Actively Recruiting
Stepped Versus Stratified Care for Anxiety Disorders in Youth
Led by Region Skane · Updated on 2026-02-27
556
Participants Needed
1
Research Sites
297 weeks
Total Duration
On this page
Sponsors
R
Region Skane
Lead Sponsor
L
Lund University
Collaborating Sponsor
AI-Summary
What this Trial Is About
The goal of this clinical trial is to compare stepped care to stratified care as overall healthcare models for children and adolescents aged 8-17 with anxiety disorders. It addresses one main question: • Is stepped care non-inferior to stratified care in supporting participants to achieve a treatment response? Researchers will compare two care models: * Stepped care, where all participants begin with 14 weeks of internet-delivered cognitive behavioral therapy (ICBT) and receive an additional 14 weeks of personalized in-person CBT if needed. * Stratified care, where participants are assigned to either 14 weeks of ICBT or 14 weeks of in-person CBT based on clinical complexity, and may also receive additional 14 weeks of in-person CBT if necessary. Participants will: * Be randomly assigned to one of the two care models. * Complete a wide range of assessments at baseline, during treatment, and at 4, 8, 12, and 24 months, with the 8-month point as the primary endpoint. * Receive either ICBT, in-person CBT, or both, depending on their care model and response to treatment. * Participate in ancillary studies involving DNA sampling, cognitive testing, and national registry linkages to help predict treatment response and long-term outcomes.
CONDITIONS
Official Title
Stepped Versus Stratified Care for Anxiety Disorders in Youth
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Aged 8.0 to 17.5 years, confirmed by child or caregiver
- Principal anxiety disorder diagnosed as social anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, specific phobia, or agoraphobia confirmed by structured interview
- Has an available caregiver to support treatment
- Child and at least one caregiver can read, write, and communicate in Swedish
- Child aged 13 years or older and caregiver have access to Swedish electronic identification (BankID or Freja eID)
- Has access to the internet
- Able to attend in-person CBT sessions at the clinic
You will not qualify if you...
- Principal specific phobia related to blood-injection-injury
- Currently receiving psychological treatment for an anxiety disorder
- Social, family, or educational difficulties needing more urgent management than anxiety disorder
- Immediate risk to self or others requiring urgent attention, such as suicidality
- Has a relative already participating in the study
AI-Screening
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Trial Site Locations
Total: 1 location
1
Forskningsmottagning Barn och ungdomspsykiatri Lund
Lund, Sweden, 22185
Actively Recruiting
Research Team
M
Matti Cervin, PhD
CONTACT
E
Eva Serlachius, MD, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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