Journal article
Online Support and Intervention (OSI) for child anxiety: a case-series within routine clinical practice
- Abstract:
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Background: Online treatments for child anxiety offer a potentially costeffective and non-stigmatizing means to widen access to evidence-based treatments and meet the increasing demand on services, however uptake in routine clinical practice remains a challenge. This study conducted an initial evaluation of the clinical effectiveness, feasibility, and acceptability of OSI (Online Support and Intervention for child anxiety) within clinical practice. OSI is a co-designed online therapistsupported, parent-led CBT treatment for pre-adolescent children with anxiety problems.
Method: This case-series was part of routine service evaluation in a clinic where families were offered OSI to treat a primary anxiety difficulty among 7–12-year-old children. Measures of anxiety symptomatology, functional impairment, and progress towards therapeutic goals were taken at pre-treatment, post-treatment, and 4-week follow-up. Treatment satisfaction and engagement were also measured throughout the intervention.
Results: Mean anxiety symptoms significantly improved to below the clinical cut-off post-treatment with further reduction at follow-up. Functional impairment also significantly improved and significant progress was made towards treatment goals. The majority of children showed reliable change in anxiety symptoms and reliable recovery by follow-up and were discharged without needing further treatment for anxiety. Uptake, adherence, and engagement in OSI were excellent and parents reported high levels of satisfaction with the treatment.
Conclusions: We have provided initial evidence that OSI is feasible, acceptable to families, and appears to be associated with good outcomes within routine clinical practice.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 390.7KB, Terms of use)
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- Publisher copy:
- 10.1017/S1352465822000157
Authors
- Publisher:
- Cambridge University Press
- Journal:
- Behavioural and Cognitive Psychotherapy More from this journal
- Volume:
- 50
- Issue:
- 4
- Pages:
- 429 - 445
- Publication date:
- 2022-05-04
- Acceptance date:
- 2021-06-28
- DOI:
- EISSN:
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1469-1833
- ISSN:
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1352-4658
- Language:
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English
- Keywords:
- Pubs id:
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1183849
- Local pid:
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pubs:1183849
- Deposit date:
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2021-06-28
Terms of use
- Copyright holder:
- Hill et al
- Copyright date:
- 2022
- Rights statement:
- © The Author(s), 2022. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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