None listed
Conditions
Brief summary
Anxiety disorders are among the most common mental health problems experienced by children and adolescents. Children with hearing loss often experience greater anxiety symptoms than children without hearing loss. Cognitive behavioural therapy (CBT) has a strong evidence base for being efficacious and useful in treating anxiety in children. However, most children with anxiety do not engage in child-focused CBT or mental health treatment of any kind due to reasons such as financial cost and parental perceptions of their child being stigmatized by others. This has led to an examination of parent-focused interventions, such as Fear-Less Triple P, in reducing children’s anxiety as a way of addressing these barriers. There has, however, been no research into specifically examining parent-focused interventions in reducing anxiety in anxious children with hearing loss. Given this gap in the literature, the current research project aims to examine the efficacy of a parenting intervention (the Fear-Less Triple P workshop) with parents of anxious children and have hearing loss. A naturalistic waitlist group will be built into the study design to allow comparison of this group with the active Fear-Less workshop.
Interventions
The Fear-Less Triple P workshop consists of a one-day (8 hour) group-based workshop that will be held at Hear and Say site in Ashgrove, Brisbane. Up to 15 families will be included in a workshop. The content covered in the workshop includes: psychoeducation about anxiety; promoting emotional resilience in children; the role of thoughts in anxiety and how to encourage mental flexibility; the role of avoidance in anxiety and exposure; parental responses to children's anxiety (and the advantages and disadvantages of each of these); constructive coping and maintaining gains over time. Fear-Less Triple P provides parents/caregivers with the opportunity to learn through didactic presentation, demonstrations, discussion, role-plays and feedback. The Fear-Less Triple P workshop will be conducted by the Primary Investigator - an experienced Clinical Psychologist. The workshop is attended by parents only. Ideally, both parents/caregivers would attend; but it is more likely that one parent will attend the workshop per family. The Fear-Less Triple P workshop will be video recorded so that a research assistant who is blind to participant allocation can review and confirm treatment adherence.
Sponsors
Study design
Eligibility
Inclusion criteria
To be eligible to participate, one or both parents will be required to be concerned about their child’s anxiety, be able to attend a Fear-Less Triple P workshop, and undertake assessment procedures. The child of concern will be required to be aged between 7-12 years old, have hearing loss and be able to undertake assessment procedures. It is not required that the children meet the diagnostic criteria for an anxiety diagnosis. There is no restriction on parent/caregiver age.
Exclusion criteria
Families where the child of concern is currently receiving treatment (psychological or medication) for anxiety will be excluded from the study. Participants who cannot read, write or speak in English will also be excluded from the study.