Common Engagement Strategies (Common Factors) for Childhood Anxiety

NCT ID: NCT02441569

Last Updated: 2017-05-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2016-01-31

Brief Summary

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This trial examines the effectiveness of training pediatric primary care providers (nurse practitioners, doctors) to use of strategies that enhance family/youth empowerment and engagement during office visits for children with mild to moderate problems with anxiety. Children coming for routine care at one clinic are screened for anxiety symptoms and seen by either a specially trained provider or one of the clinic's other regular staff members.

Detailed Description

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Children who are thought to have mild to moderate anxiety will, via their parents, be offered the opportunity to receive treatment from their pediatric primary care provider. Providers will either use their existing anxiety approaches or will use those approaches combined with extra communication skills designed to promote patient and parent engagement in care. Children will be seen for up to 4 30-minute visits at 2 week intervals, with a follow-up telephone call 3 months later to asses the impact of treatment. Children with more severe anxiety (or those whose parents so desire) will be referred for specialized mental health care.

Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Common factors intervention

Children and parents in this arm will be cared for by a provider who has received brief training in common factors patient engagement skills (the intervention) for use in addition to standard anxiety-related advice. Thus this arm will receive common factors engagement training for provider.

Group Type EXPERIMENTAL

Common factors engagement training for provider

Intervention Type BEHAVIORAL

Primary care providers have received brief training in communication skills designed to promote family engagement in care including understanding of treatment and empowerment.

Standard pediatric advice for childhood anxiety

Intervention Type BEHAVIORAL

Providers will be free to use their existing knowledge of anxiety problems to offer routine counseling.

Control

Children and parents in this arm will be cared for by a provider who is able to offer standard pediatric anxiety-related advice (the control intervention). Families will receive standard pediatric advice for childhood anxiety.

Group Type ACTIVE_COMPARATOR

Standard pediatric advice for childhood anxiety

Intervention Type BEHAVIORAL

Providers will be free to use their existing knowledge of anxiety problems to offer routine counseling.

Interventions

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Common factors engagement training for provider

Primary care providers have received brief training in communication skills designed to promote family engagement in care including understanding of treatment and empowerment.

Intervention Type BEHAVIORAL

Standard pediatric advice for childhood anxiety

Providers will be free to use their existing knowledge of anxiety problems to offer routine counseling.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Coming for well-child visit to designated clinical site;
* SCARED score 25 or greater

Exclusion Criteria

* acute medical illness, SCARED 40 or greater
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Georgetown University

OTHER

Sponsor Role collaborator

Johns Hopkins Bloomberg School of Public Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lawrence S Wissow, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Georgetown University Pediatric Clinic

Washington D.C., District of Columbia, United States

Site Status

Countries

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United States

Other Identifiers

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P20MH086048

Identifier Type: NIH

Identifier Source: org_study_id

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