Evidence map›Paper›PMID 36514819›Full record

ArticleChild and adolescent mental health2023

Increasing access to evidence-based treatment for child anxiety problems: online parent-led CBT for children identified via schools.

Iheoma Green, Tessa Reardon, Roberta Button, Victoria Williamson, Gemma Halliday, Claire Hill, Michael Larkin, Falko F Sniehotta, Obioha C Ukoumunne, Tamsin Ford and 3 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Child and adolescent mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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

13 authors at 9 institutions in 4 countries.

Iheoma GreenDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Tessa ReardonDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0002-9298-091X
Roberta ButtonOxford Health NHS Foundation Trust, Oxford, UK.
Victoria WilliamsonDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Gemma HallidayDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.
Claire HillSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.ORCID 0000-0001-7481-7687
Michael LarkinDepartment of Psychology, Institute of Health and Neurodevelopment, Aston University, Birmingham, UK.
Falko F SniehottaDepartment of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Obioha C UkoumunneNIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, UK.
Tamsin FordDepartment of Psychiatry, University of Cambridge, Cambridge, UK.ORCID 0000-0001-5295-4904
Susan H SpenceAustralian Institute for Suicide Research and Prevention, and School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0002-7022-6676
Paul StallardDepartment for Health, University of Bath, Bath, UK.
Cathy CreswellDepartments of Experimental Psychology and Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0003-1889-0956
Oxford Health NHS Foundation Trust · GBUniversity of Oxford · GBAston University · GBGriffith University · AUUniversity of Bath · GBUniversity of Cambridge · GBUniversity of Exeter · GBUniversity of Mannheim · DEUniversity of Reading · GB

Funding

Department of Health RP-PG-0218-20010Medical Research Council G108/625
6 · The paper itself

Abstract

backgroundAnxiety problems are extremely common and have an early age of onset. We previously found, in a study in England, that fewer than 3% of children with an anxiety disorder identified in the community had accessed an evidence-based treatment (Cognitive Behavioural Therapy; CBT). Key ways to increase access to CBT for primary school-aged children with anxiety problems include (a) proactive identification through screening in schools, (b) supporting parents and (c) the provision of brief, accessible interventions (and capitalising on technology to do this).

methodWe provided a brief, therapist guided treatment called Online Support and Intervention (OSI) to parents/carers of children identified, through school-based screening, as likely to have anxiety problems. Fifty out of 131 children from 17 Year 4 classes in schools in England screened positive for 'possible anxiety problems' and 42 (84%) of these (and 7 who did not) took up the offer of OSI. We applied quantitative and qualitative approaches to assess children's outcomes and families' experiences of this approach.

resultsInbuilt outcome monitoring indicated session on session improvements throughout the course of treatment, with substantial changes across measures by the final module (e.g. Child Outcome Rating Scale d = 0.84; Goal Based Outcomes d = 1.52). Parent engagement and satisfaction was high as indicated by quantitative and qualitative assessments, and intervention usage.

conclusionsWe provide promising preliminary evidence for the use of OSI as an early intervention for children identified as having anxiety problems through school-based screening.

Indexed as

Anxiety DisordersCognitive Behavioral TherapyAnxietyChildHumansParentsSchoolsanxietyCBTChilddigitalinterventionparents

Identifiers

PMID36514819
PMCPMC10108299
OpenAlexW4311358973

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.