Anxiety Disorder, Obsessive-Compulsive Disorder
Conditions
Brief summary
The purpose of this study is to test internet-delivered cognitive behavior therapy for children and adolescents with anxiety disorders and obsessive-compulsive disorder in a routine clinical setting in a rural part of Sweden.
Detailed description
Aim The aim of this study is to conduct a pragmatic evaluation of ICBT for children and adolescents with anxiety disorders and OCD within routine health care in a rural area. Research questions * Is ICBT an acceptable method for the patient group? * Is ICBT effective in a clinical setting? * Is further treatment needed after ICBT? * What are the long-term effects of ICBT? * What predicts treatment outcome? * How does ICBT work in a clincal setting? (time spent, negative effects etc)? Design This is a uncontrolled intervention study where included families and children will be recruited consecutively during two years from a routine care CAMHS unit. All participants will be offered ICBT and assessed pre- and post-treatment, and at three-month follow-up through clinician ratings and self-report measures. The primary outcome measure is clinician rated severity of principal disorder at three-month follow-up. Long-term results will be assessed through study of medical records two years after completed ICBT.
Interventions
BEHAVIORALICBT
Sponsors
Karolinska Institutet
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Fulfills diagnostic criteria for an anxiety disorder or OCD * Access to a computer and internet connection * Read and speak Swedish
Exclusion criteria
* ICBT is currently not assessed to be a suitable treatment * Acute psychiatric problem (eg. severe depression or suicidality) * Current psychosocial problems in the family (i.e substance abuse, abuse, neglect)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CGI-S | 24 weeks from baseline | Clinical Global Impression - Severity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CGI-I | 12 and 24 weeks from baseline | Clinical Global Impression - Improvement |
| CGAS | 12 and 24 weeks from baseline | Children's Global Assessment Scale |
| CY-BOCS | 12 and 24 weeks from baseline | Children's Yale Brown Obsessive Compulsive Scale |
| CGI-S | 12 weeks from baseline | Clinical Global Impression - Severity |
| EWSAS | Week 1 through 12 + 24 weeks from baseline | Education, Work and Social Adjustment Scale - Child and parent versions |
| Patient satisfaction | 12 weeks from baseline | Questionnaire on child- and parent rated treatment satisfaction |
| Adverse events | 12 weeks from baseline | Unintended treatment effects - child and parent version |
| RCADS | 12 and 24 weeks from baseline | Revised Children's Anxiety and Depression Scale |
Countries
Sweden
Outcome results
None listed