Digitalized Cognitive-behavioral Intervention for Anxiety Among School Children. A Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- University of Turku
- Enrollment
- 465
- Locations
- 1
- Primary Endpoint
- Change from Baseline to 6 months follow up; the Screen for Child Anxiety Related Disorders - child and parent reports
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of the study is to evaluate the effectiveness of a digitalized cognitive-behavioral treatment for anxiety among school aged children. The participants are screened from the general population, as a part of the routine school health care check-ups. Half of the children with anxiety will receive the digitalized treatment program, while the other half will receive education about anxiety in internet.
Investigators
Andre Sourander
Professor (child psychiatry)
University of Turku
Eligibility Criteria
Inclusion Criteria
- •Scoring ≥22 on SCARED
Exclusion Criteria
- •no access to internet
- •insufficient language (Finnish until summer 2019, Finnish and Swedish from autumn 2019 onwards, when also Swedish version of the intervention was available) skills
- •visual or hearing impairment that hinders the use of the program
- •the child's mental retardation, autism spectrum disorder, suicidal intentions or severe mental disorder
- •the child's psychotherapy (ongoing or starting within 6 months)
- •the child's medication (for anxiety) started / changed within 2 months
- •current involvement with child protection services (i.e., removal of child custody, investigation of child abuse or neglect)
- •parent's severe psychiatric / somatic disease or other reason that hinders the parent to actively participate in the program
Outcomes
Primary Outcomes
Change from Baseline to 6 months follow up; the Screen for Child Anxiety Related Disorders - child and parent reports
Time Frame: Change from baseline to 6 months follow up; symptoms during the last three months
Comprises of 41 items assessing symptoms of general anxiety, separation anxiety, panic disorder, social anxiety, and school phobia; scoring 0-82 (higher score meaning more symptoms)
Secondary Outcomes
- Change from Baseline to 6 months follow up (in the Intervention group); the Development and Well-Being Assessment - child and parent reports(Change from baseline to 6 months follow up; varying time windows for different diagnoses)
- Change from Baseline to 6 months follow up; the Revised Children Quality of Life - Questionnaire - child and parent reports(Change from baseline to 6 months follow up; QoL during the last week)
- Change from Baseline to 6 months follow up; the Child Depression inventory - child report(Change from baseline to 6 months follow up; symptoms during the last two weeks)
- Change from Baseline to 6 months follow up; the Depression Anxiety and Stress Scale Short Form - parent report (parental depression, anxiety and stress)(Change from baseline to 6 months follow up; symptoms during the last week)
- Change from Baseline to 6 months follow up; the Customised Client Receipt Inventory Questionnaire - parent report(Change from baseline to 6 months follow up; service use during the last six months)
- Change from Baseline to 6 months follow up; the Child Anxiety Impact Scale - child and parent reports(Change from baseline to 6 months follow up; impact of anxiety during the last month)
- Change from Baseline to 6 months follow up; the Strengths and Difficulties Questionnaire, extended version - parent report(Change from baseline to 6 months follow up; symptoms during the last six months)
- Change from Baseline to 6 months follow up of the relations with peers and school (not a standardized scale)(Change from baseline to 6 months follow up)
- Change from Baseline to 6 months follow up; the Brief resilience scale - parent report (parental resilience)(Change from baseline to 6 months follow up; experience of the current resilience)