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Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Controlled Trial

Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety

Study Overview

This study explores a new way to deliver cognitive behavioral therapy (CBT) for children and adolescents with anxiety. It compares two methods:

  • ICBT-SC[VC]: Internet-delivered CBT with therapist guidance through videoconferencing only when needed.
  • ICBT-TG[VC]: Full internet-delivered CBT with therapist guidance via videoconferencing for all sessions.

Key Findings

  • Both methods showed significant benefits for participants.
  • Participants receiving full therapist guidance (ICBT-TG[VC]) had better outcomes.
  • After 9 months, 68% of ICBT-SC[VC] participants and 88% of ICBT-TG[VC] participants were free of their anxiety diagnosis.
  • Overall, 41% of ICBT-SC[VC] and 69% of ICBT-TG[VC] participants were free of their anxiety diagnosis.
  • Participants in the stepped care model attended fewer sessions than those in the full guidance model.

Practical Solutions and Value

This research supports the use of low-intensity internet-delivered CBT for treating anxiety in children and adolescents. The stepped care approach is acceptable to families and can improve access to effective treatment, even if it didn’t show clear superiority over full therapist guidance.

Conclusion

Therapist-guided internet-delivered CBT via videoconferencing leads to excellent outcomes for young patients with anxiety. While the stepped care model is promising, further research is needed to confirm its effectiveness.

Clinical Trial Registration

Registered at Australian New Zealand Clinical Trials Registry.

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