Optimizing indicated cognitive behavioral therapy to prevent child anxiety and depression: A cluster-randomized factorial trial.
Journal: Behaviour research and therapy
Volume: 176
Issue:
Year of Publication:
Affiliated Institutions:
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway; Department of Psychology, University of Oslo, Harald Schjelderups hus Forskningsveien A, , Oslo, Norway. Electronic address: carina.lisoy@r-bup.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway. Electronic address: simon-peter.neumer@r-bup.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Northern Norway, UiT - The Arctic University of Norway (UiT Norges Arktiske Universitet, Det helsevitenskapelige Fakultet, RKBU Nord, Varemottak-MH, Plan , Sykehusv. Tromsø, Norway. Electronic address: frode.adolfsen@uit.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Department of Mental Health, Norwegian University of Science and Technology (NTNU, RKBU Midt-Norge, , Trondheim, Norway. Electronic address: jo.m.ingul@ntnu.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Northern Norway, UiT - The Arctic University of Norway (UiT Norges Arktiske Universitet, Det helsevitenskapelige Fakultet, RKBU Nord, Varemottak-MH, Plan , Sykehusv. Tromsø, Norway. Electronic address: lene-mari.p.rasmussen@uit.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway. Electronic address: tore.wentzel-larsen@r-bup.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway. Electronic address: joshua.patras@r-bup.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Department of Mental Health, Norwegian University of Science and Technology (NTNU, RKBU Midt-Norge, , Trondheim, Norway. Electronic address: anne.m.sund@ntnu.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Department of Mental Health, Norwegian University of Science and Technology (NTNU, RKBU Midt-Norge, , Trondheim, Norway. Electronic address: kristin.ytreland@ntnu.no.
Department of Psychology, University of Oslo, Harald Schjelderups hus Forskningsveien A, , Oslo, Norway. Electronic address: trine.waaktaar@psykologi.uio.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway. Electronic address: solveig.holen@r-bup.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway. Electronic address: ala@r-bup.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Northern Norway, UiT - The Arctic University of Norway (UiT Norges Arktiske Universitet, Det helsevitenskapelige Fakultet, RKBU Nord, Varemottak-MH, Plan , Sykehusv. Tromsø, Norway. Electronic address: ida.mari.haug@uit.no.
Regional Centre for Child and Youth Mental Health and Child Welfare - Central Norway, Department of Mental Health, Norwegian University of Science and Technology (NTNU, RKBU Midt-Norge, , Trondheim, Norway. Electronic address: elisabeth.bania@ntnu.no.
Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør, Postboks Nydalen, , Oslo, Norway; Department of Psychology, University of Oslo, Harald Schjelderups hus Forskningsveien A, , Oslo, Norway. Electronic address: kristin.martinsen@psykologi.uio.no.
Abstract summary
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.
Authors & Co-authors:
Lisøy
Neumer
Adolfsen
Ingul
Potulski Rasmussen
Wentzel-Larsen
Patras
Sund
Ytreland
Waaktaar
Holen
Askeland
Haug
Bania
Martinsen
Study Outcome
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