Enhancing the Effectiveness of Measurement-Based Care for Youth by Identifying Key
Fidelity Indicators (MBC-FOCUS)
MPIs: Amanda Jensen-Doss Ph.D. & Bryce D. McLeod Ph.D.
Funding: NIMH MH10882214, 2024-2028.
In collaboration with Amanda Jensen-Doss (Department of Psychology, University of Miami)
we are engaged in research to identify influential MBC practice(s) that engage target
mechanisms and predict youth clinical outcomes in measurement-based care (MBC). The
project will achieve this goal via three aims: (1) Define and evaluate the continuum of MBC
fidelity domains; (2) Assess the impact of MBC fidelity on target mechanisms and youth clinical
outcomes; and (3) Evaluate the utility of pragmatic MBC fidelity indicators (i.e., self-report and
digital usage data). This project utilizes existing data from the Community Study of Outcome
Monitoring for Emotional Disorders in Teens (COMET), a randomized effectiveness trial
comparing two MBC conditions [MBC+TAU (treatment as usual) and MBC+EBT (Unified
Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents, UP-A)] to TAU.
The COMET sample includes 82 clinicians and 177 youth treated in CMHCs in Florida and
Connecticut. Our long-term goal, is to optimize MBC effectiveness and thus improve youth
clinical outcomes.