The purpose of this study is to test internet-delivered cognitive behavior therapy for children and adolescents with anxiety disorders and obsessive-compulsive disorder in a routine clinical setting in a rural part of Sweden.
Aim The aim of this study is to conduct a pragmatic evaluation of ICBT for children and adolescents with anxiety disorders and OCD within routine health care in a rural area. Research questions * Is ICBT an acceptable method for the patient group? * Is ICBT effective in a clinical setting? * Is further treatment needed after ICBT? * What are the long-term effects of ICBT? * What predicts treatment outcome? * How does ICBT work in a clincal setting? (time spent, negative effects etc)? Design This is a uncontrolled intervention study where included families and children will be recruited consecutively during two years from a routine care CAMHS unit. All participants will be offered ICBT and assessed pre- and post-treatment, and at three-month follow-up through clinician ratings and self-report measures. The primary outcome measure is clinician rated severity of principal disorder at three-month follow-up. Long-term results will be assessed through study of medical records two years after completed ICBT.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
83
BUP Jämtland Härjedalen
Östersund, Region Jämtland Härjedalen, Sweden
CGI-S
Clinical Global Impression - Severity
Time frame: 24 weeks from baseline
CGI-S
Clinical Global Impression - Severity
Time frame: 12 weeks from baseline
CGI-I
Clinical Global Impression - Improvement
Time frame: 12 and 24 weeks from baseline
CGAS
Children's Global Assessment Scale
Time frame: 12 and 24 weeks from baseline
CY-BOCS
Children's Yale Brown Obsessive Compulsive Scale
Time frame: 12 and 24 weeks from baseline
RCADS
Revised Children's Anxiety and Depression Scale
Time frame: 12 and 24 weeks from baseline
EWSAS
Education, Work and Social Adjustment Scale - Child and parent versions
Time frame: Week 1 through 12 + 24 weeks from baseline
Patient satisfaction
Questionnaire on child- and parent rated treatment satisfaction
Time frame: 12 weeks from baseline
Adverse events
Unintended treatment effects - child and parent version
Time frame: 12 weeks from baseline
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