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Internet-delivered Cognitive Behavioural Therapy for Adolescents With Anxiety

8 augustus 2018 bijgewerkt door: Gerhard Andersson, Linkoeping University

Internet-delivered Cognitive Behavioural Therapy for Adolescents With Anxiety: A Factorial Design

The purpose of this study is to evaluate the effects of learning support and chat on treatment outcome in internet-administrated cognitive behaviour therapy (ICBT) for adolescents with anxiety.

Studie Overzicht

Gedetailleerde beschrijving

The study is set up as a factorial design with two independent variables: 1: Learning support and 2: chat-sessions in real time. The intervention tested is based on cognitive behavior therapy delivered over the internet via a secure treatment platform. Participants in the study are recruited from the general public via social media. The intervention is in Swedish.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

120

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

      • Linköping, Zweden
        • Linköping University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

15 jaar tot 19 jaar (Kind, Volwassen)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Be between the ages of 15-19 years old
  • Have symptoms of anxiety, anxiety disorder

Exclusion Criteria:

  • Suicidal ideation
  • Alcohol addiction
  • other major primary psychiatric disorder
  • Ongoing psychological treatment
  • recent (during last 4 weeks) change in psychiatric medication

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Faculteitstoewijzing
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Actieve vergelijker: ICBT standard
Internet-based cognitive behavioural therapy with therapeutic guidance through mail
Internet-based cognitive behavioural therapy with therapeutic guidance through mail, 8 weeks.
Experimenteel: ICBT chat
Internet-based cognitive behavioural therapy with therapeutic guidance through chat
Internet-based cognitive behavioural therapy with therapeutic guidance through chat, 8 weeks.
Experimenteel: ICBT learning support
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through mail
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through mail, 8 weeks.
Experimenteel: ICBT with learning support and chat
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through chat
Internet-based cognitive behavioural therapy with learning support and therapeutic guidance through chat, 8 weeks.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Beck Anxiety Inventory (BAI)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures clinical anxiety. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Beck Depression Inventory - II (BDI-II)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures clinical depression. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Penn State Worry Questionnaire for Children (PSWQ - C)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures the tendency of youth to engage in excessive, generalized and uncontrollable worry. Respondents rates each item on a 4-point Likert scale consisting of never (0), sometimes (1), often (2) and always (3). The scores from each item are summed together to yield a total score that ranges from 0-42, with higher scores reflecting higher levels of worry. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Generalised Anxiety Disorder (GAD-7)
Tijdsspanne: First week of treatment and then once a week during the treatment-period, two weeks post treatment, six months post treatment and 12 months post treatment.
Measures severity of generalised anxiety.
First week of treatment and then once a week during the treatment-period, two weeks post treatment, six months post treatment and 12 months post treatment.
Mini-Social Phobia Inventory (MINI-SPIN)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures clinical social phobia. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Agoraphobic Cognitions Questionnaire (ACQ)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures fearful cognitions associated with panic attacks and agoraphobia. The ACQ consists of 14 items which will be scored as a total scale in this study. worry. Respondents rates each item on a 5-point Likert scale consisting of never (1), Thought never occurs (2), Thought rarely occurs (3) Thought occurs during half of the times when I am nervous (4) Thought usually occurs (5) Thought always occurs when I am nervous. ACQ can be divided into two subscales: Loss of Control and Physical Concerns. Each of the subscales consists of 7 items.The total scores (or the subscales) are calculated by averaging the responses to the individual items composing that score. Higher scores indicates higher levels of fearful cognitions. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Satisfaction With Life Scale (SWLS)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures global cognitive judgements of one's life satisfacation as a whole, on a 5-item scale. Respondants rates how much they agree or disagree on a 7-pont scale ranging from (7) strongly agree to (1) strongly disagree, where higher scores indicates higher levels of life satisfaction. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Rosenberg Self-Esteem Scale (RSES)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Evaluates individual self-esteem. The scale is a ten item Likert scale with items answered on a four point scale, from (0) strongly agree to strongly disagree (3), where higher scores indicates higher self-esteem. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Alcohol Use Disorders Identification Test (AUDIT)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Measures alcohol consumption, drinking behaviors, and alcohol-related problems. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
Knowledge of CBT strategies (developed by the research group)
Tijdsspanne: Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment
A brief 16-item questionnaire that measures explicit, declarative knowledge about core CBT-principles and therapeutic points. Higher scores indicates more knowledge. Change from baseline in symptoms two weeks post treatment and at 12 months post treatment.
Two weeks pre treatment, two weeks post treatment, six months post treatment and 12 months post treatment

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

8 februari 2018

Primaire voltooiing (Werkelijk)

20 mei 2018

Studie voltooiing (Werkelijk)

20 juni 2018

Studieregistratiedata

Eerst ingediend

14 februari 2018

Eerst ingediend dat voldeed aan de QC-criteria

20 februari 2018

Eerst geplaatst (Werkelijk)

22 februari 2018

Updates van studierecords

Laatste update geplaatst (Werkelijk)

9 augustus 2018

Laatste update ingediend die voldeed aan QC-criteria

8 augustus 2018

Laatst geverifieerd

1 augustus 2018

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • Dnr 2017/489-31.

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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