Common Engagement Strategies (Common Factors) for Childhood Anxiety

Not Applicable

Completed

• Conditions: Anxiety
• Interventions: Behavioral: Standard pediatric advice for childhood anxiety; Behavioral: Common factors engagement training for provider

• Registration Number: NCT02441569
• Lead Sponsor: Johns Hopkins Bloomberg School of Public Health

Brief Summary

This trial examines the effectiveness of training pediatric primary care providers (nurse practitioners, doctors) to use of strategies that enhance family/youth empowerment and engagement during office visits for children with mild to moderate problems with anxiety. Children coming for routine care at one clinic are screened for anxiety symptoms and seen by either a specially trained provider or one of the clinic's other regular staff members.

Detailed Description

Children who are thought to have mild to moderate anxiety will, via their parents, be offered the opportunity to receive treatment from their pediatric primary care provider. Providers will either use their existing anxiety approaches or will use those approaches combined with extra communication skills designed to promote patient and parent engagement in care. Children will be seen for up to 4 30-minute visits at 2 week intervals, with a follow-up telephone call 3 months later to asses the impact of treatment. Children with more severe anxiety (or those whose parents so desire) will be referred for specialized mental health care.

Study Timeline

• Study Start: 2014-09
• Study First Submitted: 2015-05-08
• Study First Submitted QC: 2015-05-11
• Study First Posted: 2015-05-12
• Primary Completion: 2016-01
• Study Completion: 2016-01
• Status Verified: 2017-05
• Last Update Submitted: 2017-05-05
• Last Update Posted: 2017-05-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Coming for well-child visit to designated clinical site;
• SCARED score 25 or greater

Exclusion Criteria

• acute medical illness, SCARED 40 or greater

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Standard pediatric advice for childhood anxiety	Children and parents in this arm will be cared for by a provider who is able to offer standard pediatric anxiety-related advice (the control intervention). Families will receive standard pediatric advice for childhood anxiety.
Common factors intervention	Standard pediatric advice for childhood anxiety	Children and parents in this arm will be cared for by a provider who has received brief training in common factors patient engagement skills (the intervention) for use in addition to standard anxiety-related advice. Thus this arm will receive common factors engagement training for provider.
Common factors intervention	Common factors engagement training for provider	Children and parents in this arm will be cared for by a provider who has received brief training in common factors patient engagement skills (the intervention) for use in addition to standard anxiety-related advice. Thus this arm will receive common factors engagement training for provider.

Primary Outcome Measures

Name	Time	Method
The Screen for Child Anxiety Related Emotional Disorders (SCARED)	3 months	Re-test on short inventory of anxiety-related symptoms

Trial Locations

Locations (1)

Georgetown University Pediatric Clinic; 🇺🇸 Washington, D.C., District of Columbia, United States