Evidence map›Paper›PMID 27405587›Full record

Trial reportImplementation science : IS2016

A hybrid effectiveness-implementation cluster randomized trial of group CBT for anxiety in urban schools: rationale, design, and methods.

Ricardo Eiraldi, Muniya S Khanna, Abbas F Jawad, Jessica Fishman, Henry A Glick, Billie S Schwartz, Jaclyn Cacia, Abraham Wandersman, Rinad Beidas

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02651402 (A Hybrid Effectiveness-Implementation Trial of Group Cognitive Behavior Therapy), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 26% of its field
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.

NCT02651402 nacompletednot on this map

A Hybrid Effectiveness-Implementation Trial of Group Cognitive Behavior Therapy (CBT) in Urban Schools

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2016 to 2021Enrolled495ConditionsAnxiety DisordersArmsFRIENDS for Life, Adapted FRIENDS, Train-the-Trainer, Train-the-Trainer Plus
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

9 authors at 3 institutions in 2 countries.

Ricardo EiraldiThe Children's Hospital of Philadelphia, 3535 Market Street, Rm. 1474, Philadelphia, PA, 19104, USA. eiraldi@mail.med.upenn.edu.ORCID http://orcid.org/0000-0003-3997-696X
Muniya S KhannaThe Children's Hospital of Philadelphia, 3535 Market Street, Rm. 1474, Philadelphia, PA, 19104, USA.
Abbas F JawadThe Children's Hospital of Philadelphia, 3535 Market Street, Rm. 1474, Philadelphia, PA, 19104, USA.
Jessica FishmanDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, Philadelphia, PA, 19104, USA.
Henry A GlickWharton School, University of Pennsylvania, 3620 Locust Walk, Philadelphia, PA, 19104, USA.
Billie S SchwartzThe Children's Hospital of Philadelphia, 3535 Market Street, Rm. 1474, Philadelphia, PA, 19104, USA.
Jaclyn CaciaThe Children's Hospital of Philadelphia, 3535 Market Street, Rm. 1474, Philadelphia, PA, 19104, USA.
Abraham WandersmanDepartment of Psychology, University of South Carolina-Columbia, 1512 Pendleton Street, Barnwell College, Suite #220, Columbia, SC, 29208, USA.
Rinad BeidasDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, Philadelphia, PA, 19104, USA.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · USUniversity of South Carolina · US

Funding

The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI SCHULTZ, ROBERT THOMAS · 2016 to 2020
$6.3M
A Hybrid Effectiveness-Implementation Trial of Group CBT in Urban SchoolsR01MH108555 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI EIRALDI, RICARDO B · 2016 to 2020
$3.8M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
NICHD NIH HHS U54 HD086984NIMH NIH HHS 1R01MH108555-01NIMH NIH HHS K23 MH099179NIMH NIH HHS R01 MH108555
6 · The paper itself

Abstract

backgroundSchools present a context with great potential for the implementation of psychosocial evidence-based practices. Cognitive behavioral therapy (CBT) is an evidence-based practice that has been found to be very effective in treating anxiety in various community settings, including schools. Friends for Life (FRIENDS) is an efficacious group CBT protocol for anxiety. Unfortunately, evidence-based practices for anxiety are seldom employed in under-resourced urban schools, because many treatment protocols are not a good fit for the urban school context or the population, existing behavioral health staff do not receive adequate training or support to allow them to implement the treatment with fidelity, or school districts do not have the resources to contract with external consultants. In our prior work, we adapted FRIENDS to create a more culturally sensitive, focused, and feasible CBT protocol for anxiety disorders (CBT for Anxiety Treatment in Schools (CATS)). METHODS/

designThe aim of this 5-year study is to evaluate both the effectiveness of CATS for urban public schools compared to the original FRIENDS as well as compare the implementation strategies (train-the-trainer vs. train-the-trainer + ongoing consultation) by conducting a three-arm, parallel group, type 2 hybrid effectiveness-implementation trial in 18 K-8 urban public schools. We will also assess the cost-effectiveness and the mediators and moderators of fidelity. Ninety therapists, 18 agency supervisors, and 360 children will participate. The interactive systems framework for dissemination and implementation guides the training and support procedures for therapists and supervisors. DISCUSSION: This study has the potential to demonstrate that agency therapists and supervisors who have had little to no prior exposure to evidence-based practices (EBPs) can implement an anxiety disorder EBP with fidelity. Comparisons of the implementation strategies would provide large urban mental health systems with data to make decisions about the adoption of EBPs.

trial registrationClinicalTrials.gov, NCT02651402.

Indexed as

Research DesignSchool Health ServicesUrban PopulationAnxiety DisordersChildCluster AnalysisCognitive Behavioral TherapyHealth Plan ImplementationHumansPsychotherapy, GroupTreatment OutcomeAnxiety disordersCapacity buildingCo-location modelEffectivenessGroup cognitive behavioral therapyHybrid trialImplementationUrban schools

Identifiers

PMID27405587
PMCPMC4941021
OpenAlexW2473866688

What OpenQuestion holds

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LicenceCC BY
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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.