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Effectiveness of a Digital Application for Adolescents With Mild to Moderate Anxiety

Not Applicable
Not yet recruiting
Conditions
Adolescent - Emotional Problem
Anxiety
Anxiety and Fear
Interventions
Other: Modi
Other: Treatment as usual
Registration Number
NCT06531980
Lead Sponsor
Haukeland University Hospital
Brief Summary

The goal of this randomized controlled trial is to investigate the effectiveness of a new therapist-guided rule based intervention in Bergen Municipality, Child and Family help center.

Do they have a decrease in anxiety symptoms following the intervention? Do they have an increase in functional level following the intervention?

Researchers will compare the therapist-guided rule based intervention with treatment as usual for adolescents with mild to moderate anxiety.

Participants will use the intervention, which is based on CBT, for 8 weeks.

Detailed Description

Modi is a mobile application and consists of a training program for adolescents with anxiety problems. Anxiety is one of the most common mental disorders. The anxiety symptoms usually have an age of onset in adolescence. For many, these anxiety symptoms persist into adulthood, and lead to reduced quality of life and functional impairment. The goal is to prevent anxiety disorders, comorbid disorders and loss of function as a result of the anxiety symptoms.

This study wants to investigate the effectiveness of a digital intervention in a randomized controlled trial. The study will recruit N = 128 young people aged 13-16 who will be randomized to either a therapist-guided, rule-based chatbot intervention or treatment as usual in the Child and Family Help Center in Bergen Municipality. The study will examine the clinical effects of the new intervention compared to treatment as usual

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
128
Inclusion Criteria
  • Ages 13-16
  • Resides in Bergen
  • Completed RCADS-25
  • Reports "yes" to both questions:
  • Do you have anxiety symptoms? Do you often feel stressed, scared, worried, or feel it in your body (e.g., stomach pain, heart palpitations, breathing problems, sweating, dizziness)?
  • Do anxiety symptoms prevent you from doing things you want or need to do (e.g., meeting new people, giving presentations at school, going to sleepovers, going to the shopping center)? Or do you spend so much time worrying that it affects your daily life? Can read Norwegian
Exclusion Criteria
  • Currently receiving other psychological treatment
  • Immediate need for other psychological treatment, such as severe depression, suicide risk, OCD, psychosis/substance abuse issues, autism spectrum disorder
  • Anxiety is largely related to bullying
  • Extensive school absence of more than 50% in the last three months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Modi-applicationModi8-weeks interventions provided by the mobile application Modi. Therapist-guided intervention
Treatment as usualTreatment as usualThe group will receive treatment as usual.
Primary Outcome Measures
NameTimeMethod
Revised Child Anxiety and Depression Scale - 25 - Parent-reportassessing change from screening, pre, week 2, week 4, week 6, and immediately after the intervention, follow-up 1 month, and at follow-up 6 months]

anxiety and depressive symptoms, higher score indicates worse outcomes

Revised Child Anxiety and Depression Scale - 25 - Self-reportassessing change from screening, pre, week 2, week 4, week 6, and immediately after the intervention, follow-up 1 month, and at follow-up 6 months]

anxiety and depressive symptoms, higher score indicates worse outcomes

Secondary Outcome Measures
NameTimeMethod
Strengths and Difficulties Questionnaire - Parent versionassessing change from screening, pre, week 4, immediately after the intervention, follow-up 1 month, and at follow-up 6 months]

The scale measure parent-reported adolescent's general mental health, with a higher score indicating worse symptoms. The study intends to use all three components of the measurement, including 1) the basis of SDQ, which includes 25 items on psychological attributes, 2) impact supplement, measuring functional level. The follow-up version also includes two additional follow-up questions

Strengths and Difficulties Questionnaire - Youth versionassessing change from screening, pre, week 4, immediately after the intervention, follow-up 1 month, and at follow-up 6 months]

The scale measure adolescent's general mental health, with a higher score indicating worse symptoms. The study intends to use all three components of the measurement, including 1) the basis of SDQ, which includes 25 items on psychological attributes, 2) impact supplement, measuring functional level. The follow-up version also includes two additional follow-up questions

Trial Locations

Locations (1)

Research centre for digital mental health services, Haukeland University Hospital

🇳🇴

Bergen, Vestland, Norway

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