Optimizing indicated cognitive behavioral therapy to prevent child anxiety and depression: A cluster-randomized factorial trial

IF 4.2 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Carina Lisøy , Simon-Peter Neumer , Frode Adolfsen , Jo Magne Ingul , Lene-Mari Potulski Rasmussen , Tore Wentzel-Larsen , Joshua Patras , Anne Mari Sund , Kristin Ytreland , Trine Waaktaar , Solveig Holen , Anne Liv Askeland , Ida Mari Haug , Elisabeth Valmyr Bania , Kristin Martinsen
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Abstract

Identifying effective components can lead to interventions that are less resource-intensive and better suited for real-world needs. In this 2×2×2 cluster-randomized factorial trial (clinicaltrials.gov NCT04263558), we investigated the effects of three components of an indicated, transdiagnostic CBT intervention for children: 1) Intervention Delivery Format (child group format versus a blended format with group sessions and automated web-based sessions), 2) Parental Involvement in the intervention (group-based versus psychoeducational brochure), and 3) a Measurement Feedback System (MFS; on versus off). The intervention was delivered at schools in a group-based format. The participants (N = 701 children) were school children (age 8–12 years) with elevated symptoms of anxiety or depression, and their parents. The main outcomes were self-reported (N = 633) and parent-reported (N = 725) symptoms of child anxiety and depression post-intervention. The secondary outcome was children's user satisfaction with the intervention. We did not find significant main or interaction effects of Delivery Format, Parental Involvement, or MFS on children's symptom levels. There were no significant effects on children's user satisfaction. Results were compatible with retaining the least resource intensive combination (i.e., blended format, parental brochure, no MFS) in an optimized intervention.

优化认知行为疗法,预防儿童焦虑和抑郁:分组随机因子试验
找出有效的干预措施可以降低资源密集度,更好地满足现实世界的需求。在这项 2×2×2 分组随机析因试验(clinicaltrials.gov NCT04263558)中,我们研究了针对儿童的跨诊断 CBT 干预的三个组成部分的效果:1)干预实施形式(儿童小组形式与小组会议和自动网络会议的混合形式);2)家长参与干预(基于小组的手册与心理教育手册);3)测量反馈系统(MFS;开与关)。干预在学校以小组形式进行。参与者(N = 701 名儿童)为焦虑或抑郁症状加重的在校儿童(8-12 岁)及其家长。主要结果是干预后儿童焦虑和抑郁症状的自我报告(633 人)和家长报告(725 人)。次要结果是儿童用户对干预的满意度。我们没有发现提供形式、家长参与或 MFS 对儿童症状水平有明显的主效应或交互效应。对儿童用户满意度的影响也不明显。结果与在优化干预中保留资源消耗最小的组合(即混合形式、家长手册、无 MFS)相一致。
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来源期刊
Behaviour Research and Therapy
Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
7.30%
发文量
148
期刊介绍: The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.
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