Evidence map›Paper›PMID 28577586›Full record

ArticleBehavior therapy2017

Does the Delivery of CBT for Youth Anxiety Differ Across Research and Practice Settings?

Meghan M Smith, Bryce D McLeod, Michael A Southam-Gerow, Amanda Jensen-Doss, Philip C Kendall, John R Weisz

Open access · greenAbstract read
In one paragraph

Article in Behavior therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.8field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

  1. The Content of Usual Clinical Care for Youth with Primary Anxiety Problems.Administration and policy in mental health · 2025
    Trial
  2. Trial
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  5. Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  6. Article
  7. Article
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  14. Article
  15. Article
  16. Observational
  17. Benchmarking Treatment Adherence and Therapist Competence in Individual Cognitive-Behavioral Treatment for Youth Anxiety Disorders.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2019
    Article
  18. Article
  19. Implementing evidence-based treatment protocols: Flexibility within fidelity.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2018
    Article
  20. Proposing a Mechanistic Model of Clinician Training and Consultation.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2018
    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 at 4 institutions in 1 country.

Meghan M SmithVirginia Commonwealth University. Electronic address: smithmm9@vcu.edu.
Bryce D McLeodVirginia Commonwealth University.
Michael A Southam-GerowVirginia Commonwealth University.
Amanda Jensen-DossUniversity of Miami.
Philip C KendallTemple University.
John R WeiszHarvard University.
Virginia Commonwealth University · USHarvard University Press · USTemple University · USUniversity of Miami · US

Funding

Development and Validation of Child Therapy Integrity MeasuresR01MH086529 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI MCLEOD, BRYCE DOUGLAS, SOUTHAM-GEROW, MICHAEL A · 2010 to 2014
$1.7M
NIMH NIH HHS R01 MH086529
6 · The paper itself

Abstract

Does delivery of the same manual-based individual cognitive-behavioral treatment (ICBT) program for youth anxiety differ across research and practice settings? We examined this question in a sample of 89 youths (M age = 10.56, SD = 1.99; 63.70% Caucasian; 52.80% male) diagnosed with a primary anxiety disorder. The youths received (a) ICBT in a research setting, (b) ICBT in practice settings, or (c) non-manual-based usual care (UC) in practice settings. Treatment delivery was assessed using four theory-based subscales (Cognitive-behavioral, Psychodynamic, Client-Centered, Family) from the Therapy Process Observational Coding System for Child Psychotherapy-Revised Strategies scale (TPOCS-RS). Reliable independent coders, using the TPOCS-RS, rated 954 treatment sessions from two randomized controlled trials (1 efficacy and 1 effectiveness trial). In both settings, therapists trained and supervised in ICBT delivered comparable levels of cognitive-behavioral interventions at the beginning of treatment. However, therapists trained in ICBT in the research setting increased their use of cognitive-behavioral interventions as treatment progressed whereas their practice setting counterparts waned over time. Relative to the two ICBT groups, the UC therapists delivered a significantly higher dose of psychodynamic and family interventions and a significantly lower dose of cognitive-behavioral interventions. Overall, results indicate that there were more similarities than differences in manual-based ICBT delivery across research and practice settings. Future research should explore why the delivery of cognitive-behavioral interventions in the ICBT program changed over time and across settings, and whether the answers to these questions could inform implementation of ICBT programs.

Indexed as

Anxiety DisordersChildCognitive Behavioral TherapyDelivery of Health CareFamily TherapyFemaleHumansMaleMental Health ServicesRandomized Controlled Trials as TopicResearch DesignTreatment OutcomeCognitive-Behavioral TreatmentEvidence-BasedImplementationYouth

Identifiers

PMID28577586
PMCPMC5458533
OpenAlexW2476360276

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.