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• W2102938169 abstract "Children in care often have poor outcomes. There is a lack of evaluative research into intervention options.To examine the efficacy of Multidimensional Treatment Foster Care for Adolescents (MTFC-A) compared with usual care for young people at risk in foster care in England.A two-arm single (assessor) blinded randomised controlled trial (RCT) embedded within an observational quasi-experimental case-control study involving 219 young people aged 11-16 years (trial registration: ISRCTN 68038570). The primary outcome was the Child Global Assessment Scale (CGAS). Secondary outcomes were ratings of educational attendance, achievement and rate of offending.The MTFC-A group showed a non-significant improvement in CGAS outcome in both the randomised cohort (n = 34, adjusted mean difference 1.3, 95% CI -7.1 to 9.7, P = 0.75) and in the trimmed observational cohort (n = 185, adjusted mean difference 0.95, 95% CI -2.38 to 4.29, P = 0.57). No significant effects were seen in secondary outcomes. There was a possible differential effect of the intervention according to antisocial behaviour.There was no evidence that the use of MTFC-A resulted in better outcomes than usual care. The intervention may be more beneficial for young people with antisocial behaviour but less beneficial than usual treatment for those without." @default.
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• W2102938169 date "2014-03-01" @default.
• W2102938169 modified "2023-09-30" @default.
• W2102938169 title "Multidimensional Treatment Foster Care for Adolescents in English care: randomised trial and observational cohort evaluation" @default.
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• W2102938169 doi "https://doi.org/10.1192/bjp.bp.113.131466" @default.
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