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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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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

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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.

Keywords:
adolescentsanxietylow-intensity CBTschool-based

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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.