Anxiety problems Mental and Behavioural Disorders
Conditions
Interventions
Current intervention as of 11/04/2022:
Children in Year 4 (aged 8-9 years) in participating classes and their parent/carer and class teacher will be invited to take part. Assessments will be complete
phase 2: 50 schools). The decision to continue beyond the pilot phase will be taken by the funder, with advice from the independent programme steering committee.
After baseline assessments are com
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Schools: 1. Mainstream primary/junior in England with at least 2 classes with Year 4 pupils 2. A minimum of 40 Year 4 pupils on school roll Classes: 1. Where schools have two or three Year 4 classes, all Year 4 classes will take part 2. Where schools have more than three Year 4 classes, three classes will be randomly selected to take part Total population: 1. Children 1.1 Child is in Year 4 in a participating class 1.2 Child’s parent/carer has not opted out 2. Parents/carers 2.1 Parent/carer of a child in Year 4 in a participating class. Families will be asked to nominate one parent/carer to complete parent-report measures. 3. Teachers 3.1 Baseline: class teacher or member of support staff who works regularly with children in a participating class 3.2 Follow-up: participating child’s current class teacher/member of support staff who works regularly with them Target population: 1. Children: Child screens positive (scores above the cut-off) on the 2-item parent-report child anxiety questionnaire at baseline 2. Parents/carers: Parent/carer of a child who screens positive (score above the cut-off) on the 2-item parent-report child anxiety questionnaire at baseline 3. Teachers: Class teacher or member of support staff who works regularly with a child who screens positive (scores above the cut-off) on the 2-item parent-report child anxiety questionnaire at baseline Intervention (OSI) participants: 1. Parent/carer of a child in a school randomised to ‘Feedback and Intervention’ 2. Child screened positive (scored above the cut-off on 2-item parent-report child anxiety questionnaire) at baseline and/or the parent/carer decides to take up the intervention offer 3. Where more than one child in a household or family takes part in the trial, the parent/carer will be offered the intervention for one child only. Qualitative interviews: 1. Children: Child is in Year 4 in a participating class in a school allocated to ‘feedback and intervention’ and parent/carer provides consent 2. Parents/carers: Parent/carer of child in Year 4 in a participating class in a school allocated to ‘feedback and intervention’ 3. School staff: Member of staff in a participating school in a school allocated to ‘feedback and intervention’ 4. Other key stakeholders: Governor in participating school or representative of another key stakeholder organisation who has a professional role within or related to a participating school, for example a mental health service provider, local authority, local policy maker organisations (e.g. local public health team) 5. Members of the research team involved in delivering the intervention: Children’s Wellbeing Practitioner or Clinical Psychologist who delivered and/or supervised the delivery of OSI as part of the trial
Exclusion criteria
Exclusion criteria: Schools: Schools with a current “Mental Health Support Team” (as part of the DfE/NHS England initiative) Children: Children who do not have sufficient English language or comprehension skills to answer questions, even with support, will not complete measures themselves Parents/carers: Parents who do not have sufficient English language or comprehension skills to answer questions and/or take part in the intervention, even with support, will not take part
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absence/presence of child anxiety problems 12 months post-randomisation in the target population determined by score below/above the cut-off on the 2-item parent-report child anxiety questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 11/04/2022: 1. Secondary clinical outcomes measured in the target population and total population at baseline, 4 months, 12 months, 24 months post-randomisation: 1.1 Child anxiety measured using the brief Spence Children’s Anxiety Scale (SCAS-8), together with an impact supplement (child-report, parent -report, and teacher-report), and the Revised Children’s Anxiety and Depression Scale (RCADS)-Anxiety Scale (child-report and parent-report) 1.2 Child depression symptoms measured using the Revised Children’s Anxiety and Depression Scale (RCADS)-Depression Scale (child-report and parent-report) 1.3 Child emotional and behavioural problem symptoms measured using the Strengths and Difficulties Questionnaire (SDQ) (child-report and parent -report) 2. Health economic outcomes measured in the target population and total population at baseline, 4 months, 12 months, 24 months post-randomisation: 2.1 Child quality of life measured using Child Health Utility 9D-(child-report and parent/carer report on child) and EQ-5D-Y (child-report and parent/carer report on child) 2.2 Parent/carer quality of life measured using EQ-5D-5L (parent self-report) 2.3 Individual resource use (e.g. service use, time off school and work) measured using a modified version of the Client Service Receipt Inventory (CSRI)-parent/carer report 2.4 Time spent on intervention delivery measured using therapist, supervisor and school staff completed logs throughout 3. Education related outcomes in the target population and total population collected from school records and (if approved) from the National Pupil Database, including: 3.1 School attendance and punctuality up to the end of Year 6 (age 11) 3.2 Academic attainment up to the end of Year 6 (age 11) 4. Participant experiences and process evaluation outcomes 4.1 Experiences of procedures for identification, feedback and intervention and process evaluation outcomes will be assessed via qualitative in | — |
Countries
England, United Kingdom
Contacts
Public ContactLucy Taylor
Outcome results
None listed