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School-based cognitive behavioral interventions for anxious youth: study protocol for a randomized controlled trial
Bente Storm Mowatt Haugland1, Solfrid Raknes2, Aashild Tellefsen Haaland3
1Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Pb 7810, 5020, Bergen, Norway. bente.haugland@uni.no.
Trials
|March 6, 2017
Summary
This study compares two school-based cognitive behavioral therapy (CBT) programs for adolescent anxiety. A less intensive CBT program may be as effective as a more intensive one, improving access to care.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Public Health Interventions
Background:
- Anxiety disorders significantly impact adolescents, with potential long-term consequences.
- Many adolescents do not access effective treatments like cognitive behavioral therapy (CBT).
- School-based, low-intensity CBT interventions can enhance access to evidence-based mental health services.
Purpose of the Study:
- To evaluate the efficacy of two school-based CBT programs for youth anxiety with varying intensities.
- To determine if a less intensive CBT intervention is non-inferior to a more intensive one.
- To examine the effects of early, school-administered interventions on adolescent anxiety.
Main Methods:
- Randomized controlled trial across 18 schools involving 323 adolescents (12-16 years).
- Comparison of two group-based CBT interventions against a waitlist control group.
- Primary outcomes: anxiety symptoms and functional impairments; secondary outcomes: depressive symptoms, quality of life, psychosocial functioning.
Main Results:
- The study is designed to determine non-inferiority if the anxiety symptom difference is ≤1.4 and interference scale difference is ≤0.8.
- Mixed-effect models with intention-to-treat analysis will be used.
- Results will indicate the comparative effectiveness of different CBT intensities in a school setting.
Conclusions:
- A brief, less intensive CBT intervention, if effective, could facilitate large-scale implementation in school health services.
- School-based interventions offer a promising avenue for addressing adolescent anxiety.
- Findings will inform the optimal delivery model for CBT in schools.
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