Skip header and navigation

1 records – page 1 of 1.

School-based cognitive behavioral interventions for anxious youth: study protocol for a randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature290257
Source
Trials. 2017 03 04; 18(1):100
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
03-04-2017
Author
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. bente.haugland@uni.no.
Source
Trials. 2017 03 04; 18(1):100
Date
03-04-2017
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Adolescent
Adolescent Behavior
Anxiety - diagnosis - psychology - therapy
Child
Child Behavior
Clinical Protocols
Cognitive Therapy - methods
Female
Humans
Male
Norway
Patient care team
Psychiatric Status Rating Scales
Research Design
School Health Services
Surveys and Questionnaires
Time Factors
Treatment Outcome
Abstract
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.
ClinicalTrials.gov, NCT02279251 . Registered on 15 October 2014. Retrospectively registered.
Notes
Cites: J Anxiety Disord. 2003;17(5):561-71 PMID 12941366
Cites: Am J Psychiatry. 2006 Aug;163(8):1412-8 PMID 16877655
Cites: J Clin Child Adolesc Psychol. 2016;45(2):91-113 PMID 26087438
Cites: Arch Gen Psychiatry. 2005 Jun;62(6):593-602 PMID 15939837
Cites: J Adolesc Health. 2006 Apr;38(4):416-25 PMID 16549303
Cites: Clin Psychol Rev. 2009 Apr;29(3):208-15 PMID 19232805
Cites: J Child Psychol Psychiatry. 1997 Jul;38(5):581-6 PMID 9255702
Cites: J Clin Epidemiol. 2009 May;62(5):464-75 PMID 19348971
Cites: Behav Res Ther. 2007 Jun;45(6):1181-91 PMID 17007813
Cites: Behav Res Ther. 2014 Jun;57:1-12 PMID 24727078
Cites: Prev Sci. 2011 Sep;12(3):255-68 PMID 21437675
Cites: Br J Gen Pract. 2016 Oct;66(651):e693-707 PMID 27621291
Cites: J Am Acad Child Adolesc Psychiatry. 2009 May;48(5):533-44 PMID 19318990
Cites: Annu Rev Clin Psychol. 2009;5:311-41 PMID 19152496
Cites: J Sleep Res. 2016 Jun;25(3):318-24 PMID 26825591
Cites: Acta Psychiatr Scand. 2015 May 27;:null PMID 26016532
Cites: J Abnorm Child Psychol. 2008 May;36(4):459-69 PMID 18027084
Cites: J Anxiety Disord. 2014 Dec;28(8):947-56 PMID 25445085
Cites: Psychol Med. 2014 Aug;44(11):2363-74 PMID 24451993
Cites: J Am Acad Child Adolesc Psychiatry. 2015 Mar;54(3):175-9 PMID 25721182
Cites: Cochrane Database Syst Rev. 2013 Jun 03;(6):CD004690 PMID 23733328
Cites: Arch Gen Psychiatry. 2003 Aug;60(8):837-44 PMID 12912767
Cites: J Anxiety Disord. 2015 Oct;35:9-18 PMID 26283461
Cites: J Abnorm Child Psychol. 2008 May;36(4):487-97 PMID 18214667
Cites: J Anxiety Disord. 2011 Jun;25(5):690-6 PMID 21497052
Cites: J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86 PMID 11132119
Cites: Assessment. 2005 Dec;12(4):374-83 PMID 16244118
Cites: Psychol Assess. 2016 Aug;28(8):908-16 PMID 26460894
Cites: Behav Res Ther. 2004 Jul;42(7):813-39 PMID 15149901
Cites: Eur Child Adolesc Psychiatry. 2003 Jan;12(1):1-8 PMID 12601558
Cites: J Anxiety Disord. 2002;16(1):67-81 PMID 12171214
Cites: Behav Res Ther. 2011 May;49(5):315-23 PMID 21419391
Cites: J Anxiety Disord. 2016 Jan;37:78-88 PMID 26735330
Cites: J Affect Disord. 2016 May 15;196 :54-61 PMID 26901657
Cites: Depress Anxiety. 2004;20(4):155-64 PMID 15643639
Cites: J Abnorm Child Psychol. 2006 Jun;34(3):379-91 PMID 16649000
Cites: J Am Acad Child Adolesc Psychiatry. 2005 Oct;44(10):996-1004 PMID 16175104
Cites: Behav Res Ther. 2002 Sep;40(9):1091-109 PMID 12296494
Cites: Br J Psychiatry. 2000 Dec;177:534-9 PMID 11102329
Cites: J Am Acad Child Adolesc Psychiatry. 2007 Apr;46(4):438-47 PMID 17420678
Cites: Scand J Public Health. 2015 Feb;43(1):2-9 PMID 25377051
Cites: Behav Res Ther. 1998 May;36(5):545-66 PMID 9648330
Cites: Eur J Psychotraumatol. 2014 May 22;5:null PMID 24872862
Cites: J Anxiety Disord. 2003;17(6):605-25 PMID 14624814
Cites: Eur Psychiatry. 2003 Dec;18(8):384-93 PMID 14680714
Cites: J Anxiety Disord. 2013 Oct;27(7):711-9 PMID 24135256
PubMed ID
28259171 View in PubMed
Less detail