Optimizing CBT Implementation Among Community Providers Through Internet-based Consultation and Networking (i-CAN)

Not Applicable

Completed

• Conditions: Anxiety; CBT
• Interventions: Behavioral: i-CAN

• Registration Number: NCT05580081
• Lead Sponsor: University of Alabama, Tuscaloosa

Brief Summary

Although anxiety is one of the most common and debilitating mental health conditions affecting children and adolescents, the vast majority of sufferers do not receive effective treatment. Cognitive-behavioral therapy (CBT) is an evidence-based, frontline treatment for pediatric anxiety, yet many community-based practitioners do not implement CBT with high fidelity, which can detrimentally affect its clinical impact. The goal of this study is to develop and test an online platform to support community providers' effective use of CBT for pediatric anxiety.

Detailed Description

Stemming from implementation science and, specifically, the Theory of Planned Behavior, investigators are working alongside community stakeholders to develop a novel, online consultation platform. This platform, termed Internet-based Consultation or Networking (or i-CAN) will utilize a professional navigator (i.e., a provider with CBT expertise), online support and resources, and parallel peer consultation to create a user-friendly and supportive community for providers to get support as they implement CBT. Once finalized, the platform will be tested in the context of a preliminary randomized controlled trial (RCT) with approximately 100 mental healthcare providers who work with anxious children and adolescents. Providers who enroll will be randomly assigned to either the experimental condition (i-CAN) or the control condition (wait-list for i-CAN). The primary outcome of interest is change in intentions to use CBT.

Study Timeline

• Study First Submitted: 2022-10-11
• Study First Submitted QC: 2022-10-11
• Study First Posted: 2022-10-14
• Study Start: 2023-04-01
• Primary Completion: 2024-12-01
• Study Completion: 2025-02-01
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-01
• Last Update Posted: 2025-04-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• provide direct mental healthcare to anxious youth
• practice in general community within state of Alabama
• agree to try i-CAN

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
i-CAN	i-CAN	18 weeks of access to the online consulting platform

Primary Outcome Measures

Name	Time	Method
Reasoned Action Questionnaire	18 weeks	Questionnaire that assesses instrumental beliefs, perceived norms, and self-efficacy (all related to use of cognitive-behavioral therapy). On the Reasoned Action Questionnaire, higher scores indicate greater intention to use the therapeutic approach. Scores can range from 14 to 90.

Secondary Outcome Measures

Name	Time	Method
Evidence-based practice attitude scale	18 weeks	Questionnaire that assesses views toward cognitive-behavioral therapy. Higher scores indicate more positive views. Scores can range from 0 to 60.

Trial Locations

Locations (1)

Center for Youth Development and Intervention; 🇺🇸 Tuscaloosa, Alabama, United States