Actively Recruiting
Step-by-Step: Evaluation of a Stepped Care Model
Led by Karolinska Institutet · Updated on 2026-03-06
210
Participants Needed
1
Research Sites
125 weeks
Total Duration
On this page
Sponsors
K
Karolinska Institutet
Lead Sponsor
R
Region Stockholm
Collaborating Sponsor
AI-Summary
What this Trial Is About
The primary aim of this project is to examine the effectiveness of a stepped care model of interventions for children's defiant or aggressive behavior problems. The stepped model consists of a brief internet-based parenting support program (Step 1). For those with continued need of additional interventions, Step 2 includes access to one of following interventions: b) a Cognitive Behavior Therapy (CBT) -Virtual Reality (VR)-assisted parenting support program, b) a Cognitive Behavior Therapy -Virtual Reality-assisted child intervention, or c) standard interventions/support at the family's unit/clinic and continued access to the study's internet-based parenting support program, after which the family may choose CBT-VR for the child or the parent.
CONDITIONS
Official Title
Step-by-Step: Evaluation of a Stepped Care Model
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Families with children aged 8 to 16 years who have difficulty controlling anger or show defiant or aggressive behavior, meeting specific diagnostic criteria for oppositional defiant disorder or conduct disorder
- Child's medication can remain stable during the study
- Parents must be able to read and engage with materials in Swedish
You will not qualify if you...
- Children younger than 8 years or older than 16 years, or who do not show defiant or aggressive behavior
- Children with severe depression, suicidal behavior, bipolar disorder, psychosis, eating disorders, severe autism (level 2 or 3), diagnosed intellectual disability, or ongoing criminal behavior requiring other interventions
- Children currently receiving other psychological treatments for the same condition or assessed by clinician to need other interventions
- Parents and children with epilepsy or migraines
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Karolinska Institutet
Solna, Sweden
Actively Recruiting
Research Team
P
Pia Enebrink, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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