Parent-coached exposure therapy versus cognitive behavior therapy for childhood anxiety disorders.
Stephen P H Whiteside, Bridget K Biggs, Jennifer R Geske...
https://pubmed.ncbi.nlm.nih.gov/38788593Actively Recruiting
Phase Not Applicable
Age: 7Years - 17Years
All Genders
ID07024758
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
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Anxiety disorders, including obsessive-compulsive disorder (OCD), are common among children and adolescents and can cause significant disability. This research compares two types of cognitive-behavioral therapy (CBT) to treat anxiety and OCD in youth: internet-delivered CBT (iCBT) and parent-coached exposure therapy (PCET). Both therapies aim to overcome barriers to treatment like cost, travel, and limited access to trained providers, especially in rural areas. PCET involves 12 weekly individual sessions where the therapist, child, and parent work together on exposure exercises and homework to reduce anxiety symptoms. In contrast, iCBT uses family-based internet modules and videos, with parents guiding their child through weekly activities and exposures, supported by seven 45-minute therapist sessions via email or video. Both approaches focus on teaching families how to manage anxiety through exposure to feared stimuli. Participants will be assessed before treatment, after 14 weeks of treatment, and at a one-month follow-up. Evaluations include clinician-rated anxiety severity using the Pediatric Anxiety Rating Scale (PARS), diagnostic interviews, and global impression scales. The study will monitor changes in anxiety symptoms over time to understand how effective each therapy method is in reducing anxiety in children and adolescents with anxiety or OCD.
CONDITIONS
Brief Title
Comparative Effectiveness of Internet-based Versus Parent-Coached Cognitive-Behavioral Therapy For Children and Adolescents With Anxiety and OCD
Who Can Participate
Age: 7Years - 17Years
All Genders
Eligibility Criteria
You may qualify if you...
- The child is between the ages of 7 to 17 years inclusive at enrollment.
- The child has clinically significant symptoms of anxiety and/or OCD, indicated by a Pediatric Anxiety Rating Scale (PARS) score of 12 or higher.
- The child is appropriate for anxiety-focused treatment as diagnosed using the DIAMOND-KID.
- One parent or guardian is able and willing to participate in assessments and treatment, with sufficient English fluency and decisional capacity.
- The participating parent or guardian lives with the child at least 50% of the time.
- Both parent and child can read and understand English.
- The participant has an IQ above 69 based on valid assessments or clinician judgment.
- Participants must be located in the state of Texas for treatment sessions and assessments.
You will not qualify if you...
- The child has a lifetime diagnosis of psychotic disorder and/or conduct disorder.
- The child has significant, current, and active suicidality, homicidality, or self-injury requiring medical intervention.
- The child has limited verbal communication abilities (no independent verbal communication).
- The child is receiving concurrent psychotherapy focused on anxiety or OCD unless willing to pause it to enroll.
- The child has started new antidepressant medication within 12 weeks before assessment or during therapy (4 weeks for stimulants, benzodiazepines, antipsychotics).
- The child has changed psychotropic medication dosage within 4 weeks before assessment or during therapy (2 weeks for stimulants, benzodiazepines, antipsychotics).
- The child requires a higher level of care than the study can provide due to severe suicidal ideation or similar concerns.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
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2
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - 12 to 14 weeks
Participants receive cognitive-behavioral therapy for anxiety or OCD through either parent-coached exposure therapy or family-based internet-delivered CBT.
Weekly sessions for up to 12 weeks with additional 7 therapist-support sessions for internet-based CBT
Follow-up
Duration - 4 weeks
Participants are followed up to assess changes in anxiety severity after completing treatment.
1 follow-up visit approximately 1 month after treatment
Trial Site Locations
Total: 1 location
1
Baylor College of Medicine
Houston, Texas, United States, 77030
Actively Recruiting
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Research Team
J
Joanna Zhou, B.A.
E
Eric Storch, Ph.D.
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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Published Research Related To This Trial
Development and pilot testing of internet-delivered, family-based cognitive behavioral therapy for anxiety and obsessive-compulsive disorders in autistic youth.
Andrew G Guzick, Sophie C Schneider, Amanda B Perozo Garcia...
https://pubmed.ncbi.nlm.nih.gov/36908861