Evidence map›Paper›PMID 25075802›Full record

Trial reportBehaviour research and therapy2014

Feasibility of two modes of treatment delivery for child anxiety in primary care.

Denise A Chavira, Amy Drahota, Ann F Garland, Scott Roesch, Maritza Garcia, Murray B Stein

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00769925 (Improving Care for Anxiety in Pediatric Settings), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00769925 nawithdrawnnot on this map

Improving Care for Anxiety in Pediatric Settings

TypeinterventionalSponsorUniversity of California, San DiegoRan2008 to 2012Enrolled0ConditionsAnxiety DisordersArmsCognitive Behavior Therapy-Primary Care, Therapist-Assisted Bibliotherapy-Primary Care
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. An Open Trial of the Anxiety Action Plan (Child & youth care forum · 2016
    Article
  17. Article
  18. Using Evaluative Criteria to Review Youth Anxiety Measures, Part II: Parent-Report.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Denise A ChaviraUniversity of California Los Angeles, Department of Psychology, Los Angeles, CA, USA; University of California San Diego, Department of Psychiatry, La Jolla, CA, USA. Electronic address: dchavira@psych.ucla.edu.
Amy DrahotaSan Diego State University, Department of Psychology, San Diego, CA, USA.
Ann F GarlandUniversity of San Diego, Department of School, Family, and Mental Health Professions, San Diego, CA, USA.
Scott RoeschSan Diego State University, Department of Psychology, San Diego, CA, USA.
Maritza GarciaUniversity of California San Diego, Department of Psychiatry, La Jolla, CA, USA.
Murray B SteinUniversity of California San Diego, Department of Psychiatry, La Jolla, CA, USA.

Funding

Improving Patient Outcomes in Anxiety DisordersK24MH064122 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEIN, MURRAY B. · 2001 to 2011
$1.3M
Developing the Autism Model of Implementation for ASD Community ProvidersK01MH093477 · NIMH · SAN DIEGO STATE UNIVERSITY · PI DRAHOTA, AMY · 2012 to 2016
$927k
Improving Care for Anxiety in Pediatric SettingsK01MH072952 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHAVIRA, DENISE A · 2006 to 2010
$806k
NIMH NIH HHS K01 MH072952NIMH NIH HHS K01MH072952NIMH NIH HHS K01 MH093477NIMH NIH HHS K01MH093477NIMH NIH HHS K24 MH064122NIMH NIH HHS K24MH64122
6 · The paper itself

Abstract

In this study, we examine the feasibility of cognitive behavior therapy (CBT) for children with anxiety in primary care, using two modes of treatment delivery. A total of 48 parents and youth (8-13) with anxiety disorders were randomly assigned to receive 10-sessions of CBT either delivered by a child anxiety specialist in the primary care clinic or implemented by the parent with therapist support by telephone (i.e., face-to-face or therapist-supported bibliotherapy). Feasibility outcomes including satisfaction, barriers to treatment participation, safety, and dropout were assessed. Independent evaluators, blind to treatment condition, administered the Anxiety Disorders Interview Schedule for Children (ADIS) and the Clinical Global Impression of Improvement (CGI-I) at baseline, post-treatment and 3-month follow-up; clinical self-report questionnaires were also administered. Findings revealed high satisfaction, low endorsement of barriers, low drop out rates, and no adverse events across the two modalities. According to the CGI-I, 58.3%-75% of participants were considered responders (i.e., much or very much improved) at the various time points. Similar patterns were found for remission from "primary anxiety disorder" and "all anxiety disorders" as defined by the ADIS. Clinically significant improvement was seen on the various parent and child self-report measures of anxiety. Findings suggest that both therapy modalities are feasible and associated with significant treatment gains in the primary care setting. (clinicaltrials.gov unique identifier: NCT00769925).

Indexed as

AdolescentAnxietyAnxiety DisordersBibliotherapyChildCognitive Behavioral TherapyFeasibility StudiesFemaleHumansMaleParentsPrimary Health CareRemote ConsultationTelephoneChild anxietyCognitive behavior therapyPrimary careRandomized controlled trialTherapist-supported bibliotherapy

Identifiers

PMID25075802
PMCPMC4303047

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.