Family-Focused CBT Skills App and Standard Self Help Options for Childhood Anxiety

NCT ID: NCT03269370

Last Updated: 2020-09-02

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

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-17

Study Completion Date

2019-12-31

Brief Summary

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Anxiety disorders are among the most common psychological disorders, with prevalent onset in childhood and adolescence. While cognitive behavioral therapy (CBT) is considered the first-line treatment for pediatric anxiety, significant barriers remain in accessing CBT and other evidence-based treatments (EBTs), and credible self-help resources based in EBT concepts. This study evaluates a family-guided CBT game application (Anchors App), targeted to children ages 6-11 and their families, which focuses on delivering adaptive CBT-based coping skills to those who have sub-clinical to mild anxiety and related symptoms in a convenient and portable platform. Anchors App will be evaluated in two forms (standard and "parent-enhanced") in comparison to use of a self-help book or waitlist control. The rapid advancements in technology allows richer interactive capacity, content scalability, customizability, and subscription to a broader range of content, which this app capitalizes on in order to increase access to CBT skill concepts directly to pediatric stakeholder populations. If found to be effective, Anchors App has the opportunity to promote engagement of EBT concepts in every-day use through smartphone technology, and will change the landscape of mental health prevention and early intervention for children and families.

Detailed Description

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Conditions

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Anxiety Disorders Childhood Mental Disorder Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

RCT with 4 arms, one being a waitlist arm that allows for re-randomization into one of the 3 "active" study arms.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

There is no masking in this study.

Study Groups

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1: Anchors Away

Family will receive access to the basic Anchors Away mobile app to test over 6 weeks.

Group Type EXPERIMENTAL

Anchors Away

Intervention Type BEHAVIORAL

Modular Cognitive Behavioral Therapy delivered through a mobile app.

2: Parent Enhanced Anchors Away

Family will receive access to the Parent Enhanced Anchors Away mobile app to test over 6 weeks.

Group Type EXPERIMENTAL

Parent Enhanced Anchors Away

Intervention Type BEHAVIORAL

Modular Cognitive Behavioral Therapy delivered through a mobile app. Extra modules will focus specifically on parenting skills relevant to having an anxious child.

3: Self-Help E-Book

Group 3 will receive the Self Help e-Book as a comparative condition (families provided a kindle version copy of "Helping Your Anxious Child: A Step-by-Step Guide" ; Rapee, Wignall, Spence, Lyneham, \& Cobham, 2008).

Group Type ACTIVE_COMPARATOR

Self-Help E-Book

Intervention Type BEHAVIORAL

Parents will read "Helping Your Anxious Child: A Step-by-Step Guide" (Rapee, Wignall, Spence, Lyneham, \& Cobham, 2008)

4: Waitlist Control

Group 4 will not receive any intervention, but will be randomized into an active study arm at 6 weeks.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Anchors Away

Modular Cognitive Behavioral Therapy delivered through a mobile app.

Intervention Type BEHAVIORAL

Parent Enhanced Anchors Away

Modular Cognitive Behavioral Therapy delivered through a mobile app. Extra modules will focus specifically on parenting skills relevant to having an anxious child.

Intervention Type BEHAVIORAL

Self-Help E-Book

Parents will read "Helping Your Anxious Child: A Step-by-Step Guide" (Rapee, Wignall, Spence, Lyneham, \& Cobham, 2008)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Availability of mobile technology (e.g., smart phone, tablet)
* Internet access
* English language spoken in the home

Exclusion Criteria

* Child in current or recent (last 2 months) psychotherapy
* Child currently taking psychotropic medication
* Parent or child endorsing symptom greater than 2 standard deviations above the mean on clinical measures
* Parents express feeling unable to assist child with current degree of symptoms
Minimum Eligible Age

6 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Virtually Better, Inc.

INDUSTRY

Sponsor Role collaborator

Kansas City Center for Anxiety Treatment, P.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathryn D Kriegshauser, PhD

Role: PRINCIPAL_INVESTIGATOR

Kansas City Center for Anxiety Treatment, P.A.

Lisa R Hale, PhD

Role: PRINCIPAL_INVESTIGATOR

Kansas City Center for Anxiety Treatment, P.A.

Margo Adams Larsen, PhD

Role: PRINCIPAL_INVESTIGATOR

Virtually Better, Inc.

Locations

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Kansas City Center for Anxiety Treatment, P.A.

Overland Park, Kansas, United States

Site Status

Countries

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United States

Other Identifiers

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2R44MH098470-03

Identifier Type: NIH

Identifier Source: org_study_id

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