Almost one-third of children being treated do not improve. There are two ways in which the efficacy of a treatment can be tested:Find predictors and moderators of treatment outcomeThis allows treatments to be given to specific subgroups of children under select treatment context to make sure that treatment has a maximum impact.Find mediatorsThis allows treatments to focus on the mechanisms and change to improve treatment outcomes.Moderators refer to variables for which treatment has differential effect at different values of the moderating variables. Mediators refer to variables that describe the process through which treatment achieves its effects. There is no causal relationship between the treatment and the outcome for moderators but there is a causal relationship for mediators. Predictors refer to pre-treatment variables which have a main effect on treatment outcomes but no interactive effect. It can predict the response in different treatment groups but the effect size of the treatment is the same regardless of the value of the target measure.A potential moderator variable needs to be measured before random assignment (i.e. prescriptive indicator). The interaction between the moderator variable an different treatment conditions establishes a moderation effect. Moderators may allow for personalized approaches as it tells us for which population a treatment may be effective. Predictors are also called prognostic indicators. They predict change across treatment conditions. Common moderators or predictors are socio-demographic information (1), parent characteristics (2), family characteristics (3), child characteristics (4), school-related factors (5) and aspects of the disorder itself (6). There are a lot of variables that could be included as moderators and predictors. As there are too many, the choice of variables should be guided by theory, clinical experience and empirical studies. Comorbidity does not predict or moderate...


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WorldSupporter Resources
Youth Interventions: Theory, Research, and Practice – Article overview (UNIVERSITY OF AMSTERDAM)

Youth Interventions: Theory, Research, and Practice – Article overview (UNIVERSITY OF AMSTERDAM)

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This bundle contains all the articles that have been discussed and were part of the mandatory literature for the course: "Youth Interventions: Theory, Research, and Practice" given at the University of Amsterdam. It contains the following articles:

  • “Prins, Ollendick, Maric, & MacKinnon (2015). Moderators and mediators of youth treatment outcomes.” – Article summary 
  • “Weersing, Schwartz, & Bolano (2015). Moderators and mediators of youth treatment outcomes.” – Article summary 
  • “Hudson et al. (2015). Comparing outcomes for children with different anxiety disorders following cognitive behavioural therapy.” – Article summary 
  • “Telman et al. (2020). Modular CBT for
...Read more