Actively Recruiting
Testing Delivery of Modalities in Community Health Settings: Developing Pathways to Health Equity
Led by Bradley Hospital · Updated on 2026-05-14
501
Participants Needed
1
Research Sites
25 weeks
Total Duration
On this page
Sponsors
B
Bradley Hospital
Lead Sponsor
P
Patient-Centered Outcomes Research Institute
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating different ways to deliver Cognitive Behavioral Therapy (CBT) for children and adolescents aged 5 to 18 who have anxiety disorders or obsessive-compulsive disorder (OCD). The study aims to find out which method of delivering CBT—either in-person, via telehealth, or a flexible mix of both—best increases access to treatment and improves outcomes. This research is conducted by the Pediatric Anxiety Research Center at Brown University Health and involves collaboration with several community care sites in Rhode Island to reach diverse youth populations. Participants will receive weekly CBT sessions focused on exposure therapy, which helps them gradually face feared situations. Treatment teams include a licensed provider once a month and an exposure coach three times a month. Participants are randomly assigned to one of three delivery methods: attending sessions entirely in-person, fully through remote video calls, or a flexible approach that combines both. The treatment takes place in community settings such as offices, homes, or via a secure video platform. During the study, participants will complete various assessments before starting treatment, during treatment at weeks 8 and 16, at the end of treatment, and at follow-ups 3 and 6 months after treatment ends. These assessments measure anxiety severity, OCD symptoms, satisfaction with treatment, disability, and barriers to care, among others. Weekly monitoring of exposure activities and homework compliance is also part of the study. Participants will be compensated for completing research assessments, and the total study duration includes treatment and follow-up periods.
CONDITIONS
Brief Title
Implementing Team-Based Treatment for Pediatric Anxiety in Community Mental Health Settings
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 5 to 18 inclusive
- Primary or co-primary DSM-V diagnosis of anxiety or OCD
- Symptoms present for at least 3 months
- Requires outpatient care
- Has a stable parent or guardian available to participate in treatment
You will not qualify if you...
- Primary or co-primary psychiatric disorder requiring other active current treatment
- Acute suicidality
- Currently receiving psychotherapy
- Chronic medical illness preventing active participation
- Unstable psychotropic medication treatment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) for eligibility assessment
Duration - 24 weeks
Participants receive team-delivered, exposure-based cognitive behavioral therapy with licensed and non-licensed providers.
1 visit per month with licensed provider and 3 visits per month with non-licensed provider
Duration - Up to 12 months post-treatment
Participants are monitored after treatment completion to assess outcomes and satisfaction over time.
Visits at 6 months and 12 months post-treatment
Trial Site Locations
Total: 1 location
1
Bradley Hospital
East Providence, Rhode Island, United States, 02915
Actively Recruiting
Research Team
J
Jennifer Freeman, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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