On the 26th of November ZonMw (The Netherlands Organization for Health Research and Development) organizes, together with seven research consortia, an international conference presenting the lessons learned from research on core elements of evidence-based programs for children and youth.

The past few years seven consortia studied ‘what works for whom, when, and why’ in interventions for multiple issues in child development. During this online conference the 7 consortia will discuss their findings and different innovative research methods used. In multiple breakout sessions the consortia will elaborate on potential and lessons learned. Below you can find a description of all subsessions.

Subsession 1: Microtrials: the way forward for research into the effectiveness of treatment components?

Over the past four years, six large scale randomized controlled microtrials investigated effective treatment components for several common childhood psychiatric problems (i.e., social skills deficit, anxiety, depression, externalizing behavior problems, and ADHD). Although all the studies were defined as microtrials, they varied greatly concerning design and outcome measures used to compare component effectiveness. This session will provide a brief overview of the studies before discussing their main results and implications. Next, a lively discussion will examine whether microtrials are the way forward for research into the effectiveness of treatment components. Possibilities for the future use of microtrial designs will also be discussed.

Subsession 2: How mixed-method studies can help to gain a better understandig of effective elements of interventions

In this workshop we will address and show in which way qualitative data, in combination with quantitative data, can help to better understand why and how elements of interventions lead to positive change within children/parents/families. Harrie Jonkman will present results of his research among professionals and experts in the field of family interventions. Loraine Visscher will present how interviews with children and parents on helpful and unhelpful elements of interventions were designed and conducted. An overview of the results of this study will be presented. The discussion will be about the added value of using mixed-methods within research on effective elements of interventions.

Subsession 3: Various applications of a treatment taxonomy; It’s more than just coding

There are so many treatments for youth that’s it’s difficult to say to which degree they are similar and to which degree they differ. This is important to gain insight into the effective core elements of these treatments. In this context, the research consortia have developed a generic taxonomy to differentiate between the different elements of treatments. With this generic taxonomy, one can code various treatment manuals in order to map the presence of content specific components, contextual factors (e.g., target group, goal) and structural factors (e.g. group/individual, number of sessions). In this workshop the development of a generic taxonomy is presented, together with some specific applications namely:

  • the use of the taxonomy in meta-analyses and the development of CBT modules,
  • the use of the taxonomy to develop a treatment decision aid,
  • the use of the taxonomy to design a registration system

Subsession 4: Using meta-analytic data in search for effective treatment components: current findings and innovations with network meta analyses

Treatments for children, young people, parents and teachers mostly consist of multiple components and take place in multiple contexts. One approach to identify treatment components that contribute most to effectiveness of these treatment packages, is to integrate the results from trials: a meta analytic approach. Several consortia have conducted meta-analyses  in search for effective treatment components in their field, using various methodologies. First, five meta-analyses will briefly be presented by members of different consortia. Network meta analyses have some benefits over conventional meta analyses. Pim Cuijpers will present the backgrounds and an example of network meta analyses, and discuss the potential and pitfalls of network meta analyses in the context of treatment components. We will conclude with an interactive Q&A session for further clarification and for discussing the potential of using meta analytic data to identify effective treatment components.

Subsession 5: Using clinical data to identify critical intervention elements

Clinicians, teachers, and other professionals working with children and youth are highly motivated to attain the best possible effects with their clients and pupils. They are also frequently involved in systematic data collection, for example for student monitoring systems, routine outcome monitoring, or goal attainment scaling. Yet surprisingly, in our experience, working effectively and collecting data appear to be separate activities in many professionals’ lives.
In this symposium, we aim to demonstrate how clinically obtained data can directly contribute to better identification and improvement of core elements in (preventive) intervention for youth.
To this end, three examples will be presented of ways to do so in different contexts:

  1. In a preventive school context, the intervention approach Toppertraining (Kanjertraining) can be delivered in different modalities, such as to a whole classroom or to individual students; and by the teacher or by a trained psychologist. De Mooij et al. examined which modality is most effective for whom, by analyzing routinely collected longitudinal student and teacher data on children’s well-being and social functioning.
  2. In a family intervention context, effective intervention for perpetrators and victims of child abuse seems to depend on core elements that fit the risks and needs of client systems. To identify these, Bijlsma et al. conducted secondary data analyses on multiple client databases of perpetrators (de Waag) and victims of child abuse (de Viersprong MST-CAN). Using network analyses, she identified feedback loops between maintaining factors to be addressed in tailored intervention.
  3. In secure residential youth care (JZ+) institutions, the problems of juvenile clients and their parents are often intertwined. To reach treatment outcomes that last post treatment, it seems important to work family centred. Blankestein and Broekhoven et al. examined the effects of family-centeredness in seven secure residential youth care institutions in the Netherlands in relation to treatment outcomes of 409 juvenile clients from pre-test to 6 months after treatment.

Subsession 6: Insight into effective elements of interventions through observational studies

In this workshop, Hein Raat and Loraine Visscher will present two observational studies on effective elements of interventions. Within the ZOP&GMCP consortium a quasi-experimental study was conducted to gain insight into effective elements of interventions for families with severe parenting problems or multiple problems. Within the CIKEO consortium, a prospective cohort study was conducted to investigate the exposure of parents/caregivers to (preventive) parenting support elements and strategies in daily practice of Dutch preventive youth health care and the effects of this exposure on parenting, family functioning and child development in a naturalistic effect evaluation. We will discuss study designs, results and the value of observational studies in identifying elements that are associated with positive outcomes in parents/families.

Subsession 7: Individual participant data meta-analysis (IPDMA) – advantages and challenges

In ‘Individual participant data’ (IPD) meta-analyses the primary data of randomized trials are collected and integrated into one big dataset. IPD meta-analyses have several advantages over conventional meta-analyses. However, there are also several challenges. In the first presentation of this session Pim Cuijpers will discuss some of the advantages and challenges of IPD studies. This will be followed by presentations on three IPD studies that have been performed in the Netherlands as part of the Consortia studies. Maud Hensums will present an IPD study of anti-bullying interventions. Matthijs Oud will present results from an IPD study on the effects of CBT for youths with depression. Finally, Annabeth Groenman will present the IPD study on effects of behavioral therapy for ADHD-youths.  Presenters will discuss both the challenges and advantages that they encountered during their IPD-studies and some of the major finding that resulted from these studies.

Subsession 8: Single-case experimental designs: strategies and lessons learned

In this sub-session, the results of three different studies using the single-case experimental design (SCED) are presented and discussed. The first study was aimed at examining the added value of targeting specific risk factors for child maltreatment within an evidence-base home visitation program. The second study was aimed at examining antecedent and consequent techniques of a parent training for parents of children with ADHD. The third study was aimed at examining the effectiveness of an intensive exposure treatment program for anxious youth.

In this session, we pay particular attention to the methodology and statistical techniques used and the practical and methodological problems that arose. What lessons can be learned from the experiences of the researchers of the different consortia?

Subsession 9: Core elements: from knowledge transfer to implementation and impact

The uptake of evidence-based interventions and elements is often low and slow. In this session we will discuss methods that are used to translate knowledge into practice. Loraine Visscher will discuss how they used dialogue-sessions to interact with professionals and families about their findings and to create useable products. Bram Orobio will present how they developed and piloted a decision-tree that supports professionals in tailoring interventions to the needs of youth with severe behavioural problems. Clemens Hosman will then discuss how to have an impact and reach parents with interventions such as preventive parenting interventions and its core elements. The IM-PACT Management model was developed describing strategies to improve this impact of interventions.

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