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A pilot randomized controlled trial of the e-couch anxiety and worry program in schools
Alison L Calear1, Helen Christensen2, Jacqueline Brewer1
1Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.
Internet Interventions
|August 24, 2018
Summary
This pilot study found that an online anxiety prevention program was acceptable and feasible for schools. However, the intervention did not significantly reduce anxiety symptoms in students compared to a control group.
Area of Science:
- Psychology
- Public Health
- Educational Psychology
Background:
- Anxiety is a prevalent mental health concern among school-aged children.
- Early intervention programs can mitigate the long-term impact of anxiety.
- Online delivery offers a scalable approach to school-based mental health interventions.
Purpose of the Study:
- To assess the acceptability and feasibility of an online anxiety prevention program in Australian schools.
- To evaluate the effectiveness of the e-couch Anxiety and Worry program in reducing anxiety symptoms.
- To examine the program's impact on social anxiety, anxiety sensitivity, depressive symptoms, and mental wellbeing.
Main Methods:
- A pilot randomized controlled trial involving 225 students across three schools in South Australia and the Australian Capital Territory.
- Participants were allocated to either an intervention group or a wait-list control group.
- The intervention group engaged with the online e-couch program weekly for six weeks, with data collected at baseline, post-intervention, and 3-month follow-up.
Main Results:
- The online anxiety prevention program was found to be acceptable and feasible for school implementation.
- No statistically significant differences were observed between the intervention and control groups for generalised anxiety, social anxiety, anxiety sensitivity, depressive symptoms, or mental wellbeing at post-intervention or 3-month follow-up.
- Effect sizes, though not significant, were comparable to those in previous studies, suggesting potential for future research.
Conclusions:
- Online anxiety prevention programs can be successfully delivered within school settings.
- While this pilot study did not show significant reductions in anxiety symptoms, the findings support further investigation in larger trials.
- Future research should focus on optimizing online interventions for school-based anxiety prevention.
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