A Mobile Health Solution for Homework During CBT
- Conditions
- Posttraumatic Stress DisorderDepressionAnxiety
- Interventions
- Behavioral: CBT+AppBehavioral: Cognitive Behavioral Therapy (CBT)
- Registration Number
- NCT04931199
- Lead Sponsor
- University of South Florida
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 86
Providers:
- 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
Youth:
- 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.
Youth with self- or caregiver-reported:
- Active psychotic symptoms (e.g., hallucinations, delusions)
- Significant cognitive disability, developmental delays, or pervasive developmental disorder.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description CBT+App CBT+App - CBT Cognitive Behavioral Therapy (CBT) -
- Primary Outcome Measures
Name Time Method Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) 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) 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) 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) 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 Outcome Measures
Name Time Method KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) 6-Months Post-Baseline The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Homework Rating Scale II (HRS II) Weekly between Baseline and 3-Months Post-Baseline The Homework Rating Scale II (HRS II) is a 4-item self-report questionnaire that assesses levels of homework adherence in cognitive behavior therapy. Total scores range from 0 to 8 with higher scores reflecting greater homework adherence.
Homework Adherence and Competence Scale (HAACS) Weekly between Baseline and 3-Months Post-Baseline The Homework Adherence and Competence Scale (HAACS) is a 19-item independent evaluator-rated instrument that assesses therapists' adherence and competence in reviewing, designing, and assigning homework assignments in cognitive behavior therapy. Total scores range from 0 to 30 for Reviewing homework, 0 to 54 for Designing homework, and 0 to 30 for Assigning homework, with higher scores reflecting greater adherence/competence.
Child and Adolescent Disruptive Behavior Inventory (CADBI) 6-Months Post-Baseline The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.
KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y) 6-Months Post-Baseline The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Generalized Anxiety Disorder-7 (GAD-7) 6-Months Post-Baseline The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population
Patient Health Questionnaire-8 (PHQ-8) 6-Months Post-Baseline The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies
Working Alliance Inventory - Short Revised - Client Version (WAI-SR) 3-Months Post-Baseline The Working Alliance Inventory-Short Revised (WAI-SR) is a 12-item measure for the assessment of the therapeutic alliance.
Child/Adolescent Satisfaction Questionnaire (CASQ-Y) 3-Months Post-Baseline CASQ is a 14 item questionnaire administered to children and youth involved with mental health services. It is identical to the parent version and measures three dimensions of satisfaction with mental health services:
Caregiver Satisfaction Questionnaire (CSQ-P) 3-Months Post-Baseline Client Satisfaction Questionnaire (CSQ-8) examines the level of consumer satisfaction with children's (ages 8 to 17 years) outpatient mental health services
Attitudes Toward Homework Questionnaire (ATHQ) 3-Months Post-Baseline A self-report assessing practitioners' demographic characteristics, use of homework assignments and attitudes towards the use of homework assignments in psychotherapy
Trial Locations
- Locations (1)
University of South Florida
🇺🇸Tampa, Florida, United States