Actively Recruiting
Comparative Effectiveness of Internet-based Versus Parent-Coached Cognitive-Behavioral Therapy For Children and Adolescents With Anxiety and OCD
Led by Baylor College of Medicine · Updated on 2025-07-20
174
Participants Needed
1
Research Sites
156 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Anxiety disorders in children and adolescents are common and confer significant disability. Cognitive behavioral therapy (CBT) is the recommended treatment for youth with anxiety, yet many families cannot access CBT due to cost, practicalities of attending in-person treatment sessions, and a shortage of trained providers, especially in rural areas. To combat these barriers, other treatment methods have been developed. Previous research has shown that family-based, internet-delivered CBT (iCBT) for anxiety and OCD in youth has shown a significant reduction in anxiety symptoms. Parent-coached exposure therapy (PCET) focuses entirely on teaching parents and youth together how to address anxiety through the completion of in-session parent-coached exposures and assigning parent-coached exposure as homework in between sessions. Although both iCBT and PCET show positive results in treating pediatric anxiety in comparison to standard-care CBT, little is known about the comparative efficacy of iCBT and PCET. This research is being done to understand the comparative effectiveness of two different types of cognitive-behavioral therapy (CBT) for treating anxiety or OCD in youth.
CONDITIONS
Official Title
Comparative Effectiveness of Internet-based Versus Parent-Coached Cognitive-Behavioral Therapy For Children and Adolescents With Anxiety and OCD
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Child is between 7 and 17 years old at enrollment
- Child has significant anxiety and/or OCD symptoms with a Pediatric Anxiety Rating Scale score of 12 or higher
- Anxiety or OCD is the primary or co-primary diagnosis suitable for focused treatment
- One parent or guardian can participate in treatment and assessments, speaks English, and can commit to the study
- Parent or guardian lives with the child at least half the time
- Both parent and child can read and understand English
- Child has an IQ above 69 based on a valid test or clinical judgement
- Participant is located in Texas for treatment and assessments
You will not qualify if you...
- Child has a lifetime diagnosis of psychotic disorder or conduct disorder
- Child has active suicidality, homicidality, or self-injury needing medical intervention
- Child has very limited verbal communication abilities
- Child is currently in psychotherapy focused on anxiety or OCD and cannot pause treatment
- Child started new antidepressant medication within 12 weeks before assessment or during therapy
- Child changed psychotropic medication dosage within 4 weeks before assessment or during therapy
- Child needs a higher level of care than this study can provide due to significant suicidal ideation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Baylor College of Medicine
Houston, Texas, United States, 77030
Actively Recruiting
Research Team
J
Joanna Zhou, B.A.
CONTACT
E
Eric Storch, Ph.D.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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