Video-visit Behavior Therapy for Anxiety and Depression in Youth

Not Applicable

Completed

Conditions: Anxiety
Depression

Interventions: Behavioral: Brief Behavioral Therapy

Registration Number: NCT05417412

Lead Sponsor: San Diego State University

Brief Summary: This project focuses on adapting and pilot testing an efficacious brief behavioral therapy (STEP-UP) for youths with anxiety or depression to be delivered as a telehealth intervention by clinic staff in low-resource community health centers (CHCs).

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 12

Inclusion Criteria

Youth is a patient at a participating community health center (CHC) site
Youth is clinically referred by a provider and / or has anxiety and / or depression as a diagnosis or target problem in their medical record
Youth is in the physical and legal custody of the caretaker and is not currently involved in the foster care system
Youth is able and willing to conduct study assessments and intervention sessions in English
Primary caretaker is able and willing to conduct study assessments and intervention sessions in English or in Spanish
Youth is functioning at or above the academic level of a typical 8-year-old child (i.e., placed in at least the second-grade level school across all subjects in a general education classroom)
Primary caretaker agrees that focusing on anxiety and / or depression would be a useful primary target for treatment
Youth has clinically significant symptoms of anxiety and / or depression by youth or caretaker report

Exclusion Criteria

Youth is receiving an alternate intervention for anxiety or depression
Youth or parent reports that the youth is experiencing active suicidal ideation with plan or intent (i.e., within last three months) and / or has made a suicide attempt within the last six months
Youth or parent reports that the youth is currently engaging in non-suicidal self-injury (i.e., within last three months)
Youth or parent reports that the youth has experienced recent physical or sexual abuse (i.e., within last three months).

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
STEP-UP (brief behavioral therapy)	Brief Behavioral Therapy	Intervention arm of open trial

Primary Outcome Measures

Name	Time	Method
Participant Acceptability Questionnaire - Parent (PAQ-P)	Week 16 (post-intervention)	Parent ratings of the acceptability of the telehealth intervention. Responses were classified as "little or no technical problems" or "technical difficulties."
Participant Acceptability Questionnaire - Child (PAQ-C)	Week 16 (post-intervention)	Youth ratings of the acceptability of the intervention. Youths were asked whether they would recommend the intervention to a friend. Responses were included "would recommend" and "unlikely."
Client Satisfaction Scale - Parent (CSQ-8-P)	Week 16 (post-intervention)	Parent ratings of satisfaction with the intervention. Ratings of "mostly" or "very" satisfied were coded as "satisfied." All other ratings were coded as "unsatisfied."
Minimum Attendance	Week 16 (post-intervention)	Receipt of a minimum dose of intervention. A minimum dose was defined as 8 or more sessions of the intervention.
Client Satisfaction Scale - Child (CSQ-8-C)	Week 16 (post-intervention)	Youth ratings of satisfaction with the intervention. Ratings of "mostly" or "very" satisfied were coded as "satisfied." All other ratings were coded as "unsatisfied."

Secondary Outcome Measures

Name	Time	Method
Mood and Feelings Questionnaire - Parent (MFQ-P)	Week 16 (post-intervention)	Total score on the Mood and Feelings Questionnaire - parent report on youth (MFQ-P) a dimensional measure of depression symptoms. Scores range from 0 to 68, and higher scores indicate greater depression symptom severity.
Mood and Feelings Questionnaire - Child (MFQ-C)	Week 16 (post-intervention)	Total score on the Mood and Feelings Questionnaire (youth report on self) a dimensional measure of depression symptoms. Higher scores indicate greater symptom severity. Scores range from 0 to 66, and higher scores indicate greater depression symptom severity.
Child Avoidance Measure - Child (CAMP)	Week 16 (post-intervention)	Youth self-report rating of avoidance behaviors due to anxiety. Scores range from 0 to 24, and higher scores indicate greater avoidance.
Child Avoidance Measure - Parent (CAMP)	Week 16 (post-intervention)	Parent rating of youth avoidance behaviors due to anxiety. Scores range from 0 to 24, and higher scores indicate greater avoidance.
Screen for Child Anxiety and Related Disorders - Parent (SCARED-P)	Week 16 (post-intervention)	Total score on the Screen for Anxiety and Related Disorders scale (parent report on youth), a dimensional measure of anxiety symptoms. Scores range from 0 to 82, and higher scores indicate greater symptom severity. Scores \>= 25 may indicate the presence of an anxiety disorder.
Screen for Child Anxiety and Related Disorders - Child (SCARED-C)	Week 16 (post-intervention)	Total score on the Screen for Anxiety and Related Disorders scale (youth report on self), a dimensional measure of anxiety symptoms. Scores range from 0 to 82, and higher scores indicate greater symptom severity. Scores \>= 25 may indicate the presence of an anxiety disorder.
Symptom Impairment Scale - Parent (SIS-P)	Week 16 (post-intervention)	Parent rating of child impairment in school, social, and family domains from symptoms of anxiety (3 questions) and depression (3 questions). Higher scores indicate greater levels of perceived impairment. Individual questions scores range from zero (not at all impairing) to three (very much impairing), and the total score ranges from 0 to 18.
Symptom Impairment Scale - Child (SIS-C)	Week 16 (post-intervention)	Youth self-rating of impairment in school, social, and family domains from symptoms of anxiety (3 questions) and depression (3 questions). Higher scores indicate greater levels of perceived impairment. Individual questions scores range from zero (not at all impairing) to three (very much impairing), and the total score ranges from 0 to 18.