Evidence map›Paper›PMID 35168635›Full record

ArticleTrials2022

Minimising young children's anxiety through schools (MY-CATS): protocol for a cluster randomised controlled trial to evaluate the effectiveness and cost-effectiveness of an online parent-led intervention compared with usual school practice for young children identified as at risk for anxiety disorders.

Tessa Reardon, Helen Dodd, Claire Hill, Bec Jasper, Peter J Lawrence, Fran Morgan, Ronald M Rapee, Obioha C Ukoumunne, Mara Violato, Emily Davey and 9 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  5. Review
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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

19 authors at 7 institutions in 2 countries.

Tessa ReardonDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK. tessa.reardon@psych.ox.ac.uk.ORCID http://orcid.org/0000-0002-9298-091X
Helen DoddCollege of Medicine and Health, University of Exeter, Exeter, UK.
Claire HillSchool of Psychology & Clinical Language Sciences, University of Reading, Reading, UK.
Bec JasperParents and Carers Together, Suffolk, UK.
Peter J LawrenceCentre for Innovation in Mental Health, School of Psychology, University of Southampton, Southampton, England.
Fran MorganSquare Peg, East Sussex, UK.
Ronald M RapeeCentre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.
Obioha C UkoumunneNIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, UK.
Mara ViolatoHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Emily DaveyDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Gemma HallidayDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Benjamin JonesNIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, UK.
Lindsey MartineauDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Amy McCallDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Natascha NiekampDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Anna PlaczekDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Ruth PottsDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Tamatha WeisserDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Cathy CreswellDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
University of Oxford · GBUniversity of Exeter · GBEast Sussex County Council · GBMacquarie University · AUUniversity of Reading · GBUniversity of Southampton · GBUniversity of Suffolk · GB

Funding

Kavli Trust N/A
6 · The paper itself

Abstract

backgroundIdentifying and supporting young children who are at risk of developing anxiety disorders would benefit children, families, and wider society. Elevated anxiety symptoms, inhibited temperament, and high parental anxiety are established risk factors for later anxiety disorders, but it remains unclear who is most likely to benefit from prevention and early intervention programmes. Delivering an online intervention through schools to parents of young children who have one or more of these risks could maximise reach. The primary aim of this trial is to evaluate the effectiveness and cost-effectiveness of delivering an online parent-led intervention, compared with usual school provision only, for children (aged 4-7) identified as at risk for anxiety disorders on the basis of at least one risk factor. We also aim to identify the characteristics of children who do and do not benefit from intervention and mechanisms of change from the intervention.

methodsThe design will be a parallel group, superiority cluster randomised controlled trial, with schools (clusters) randomised to intervention or usual school practice arms in a 1:1 ratio stratified according to level of deprivation within the school. The study will recruit and randomise at least 60 primary/infant schools in England, and on the basis of recruiting 60 schools, we will recruit 1080 trial participants (540 per arm). Parents of all children (aged 4-7) in sampled Reception, Year 1, and Year 2 classes will be invited to complete screening questionnaires. Children who screen positive on the basis of anxiety symptoms, and/or behavioural inhibition, and/or parent anxiety symptoms will be eligible for the trial. Parents/carers of children in schools allocated to the intervention arm will be offered a brief online intervention; schools in both arms will continue to provide any usual support for children and parents throughout the trial. Assessments will be completed at screening, baseline (before randomisation), 6 weeks, 12 weeks, and 12 months post-randomisation. The primary outcome will be the absence/presence of an anxiety disorder diagnosis at 12 months. DISCUSSION: The trial will determine if delivering an online intervention for parents of young children at risk of anxiety disorders identified through screening in schools is effective and cost-effective.

trial registrationISRCTN 82398107 . Prospectively registered on Jan. 14, 2021.

Indexed as

Internet-Based InterventionAnxietyAnxiety DisordersChild, PreschoolCost-Benefit AnalysisEquivalence Trials as TopicHumansParentsRandomized Controlled Trials as TopicSchoolsAnxietyAt riskChildrenCost-effectivenessEarly interventionOnline interventionParent-led interventionPreventionSchoolsScreening

Identifiers

PMID35168635
PMCPMC8848959
OpenAlexW4212947763

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.