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School-based cognitive behavioral interventions for anxious youth: study protocol for a randomized controlled trial.
Trials. 2017 03 04; 18(1):100
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Bente Storm Mowatt Haugland
Solfrid Raknes
Aashild Tellefsen Haaland
Gro Janne Wergeland
Jon Fauskanger Bjaastad
Valborg Baste
Joe Himle
Ron Rapee
Asle Hoffart
Author Affiliation
Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Pb 7810, 5020, Bergen, Norway.
Trials. 2017 03 04; 18(1):100
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Adolescent Behavior
Anxiety - diagnosis - psychology - therapy
Child Behavior
Clinical Protocols
Cognitive Therapy - methods
Patient care team
Psychiatric Status Rating Scales
Research Design
School Health Services
Surveys and Questionnaires
Time Factors
Treatment Outcome
Anxiety disorders are prevalent among adolescents and may have long-lasting negative consequences for the individual, the family and society. Cognitive behavioral therapy (CBT) is an effective treatment. However, many anxious youth do not seek treatment. Low-intensity CBT in schools may improve access to evidence-based services. We aim to investigate the efficacy of two CBT youth anxiety programs with different intensities (i.e., number and length of sessions), both group-based and administered as early interventions in a school setting. The objectives of the study are to examine the effects of school-based interventions for youth anxiety and to determine whether a less intensive intervention is non-inferior to a more intensive intervention.
The present study is a randomized controlled trial comparing two CBT interventions to a waitlist control group. A total of 18 schools participate and we aim to recruit 323 adolescents (12-16 years). Youth who score above a cutoff on an anxiety symptom scale will be included in the study. School nurses recruit participants and deliver the interventions, with mental health workers as co-therapists and/or supervisors. Primary outcomes are level of anxiety symptoms and anxiety-related functional impairments. Secondary outcomes are level of depressive symptoms, quality of life and general psychosocial functioning. Non-inferiority between the two active interventions will be declared if a difference of 1.4 or less is found on the anxiety symptom measure post-intervention and a difference of 0.8 on the interference scale. Effects will be analyzed by mixed effect models, applying an intention to treat procedure.
The present study extends previous research by comparing two programs with different intensity. A brief intervention, if effective, could more easily be subject to large-scale implementation in school health services., NCT02279251 . Registered on 15 October 2014. Retrospectively registered.
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PubMed ID
28259171 View in PubMed
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