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).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
8-12 sessions of brief behavioral therapy administered by behavioral health / mental health staff at participating community health centers (CHCs)
Kaiser Permanente Northwest Center for Health Research
Portland, Oregon, United States
Minimum Attendance
Receipt of a minimum dose of intervention. A minimum dose was defined as 8 or more sessions of the intervention.
Time frame: Week 16 (post-intervention)
Client Satisfaction Scale - Parent (CSQ-8-P)
Parent ratings of satisfaction with the intervention. Ratings of "mostly" or "very" satisfied were coded as "satisfied." All other ratings were coded as "unsatisfied."
Time frame: Week 16 (post-intervention)
Client Satisfaction Scale - Child (CSQ-8-C)
Youth ratings of satisfaction with the intervention. Ratings of "mostly" or "very" satisfied were coded as "satisfied." All other ratings were coded as "unsatisfied."
Time frame: Week 16 (post-intervention)
Participant Acceptability Questionnaire - Parent (PAQ-P)
Parent ratings of the acceptability of the telehealth intervention. Responses were classified as "little or no technical problems" or "technical difficulties."
Time frame: Week 16 (post-intervention)
Participant Acceptability Questionnaire - Child (PAQ-C)
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."
Time frame: Week 16 (post-intervention)
Screen for Child Anxiety and Related Disorders - Parent (SCARED-P)
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.
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Time frame: Week 16 (post-intervention)
Screen for Child Anxiety and Related Disorders - Child (SCARED-C)
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.
Time frame: Week 16 (post-intervention)
Mood and Feelings Questionnaire - Parent (MFQ-P)
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.
Time frame: Week 16 (post-intervention)
Mood and Feelings Questionnaire - Child (MFQ-C)
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.
Time frame: Week 16 (post-intervention)
Symptom Impairment Scale - Parent (SIS-P)
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.
Time frame: Week 16 (post-intervention)
Symptom Impairment Scale - Child (SIS-C)
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.
Time frame: Week 16 (post-intervention)
Child Avoidance Measure - Parent (CAMP)
Parent rating of youth avoidance behaviors due to anxiety. Scores range from 0 to 24, and higher scores indicate greater avoidance.
Time frame: Week 16 (post-intervention)
Child Avoidance Measure - Child (CAMP)
Youth self-report rating of avoidance behaviors due to anxiety. Scores range from 0 to 24, and higher scores indicate greater avoidance.
Time frame: Week 16 (post-intervention)