The purpose of this study is to preliminarily evaluate a web-based app to improve provider implementation and patient engagement in homework (i.e., between-session practice of skills learned during therapy) during child mental health treatment by conducting a small-scale feasibility trial in community practice settings comparing Cognitive Behavioral Therapy (CBT) to CBT enhanced with the app.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
86
The standard of care procedures for children with clinically elevated anxiety, depression, and PTSD is traditional CBT from their mental health provider.
Participants receive CBT as usual enhanced with a simple, HIPAA compliant, web-based application to help mental health providers implement homework during CBT with children with elevated PTSD, anxiety, and/or depression, and their caregivers. The three major components of the app help providers to (1) Practice interactive, digitized CBT exercises with patients in-session; (2) Remind patients to practice CBT exercises for homework, and (3) Review homework during the next session.
University of South Florida
Tampa, Florida, United States
Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)
The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Time frame: Baseline
Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)
The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Time frame: 3-Months Post-Baseline
Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)
The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Time frame: 6-Months Post-Baseline
Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)
The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Time frame: Baseline
Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)
The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
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Time frame: 3-Months Post-Baseline
Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)
The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to \>80 with higher scores reflecting greater symptom severity.
Time frame: 6-Months Post-Baseline
Child and Adolescent Trauma Screen - Youth Report (CATS-Y)
The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: Baseline
Child and Adolescent Trauma Screen - Youth Report (CATS-Y)
The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: 3-Months Post-Baseline
Child and Adolescent Trauma Screen - Youth Report (CATS-Y)
The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: 6-Months Post-Baseline
Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: Baseline
Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: 3-Months Post-Baseline
Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.
Time frame: 6-Months Post-Baseline
Homework Rating Scale II (HRS II)
The Homework Rating Scale II (HRS II) is a 4-item self-report questionnaire that assesses levels of homework adherence in cognitive behavior therapy. Total scores range from 0 to 8 with higher scores reflecting greater homework adherence.
Time frame: Weekly between Baseline and 3-Months Post-Baseline
Homework Adherence and Competence Scale (HAACS)
The Homework Adherence and Competence Scale (HAACS) is a 19-item independent evaluator-rated instrument that assesses therapists' adherence and competence in reviewing, designing, and assigning homework assignments in cognitive behavior therapy. Total scores range from 0 to 30 for Reviewing homework, 0 to 54 for Designing homework, and 0 to 30 for Assigning homework, with higher scores reflecting greater adherence/competence.
Time frame: Weekly between Baseline and 3-Months Post-Baseline
Child and Adolescent Disruptive Behavior Inventory (CADBI)
The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.
Time frame: Baseline
Child and Adolescent Disruptive Behavior Inventory (CADBI)
The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.
Time frame: 3-Months Post-Baseline
Child and Adolescent Disruptive Behavior Inventory (CADBI)
The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.
Time frame: 6-Months Post-Baseline
KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)
The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: Baseline
KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)
The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: 3-Months Post-Baseline
KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)
The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: 6-Months Post-Baseline
KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)
The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: Baseline
KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)
The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: 3-Months Post-Baseline
KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)
The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to \>80 with higher scores reflecting greater quality of life.
Time frame: 6-Months Post-Baseline
Generalized Anxiety Disorder-7 (GAD-7)
The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population
Time frame: Baseline
Generalized Anxiety Disorder-7 (GAD-7)
The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population
Time frame: 3-Months Post-Baseline
Generalized Anxiety Disorder-7 (GAD-7)
The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population
Time frame: 6-Months Post-Baseline
Patient Health Questionnaire-8 (PHQ-8)
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies
Time frame: Baseline
Patient Health Questionnaire-8 (PHQ-8)
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies
Time frame: 3-Months Post-Baseline
Patient Health Questionnaire-8 (PHQ-8)
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies
Time frame: 6-Months Post-Baseline
Working Alliance Inventory - Short Revised - Client Version (WAI-SR)
The Working Alliance Inventory-Short Revised (WAI-SR) is a 12-item measure for the assessment of the therapeutic alliance.
Time frame: 3-Months Post-Baseline
Child/Adolescent Satisfaction Questionnaire (CASQ-Y)
CASQ is a 14 item questionnaire administered to children and youth involved with mental health services. It is identical to the parent version and measures three dimensions of satisfaction with mental health services:
Time frame: 3-Months Post-Baseline
Caregiver Satisfaction Questionnaire (CSQ-P)
Client Satisfaction Questionnaire (CSQ-8) examines the level of consumer satisfaction with children's (ages 8 to 17 years) outpatient mental health services
Time frame: 3-Months Post-Baseline
Attitudes Toward Homework Questionnaire (ATHQ)
A self-report assessing practitioners' demographic characteristics, use of homework assignments and attitudes towards the use of homework assignments in psychotherapy
Time frame: Baseline
Attitudes Toward Homework Questionnaire (ATHQ)
A self-report assessing practitioners' demographic characteristics, use of homework assignments and attitudes towards the use of homework assignments in psychotherapy
Time frame: 3-Months Post-Baseline