A Mobile Health Solution to Improve Between-Session Skills Practice in Youth Mental Health Treatment
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of South Florida
- Enrollment
- 86
- Locations
- 2
- Primary Endpoint
- Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)
Study Overview
Brief Summary
The purpose of this study is to preliminarily evaluate a web-based app to improve provider implementation and patient engagement in homework (i.e., between-session practice of skills learned during therapy) during child mental health treatment by conducting a small-scale feasibility trial in community practice settings comparing Cognitive Behavioral Therapy (CBT) to CBT enhanced with the app.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 7 Years to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •English-speaking
- •Mental health providers who have obtained at least a master's degree in social work, counseling, clinical psychology, or related field
- •Carry active child mental health treatment caseloads
- •Have a laptop, tablet, or smartphone with internet access
- •English-speaking
- •Youth Ages 7-17 years
- •Clinically elevated anxiety and depression as indicated by a T-score ≥ 65 on the Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) and/or Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) or total score ≥ 15 on the Child and Adolescent Trauma Screen - Youth Report (CATS-Y) and/or Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
- •Have a laptop, tablet, or smartphone with internet access
- •Caregivers:
- •English-speaking
- •Adult (≥18 years old)
- •Caregivers of a youth who meets eligibility criteria
- •Have internet and smartphone access.
Exclusion Criteria
- •Youth with self- or caregiver-reported:
- •Active psychotic symptoms (e.g., hallucinations, delusions)
- •Significant cognitive disability, developmental delays, or pervasive developmental disorder.
Outcomes
Primary Outcomes
Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)
Time Frame: 6-Months Post-Baseline
The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
Time Frame: 6-Months Post-Baseline
The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)
Time Frame: 6-Months Post-Baseline
The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Child and Adolescent Trauma Screen - Youth Report (CATS-Y)
Time Frame: 6-Months Post-Baseline
The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Secondary Outcomes
- KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)(6-Months Post-Baseline)
- Homework Rating Scale II (HRS II)(Weekly between Baseline and 3-Months Post-Baseline)
- Homework Adherence and Competence Scale (HAACS)(Weekly between Baseline and 3-Months Post-Baseline)
- Child and Adolescent Disruptive Behavior Inventory (CADBI)(6-Months Post-Baseline)
- KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)(6-Months Post-Baseline)
- Generalized Anxiety Disorder-7 (GAD-7)(6-Months Post-Baseline)
- Patient Health Questionnaire-8 (PHQ-8)(6-Months Post-Baseline)
- Working Alliance Inventory - Short Revised - Client Version (WAI-SR)(3-Months Post-Baseline)
- Child/Adolescent Satisfaction Questionnaire (CASQ-Y)(3-Months Post-Baseline)
- Caregiver Satisfaction Questionnaire (CSQ-P)(3-Months Post-Baseline)
- Attitudes Toward Homework Questionnaire (ATHQ)(3-Months Post-Baseline)