Increased Access to Psychological Treatment for Children and Adolescents Through Internet-delivered CBT - a Pragmatic Evaluation Within Regular Health Care in a Rural Area of Sweden
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 83
- 试验地点
- 1
- 主要终点
- CGI-S
研究概览
简要总结
The purpose of this study is to test internet-delivered cognitive behavior therapy for children and adolescents with anxiety disorders and obsessive-compulsive disorder in a routine clinical setting in a rural part of Sweden.
详细描述
Aim The aim of this study is to conduct a pragmatic evaluation of ICBT for children and adolescents with anxiety disorders and OCD within routine health care in a rural area.
Research questions
- Is ICBT an acceptable method for the patient group?
- Is ICBT effective in a clinical setting?
- Is further treatment needed after ICBT?
- What are the long-term effects of ICBT?
- What predicts treatment outcome?
- How does ICBT work in a clincal setting? (time spent, negative effects etc)?
Design This is a uncontrolled intervention study where included families and children will be recruited consecutively during two years from a routine care CAMHS unit. All participants will be offered ICBT and assessed pre- and post-treatment, and at three-month follow-up through clinician ratings and self-report measures. The primary outcome measure is clinician rated severity of principal disorder at three-month follow-up. Long-term results will be assessed through study of medical records two years after completed ICBT.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fulfills diagnostic criteria for an anxiety disorder or OCD
- •Access to a computer and internet connection
- •Read and speak Swedish
排除标准
- •ICBT is currently not assessed to be a suitable treatment
- •Acute psychiatric problem (eg. severe depression or suicidality)
- •Current psychosocial problems in the family (i.e substance abuse, abuse, neglect)
结局指标
主要结局
CGI-S
时间窗: 24 weeks from baseline
Clinical Global Impression - Severity
次要结局
- Patient satisfaction(12 weeks from baseline)
- CGI-S(12 weeks from baseline)
- CGI-I(12 and 24 weeks from baseline)
- RCADS(12 and 24 weeks from baseline)
- CY-BOCS(12 and 24 weeks from baseline)
- CGAS(12 and 24 weeks from baseline)
- EWSAS(Week 1 through 12 + 24 weeks from baseline)
- Adverse events(12 weeks from baseline)
研究者
Sarah Vigerland
PhD
Karolinska Institutet