilah Jackson, Steven Berkowitz, Arturo Zinny, Lauren P Cliggitt, Danielle R Adams, Lucia M Walsh and 1 more

Abstract readEvaluation Study
In one paragraph

Article in Journal of community psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Training Community Therapists in AIM HI: Individual Family and Neighborhood Factors and Child/Caregiver Outcomes.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  3. Article
  4. Review
  5. Article
  6. 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

11 authors.

Briana S LastDepartment of Psychology, School of Arts and Sciences, The University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-5473-1357
Brittany N RuddDepartment of Psychiatry, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Courtney A GregorDepartment of Psychiatry, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Hilary E KratzDepartment of Psychology, LaSalle University, Philadelphia, Pennsylvania.
Kamilah JacksonCommunity Behavioral Health, Philadelphia, Pennsylvania.
Steven BerkowitzCommunity Behavioral Health, Philadelphia, Pennsylvania.
Arturo ZinnyCommunity Behavioral Health, Philadelphia, Pennsylvania.
Lauren P CliggittCommunity Behavioral Health, Philadelphia, Pennsylvania.
Danielle R AdamsSchool of Social Service Administration, University of Chicago, Chicago, Illinois.
Lucia M WalshDepartment of Psychology, University of Miami, Coral Gables, Florida.
Rinad S BeidasDepartment of Psychiatry, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

The University of Chicago and Northwestern University Predoctoral Health Services Research Program-RenewalT32HS000084 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA, MELTZER, DAVID O · 1998 to 2024
$7.6M
The academic-community experience (ACE): A postdoctoral training fellowship in implementation science to promote mental healthT32MH109433 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI David S Mandell · 2017 to 2026
$2.4M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
AHRQ HHS T32 HS000084NIMH NIH HHS K23 MH099179NIMH NIH HHS T32 MH109433
6 · The paper itself

Abstract

While randomized controlled trials of trauma-focused cognitive behavioral therapy (TF-CBT) have demonstrated efficacy for youth with posttraumatic stress disorder, TF-CBT effectiveness trials typically show attenuated outcomes. This decrease in effectiveness may be due to the differences in sociodemographic characteristics of youth in these trials; youth in efficacy trials are more often white and middle-income, whereas youth in effectiveness trials are more often racial/ethnic minorities, of low socioeconomic status (SES) and live in high crime neighborhoods. In this study-drawn from an effectiveness trial of TF-CBT in community mental health clinics across Philadelphia-we describe the sociodemographic characteristics of enrolled youth. We measured neighborhood SES by matching participants' addresses to American Community Survey data from their Census tracts, housing stability using the National Outcomes Measurement System, and neighborhood violence using police department crime statistics. Our results suggest that the majority of youth presenting for TF-CBT in mental health clinics in the City of Philadelphia live in poor and high-crime neighborhoods, experience substantial housing instability, and are predominantly ethnic and racial minorities. Thus, youth presenting for treatment experience significant racial and socioeconomic adversity. We also explored the association between these characteristics and youth symptom severity upon presenting for treatment. These factors were not associated with youth symptom severity or overall mental health functioning in our sample (with small effect sizes and p > .05 for all). Implications for future research, such as the need for efficacy and effectiveness trials to more fully characterize their samples and the need for pragmatic trials are discussed.

Indexed as

AdolescentAdultChildChild, PreschoolCognitive Behavioral TherapyCommunity Mental Health ServicesFemaleHumansMalePhiladelphiaResidence CharacteristicsSeverity of Illness IndexSocioeconomic FactorsStress Disorders, Post-TraumaticYoung Adulteffectiveness trialsimplementation scienceneighborhood contextposttraumatic stress disorderpragmatic trialssocial determinants of healthtrauma-focused cognitive behavioral therapy

Identifiers

PMID31872896
PMCPMC7261621

What OpenQuestion holds

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Registered trials

None linked

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.