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AnxietyNCT04931199

A Mobile Health Solution for Homework During CBT

A study testing Cognitive Behavioral Therapy (CBT) and CBT+App in people with Anxiety and Depression, run by University of South Florida at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to preliminarily evaluate a web-based app to improve provider implementation and patient engagement in homework (i.e., between-session practice of skills learned during therapy) during child mental health treatment by conducting a small-scale feasibility trial in community practice… Read more about this study

Who is it for?
Ages 7 to 17 years
Conditions the study is for
Anxiety, Depression, Posttraumatic Stress Disorder
What is being tested?
Cognitive Behavioral Therapy (CBT) and CBT+App
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
1 siteUnited States
Study dates
10 Jun 2021to 31 Aug 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Providers:
  • English-speaking
  • Mental health providers who have obtained at least a master's degree in social work, counseling, clinical psychology, or related field
  • Carry active child mental health treatment caseloads
  • Have a laptop, tablet, or smartphone with internet access
  • Youth:
Show all 15Show fewer
  • English-speaking
  • Youth Ages 7-17 years
  • Clinically elevated anxiety and depression as indicated by a T-score ≥ 65 on the Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) and/or Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) or total score ≥ 15 on the Child and Adolescent Trauma Screen - Youth Report (CATS-Y) and/or Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
  • Have a laptop, tablet, or smartphone with internet access
  • Caregivers:
  • English-speaking
  • Adult (≥18 years old)
  • Caregivers of a youth who meets eligibility criteria
  • Have internet and smartphone access.

Who cannot join

  • Youth with self- or caregiver-reported:
  • Active psychotic symptoms (e.g., hallucinations, delusions)
  • Significant cognitive disability, developmental delays, or pervasive developmental disorder.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of South Florida

    Tampa, Florida, 33613

Other trials in United States

About this study

Official title: A Mobile Health Solution to Improve Between-Session Skills Practice in Youth Mental Health Treatment

The purpose of this study is to preliminarily evaluate a web-based app to improve provider implementation and patient engagement in homework (i.e., between-session practice of skills learned during therapy) during child mental health treatment by conducting a small-scale feasibility trial in community practice settings comparing Cognitive Behavioral Therapy (CBT) to CBT enhanced with the app.

Being tested
Cognitive Behavioral Therapy (CBT), CBT+App
Keywords
mhealth, mental health, youth mental health, adolescent mental health, homework
Medical subject headings
Anxiety Disorders, Depression, Stress Disorders, Post-Traumatic, Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cognitive Behavioral Therapy (CBT)Behavioural

    The standard of care procedures for children with clinically elevated anxiety, depression, and PTSD is traditional CBT from their mental health provider.

  • CBT+AppBehavioural

    Participants receive CBT as usual enhanced with a simple, HIPAA compliant, web-based application to help mental health providers implement homework during CBT with children with elevated PTSD, anxiety, and/or depression, and their caregivers. The three major components of the app help providers to (1) Practice interactive, digitized CBT exercises with patients in-session; (2) Remind patients to practice CBT exercises for homework, and (3) Review homework during the next session.

Study groups in NCT04931199
Study groupRoleWhat they receive
CBTActive comparatorNot described
Receives: Behavioral: Cognitive Behavioral Therapy (CBT)
CBT+AppExperimentalNot described
Receives: Behavioral: CBT+App

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)

    The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: Baseline

  2. Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)

    The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: 3-Months Post-Baseline

  3. Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y)

    The Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) is a 25-item self-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: 6-Months Post-Baseline

  4. Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)

    The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: Baseline

  5. Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)

    The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: 3-Months Post-Baseline

  6. Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P)

    The Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) is a 25-item caregiver-report questionnaire that assesses levels of anxiety and depression in youth. Total, Total Anxiety, and Total Depression T-scores range from 0 to >80 with higher scores reflecting greater symptom severity.

    Measured: 6-Months Post-Baseline

  7. Child and Adolescent Trauma Screen - Youth Report (CATS-Y)

    The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: Baseline

  8. Child and Adolescent Trauma Screen - Youth Report (CATS-Y)

    The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: 3-Months Post-Baseline

  9. Child and Adolescent Trauma Screen - Youth Report (CATS-Y)

    The Child and Adolescent Trauma Screen - Youth Report (CATS-Y) is a 25-item self-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: 6-Months Post-Baseline

  10. Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)

    The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: Baseline

  11. Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)

    The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: 3-Months Post-Baseline

  12. Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)

    The Child and Adolescent Trauma Screen - Caregiver Report (CATS-P) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 60 with higher scores reflecting greater symptom severity.

    Measured: 6-Months Post-Baseline

Secondary outcomes (22)
  1. Homework Rating Scale II (HRS II)

    The Homework Rating Scale II (HRS II) is a 4-item self-report questionnaire that assesses levels of homework adherence in cognitive behavior therapy. Total scores range from 0 to 8 with higher scores reflecting greater homework adherence.

    Measured: Weekly between Baseline and 3-Months Post-Baseline

  2. Homework Adherence and Competence Scale (HAACS)

    The Homework Adherence and Competence Scale (HAACS) is a 19-item independent evaluator-rated instrument that assesses therapists' adherence and competence in reviewing, designing, and assigning homework assignments in cognitive behavior therapy. Total scores range from 0 to 30 for Reviewing homework, 0 to 54 for Designing homework, and 0 to 30 for Assigning homework, with higher scores reflecting greater adherence/competence.

    Measured: Weekly between Baseline and 3-Months Post-Baseline

  3. Child and Adolescent Disruptive Behavior Inventory (CADBI)

    The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.

    Measured: Baseline

  4. Child and Adolescent Disruptive Behavior Inventory (CADBI)

    The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.

    Measured: 3-Months Post-Baseline

  5. Child and Adolescent Disruptive Behavior Inventory (CADBI)

    The Child and Adolescent Disruptive Behavior Inventory (CADBI) is a 25-item caregiver-report questionnaire that assesses levels of post traumatic distress in youth. Total scores range from 0 to 200 with higher scores reflecting greater symptom severity.

    Measured: 6-Months Post-Baseline

  6. KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)

    The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: Baseline

  7. KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)

    The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: 3-Months Post-Baseline

  8. KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y)

    The KIDSCREEN-10 Index Child and Adolescent Version (KIDSCREEN-10-Y is a 10-item self-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: 6-Months Post-Baseline

  9. KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)

    The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: Baseline

  10. KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)

    The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: 3-Months Post-Baseline

  11. KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P)

    The KIDSCREEN-10 Index Parent Version (KIDSCREEN-10-P) is a 10-item caregiver-report questionnaire that assesses levels of quality of life in youth. Total T-scores range from 0 to >80 with higher scores reflecting greater quality of life.

    Measured: 6-Months Post-Baseline

  12. Generalized Anxiety Disorder-7 (GAD-7)

    The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population

    Measured: Baseline

  13. Generalized Anxiety Disorder-7 (GAD-7)

    The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population

    Measured: 3-Months Post-Baseline

  14. Generalized Anxiety Disorder-7 (GAD-7)

    The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population

    Measured: 6-Months Post-Baseline

  15. Patient Health Questionnaire-8 (PHQ-8)

    The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies

    Measured: Baseline

  16. Patient Health Questionnaire-8 (PHQ-8)

    The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies

    Measured: 3-Months Post-Baseline

  17. Patient Health Questionnaire-8 (PHQ-8)

    The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies

    Measured: 6-Months Post-Baseline

  18. Working Alliance Inventory - Short Revised - Client Version (WAI-SR)

    The Working Alliance Inventory-Short Revised (WAI-SR) is a 12-item measure for the assessment of the therapeutic alliance.

    Measured: 3-Months Post-Baseline

  19. Child/Adolescent Satisfaction Questionnaire (CASQ-Y)

    CASQ is a 14 item questionnaire administered to children and youth involved with mental health services. It is identical to the parent version and measures three dimensions of satisfaction with mental health services:

    Measured: 3-Months Post-Baseline

  20. Caregiver Satisfaction Questionnaire (CSQ-P)

    Client Satisfaction Questionnaire (CSQ-8) examines the level of consumer satisfaction with children's (ages 8 to 17 years) outpatient mental health services

    Measured: 3-Months Post-Baseline

  21. Attitudes Toward Homework Questionnaire (ATHQ)

    A self-report assessing practitioners' demographic characteristics, use of homework assignments and attitudes towards the use of homework assignments in psychotherapy

    Measured: Baseline

  22. Attitudes Toward Homework Questionnaire (ATHQ)

    A self-report assessing practitioners' demographic characteristics, use of homework assignments and attitudes towards the use of homework assignments in psychotherapy

    Measured: 3-Months Post-Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2021
  2. Study start10 Jun 2021
  3. Primary completion31 Aug 2023
  4. Study completion31 Aug 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
86 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04931199
Sponsor's protocol ID
002313
Other IDs
K23MH118482
Status last verified
Dec 2023
First submitted
2 Jun 2021
Last updated
20 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive Behavioral Therapy (CBT) and CBT+App in people with Anxiety and Depression, run by University of South Florida at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) (time frame: Baseline). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2023.

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