Evaluation of Family-Based Behavioral Treatments for Youth With Anxiety and Obsessive-Compulsive Disorder
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ClinicalTrials.gov Identifier: NCT05967468 |
Recruitment Status :
Recruiting
First Posted : August 1, 2023
Last Update Posted : February 14, 2024
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Condition or disease | Intervention/treatment | Phase |
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Obsessive-Compulsive Disorder in Children Anxiety Disorder of Childhood Social Anxiety Disorder of Childhood Obsessive-Compulsive Disorder in Adolescence Generalized Anxiety Disorder Separation Anxiety Panic Disorder Panic Disorder With Agoraphobia Panic Attacks | Behavioral: Family Based, Internet-Based Cognitive Behavioral Therapy Behavioral: Bibliotherapy, low therapist contact SPACE Other: Relaxation and Mentorship | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 100 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Children (N=100), ages 7-13 will be randomized to one of three conditions |
Masking: | Single (Outcomes Assessor) |
Masking Description: | Outcomes assessor is blinded |
Primary Purpose: | Treatment |
Official Title: | Evaluation of Family-Based Behavioral Treatments for Youth With Anxiety and Obsessive-Compulsive Disorder |
Actual Study Start Date : | September 14, 2023 |
Estimated Primary Completion Date : | December 2024 |
Estimated Study Completion Date : | March 2025 |
Arm | Intervention/treatment |
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Experimental: Family-Based Internet-Based CBT Group (iCBT)
One third of participants will be randomized to receive iCBT. Each week of treatment, the parent will be encouraged to read the corresponding materials on the Baylor College of Medicine (BCM) webpage, complete accompanying worksheets, and guide their child through completing activities in the child-facing materials, with support from a therapist (6 30-minute supportive videoconferencing via Zoom, 6 emails on alternating weeks). One core aspect of treatment will be parents leading their child through graduated exposure. Exposures, a hallmark of CBT for anxiety, are used to gradually and repeatedly confront feared stimuli. For example, exposure therapy for a child fearful of dogs may begin with looking at pictures of dogs and standing across the park from a dog on a leash, to eventually petting a dog. All relevant information regarding parent-led exposures will be detailed in the treatment materials, and therapists will review with parents via email and/or video-conferencing sessions.
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Behavioral: Family Based, Internet-Based Cognitive Behavioral Therapy
Family-based cognitive behavioral therapy employing internet-delivered modules and videos |
Experimental: Parent Training Bibliotherapy (SPACE)
One third of participants will be randomized to the SPACE group. Families will receive 4 45-minute supportive video calls with a therapist over the course of 12-14 weeks. Participating families will receive a copy of the book 'Breaking Free of Child Anxiety and OCD' to use at home and in session with the therapist. During each of the video-conferencing sessions, therapists will serve to provide encouragement and support as the parent works through the program independently.
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Behavioral: Bibliotherapy, low therapist contact SPACE
Parent-based bibliotherapy for treating anxiety disorders in youth |
Active Comparator: Active Comparator
One third of participants will be randomized to receive a Relaxation and Mentorship. This involves attending 4 45-minute sessions with a therapist over the course of 12-14 weeks. Topics covered include breathing slowly and deeply, coloring activities, and releasing muscle tension to reduce stress levels.
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Other: Relaxation and Mentorship
Relaxation based treatment |
- Change in clinician-rated child anxiety severity throughout the past week. [ Time Frame: baseline (before treatment), during treatment (on average 14 weeks), post-treatment (last week of treatment), 1 month follow up ]Each item is scored on a 0 to 5 scale (higher scores correspond to greater severity), yielding a total between 0 and 30.
- Anxiety Disorders Interview Schedule (ADIS-IV) with Clinical Severity Ratings [ Time Frame: baseline (before treatment), during treatment (on average 14 weeks), post-treatment (last week of treatment), 1 month follow up ]Clinician-rated diagnostic interview that includes current anxiety disorders, depression, obsessive-compulsive disorder, and related disorders. Each diagnostic category is coded as present or absent based on symptom criteria and clinical severity ratings (CSRs), which indicate the level of clinical interference. CSRs are scored on a 0-8 scale (0 = not at all; 8 = very, very much). CSRs of 4 or above indicate the clinical levels.
- Clinical Global Impression-Severity [ Time Frame: baseline (before treatment), during treatment (on average 14 weeks), post-treatment (last week of treatment), 1 month follow up ]Clinician-rated child psychopathology severity rating. A single item is scored 0-6 (0= no illness; 6= extremely severe symptoms).
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Ages Eligible for Study: | 7 Years to 13 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The child is between the ages of 7 to 13 years inclusion at enrollment
- The child has clinically significant symptoms of anxiety and/or OCD, as indicated by a score of 12 or higher on the Pediatric Anxiety Rating Scale (PARS).
- The child is appropriate for anxiety-focused treatment (e.g., anxiety is the primary or co-primary problem as diagnosed using the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID).
- One parent/guardian is able and willing to participate in assessment and treatment (e.g., has sufficient English fluency, the decisional capacity to participate, and can commit to treatment duration).
- The participating parent/guardian lives with their child at least 50% of the time per self-report.
- Both parent and child are able to read and understand English.
- The child has the intellectual and communication skills to engage in CBT, as judged by an experienced supervising clinician.
- Participants must be in the state of Texas for treatment sessions/assessments.
Exclusion Criteria:
- the child has a diagnosis of child lifetime bipolar disorder, drug or alcohol dependence, psychotic disorder, or conduct disorder.
- the child has severe, current suicidal/homicidal ideation and/or self-injury requiring medical intervention (referrals will be made for appropriate clinical intervention).
- the child is receiving concurrent therapy for anxiety.
- New Treatments: Initiation of an antidepressant within 12 weeks before study enrollment OR 6 weeks for an antipsychotic, benzodiazepine, or attention deficit hyperactivity disorder (ADHD) medication before study enrollment. Established Treatment changes: Any change in established psychotropic medication (e.g., antidepressants, anxiolytics, antipsychotic) within 4 weeks before study enrollment. Any medications must remain stable during treatment; downward adjustments due to side effects may be acceptable.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05967468
Contact: Daphne Ayton, B.A. | 832-206-4034 | daphne.ayton@bcm.edu | |
Contact: Eric Storch, Ph.D. | (713) 798-3579 | eric.storch@bcm.edu |
United States, Texas | |
Baylor College of Medicine | Recruiting |
Houston, Texas, United States, 77030 | |
Contact: Eric Storch, Ph.D. |
Responsible Party: | Eric A Storch, Professor, Baylor College of Medicine |
ClinicalTrials.gov Identifier: | NCT05967468 |
Other Study ID Numbers: |
H-53969 |
First Posted: | August 1, 2023 Key Record Dates |
Last Update Posted: | February 14, 2024 |
Last Verified: | February 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
obsessive-compulsive disorder anxiety cognitive-behavioral therapy children |
Anxiety Disorders Compulsive Personality Disorder Obsessive-Compulsive Disorder Panic Disorder Phobia, Social Agoraphobia |
Anxiety, Separation Mental Disorders Personality Disorders Phobic Disorders Neurodevelopmental Disorders |