Early telehealth support for adolescents with panic symptoms

Evaluation and implementation of a brief stepped-care telehealth early intervention protocol for adolescent (STEP-A) emergency department patients with panic-related anxiety

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN13134011

Enrollment

100

Registered

2026-04-16

Start date

2026-04-20

Completion date

Unknown

Last updated

2026-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Early intervention for adolescents with panic attacks or panic disorder Mental and Behavioural Disorders

Interventions

The first telehealth session will be scheduled within 1 week of discharge from the ED. All adolescent participants and their caregivers will be invited to complete a 1-hour introductory session delive

Eligibility

Sex/Gender

All

Age

11 Years to 64 Years

Inclusion criteria

Inclusion criteria: Aim 1: 1. English-speaking adolescents aged 11-20 years 2. Triage level 1 (Non-threatening condition), 2 or 3 3. Able to provide informed consent and read study materials 4. Presenting complaint of tachycardia, chest pain, shortness of breath, dizziness, hyperventilation and/or those assessed as having an anxiety or panic-related condition by the ED physician 5. Diagnosis of panic attack or panic disorder confirmed on the ADIS interview 6. Willing to complete study procedures Aim 2: 1. Adolescents who have completed the psychoeducation and/or full STEP-A intervention and reached the 6-month follow-up 2. Caregivers of adolescents who have completed the psychoeducation and/or full STEP-A intervention and reached the 6-month follow-up 3. Adolescents who enrolled in the STEP-A trial and did not complete the intervention 4. Caregivers of adolescents who enrolled in the STEP-A trial and did not complete the intervention 5. Clinicians and allied health professionals from the participating SingHealth institutions (e.g., emergency medicine physicians, adolescent medicine providers, paediatric cardiologists, youth connect workers, and paediatricians with a special interest in mental health) who are involved in the care of adolescent ED patients with panic-related anxiety

Exclusion criteria

Exclusion criteria: 1. Clear cardiac or other medical cause for cardiopulmonary symptoms 2. Deemed unfit by ED doctors due to possible adverse cardiac or respiratory outcomes 3. Received cognitive behavioural therapy for panic symptoms in past 12 months 4. Unable to complete study procedures

Countries

Singapore

Contacts

Public ContactSharon Sung

sharon.sung@duke-nus.edu.sg+65 (0)6601 1648

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: May 1, 2026