Evidence map›Paper›PMID 37209422›Full record

Trial reportJournal of clinical psychology2023

Using session recordings to understand the content of community-based treatment for childhood anxiety disorders and response to technology-based training.

Stephen P H Whiteside, Nicholas R Sawchuk, Elle Brennan, Jocelyn R Lebow, Craig N Sawchuk, Bridget K Biggs, Julie E Dammann, Michael S Tiede, Deanna R Hofschulte, Stephanie Reneson-Feeder and 2 more

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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

12 authors at 1 institution in 1 country.

Stephen P H WhitesideDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-3248-5992
Nicholas R SawchukDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Elle BrennanDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Jocelyn R LebowDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Craig N SawchukDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Bridget K BiggsDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Julie E DammannDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Michael S TiedeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Deanna R HofschulteDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Stephanie Reneson-FeederDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Megan CunninghamDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
M LeMahieu AllisonDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · US

Funding

Expanding access to CBT for childhood anxiety disorders via smart phonesR34MH100468 · NIMH · MAYO CLINIC ROCHESTER · PI WHITESIDE, STEPHEN · 2013 to 2016
$633k
NIMH NIH HHS R34 MH100468
6 · The paper itself

Abstract

objectiveThe goal of the current study is to advance efforts to increase the quality of care for childhood anxiety disorder (CADs) through (1) detailing the content of community-based treatment sessions, (2) exploring the validity of therapist surveys, (3) examining the influence of setting differences, and (4) testing the effects of a technology-based training on use of nonexposure strategies.

methodsThirteen therapists were randomly assigned to technology-based training in the use of exposure therapy or treatment as usual (TAU) for CADs. Therapeutic techniques were coded from 125 community-based treatment sessions.

resultsConsistent with survey responses community therapists spent the majority of session time reviewing symptoms (34% of session time), implementing nonexposure cognitive behavioral therapy (CBT; 36%), and rarely engaged in exposure (3%). An integrated behavioral health setting was associated with greater endorsement of exposure on survey, p < 0.05, although this difference was not significant in session recordings, p = 0.14. Multilevel models indicated that technology-based training that has been shown to increase exposure, also decreased use of nonexposure CBT techniques (2% vs. 29%, p < 0.001).

conclusionThe study supports the validity of survey-based findings that community-based care for CADs consists of non-exposure CBT techniques. Efforts should be invested in dissemination of within-session exposure.

Indexed as

Cognitive Behavioral TherapyImplosive TherapyAnxiety DisordersChildHumansSurveys and Questionnairesanxietyanxiety management strategieschilddisseminationexposuretechnology

Identifiers

PMID37209422
PMCPMC10524520
OpenAlexW4377141038

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.