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
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Anxiety Disorder
- Sponsor
- Karolinska Institutet
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- CGI-S
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Sarah Vigerland
PhD
Karolinska Institutet
Eligibility Criteria
Inclusion Criteria
- •Fulfills diagnostic criteria for an anxiety disorder or OCD
- •Access to a computer and internet connection
- •Read and speak Swedish
Exclusion Criteria
- •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)
Outcomes
Primary Outcomes
CGI-S
Time Frame: 24 weeks from baseline
Clinical Global Impression - Severity
Secondary Outcomes
- 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)