None listed
Conditions
Brief summary
The aim of this study is to trial BRAVE, an online computerised cognitive behavioural therapy (CCBT) programme for children and adolescents with anxiety in Canterbury following the earthquakes. BRAVE is an innovative programme for the treatment of anxiety in children and adolescents and it was found efficacious in Australian trials and in our pilot study of 32 families. The aim of this follow on study was to assess feasibility, utility and effectiveness within primary care, We will conduct an open trial of BRAVE while funding is provided from the CDHB , Commencing 2014 and ended 2018 . All evaluation is done online and change will be measured using our primary outcome of the CAS8, (a short form anxiety questionnaire based on the SCAS.. We will measure the extent of change in the CAS8 (parent and child version) along with uptake and feasibility of programme delivery data.
Interventions
BRAVE is an online cognitive behavioural therapy (CBT) programme for children and adolescents with anxiety and has two versions: one for children aged 7-12 and another for adolescents aged 13 plus years. The two versions of the programme are age-appropriate and designed to meet the developmental and cognitive level of younger children or adolescents. BRAVE is delivered by internet at home to the child and parent. BRAVE consists of ten 1-hour child sessions, 5 (in adolescent version) or 6 (child
BRAVE is an online cognitive behavioural therapy (CBT) programme for children and adolescents with anxiety and has two versions: one for children aged 7-12 and another for adolescents aged 13 plus years. The two versions of the programme are age-appropriate and designed to meet the developmental and cognitive level of younger children or adolescents. BRAVE is delivered by internet at home to the child and parent. BRAVE consists of ten 1-hour child sessions, 5 (in adolescent version) or 6 (child version) parent sessions and two booster sessions. Information is presented through interactive exercises, text, colourful graphics, animation, quizzes, and games. To avoid activities being skipped, most exercises require a response before the next screen can be accessed. Homework exercises are set at the end of each session. If a child or young person misses a session, the system sends out automatic reminders. The sessions are designed to be completed sequentially at weekly intervals (the next available session becomes accessible seven days after the previous one is completed). The therapist (BRAVE trainer) sends weekly emails to the child and their parents, with encouragement and feedback based on the interactive exercises. The therapist also phones the family to assist them to complete an exposure hierarchy around session 5 which takes approximately 15-30 minutes
Sponsors
University of Otago, Christchurch
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
7 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
1. Young people between ages 7 and 15 (on the day of consent) 2. 4.Clinical diagnosis made by referrer of a function impairing anxiety disorder 3. Can read and write English 4. Have access to internet and computer capable of running BRAVE at home
Exclusion criteria
1. Serious mental health disorder requiring other therapy e.g. post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), moderate or severe depression 2. Current suicidal ideation or self-harming behaviour 3. Current or past (12 months) CBT treatment 4. Poor English language comprehension (note: BRAVE is available in English only; the child version has readability aimed for 7 year olds but it is anticipated that the children are assisted by their parents/caregivers. The adolescent version has estimated literacy level estimated for 12 year olds). 5. Intellectual or physical impairment that would prevent use of the computer
Outcome results
None listed