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ArticlePloS one2025

Caregiver mind-mindedness training as an early intervention for social anxiety in children: A protocol for a randomised controlled trial.

Hiva Javadian, Mary E Stewart, Minu Mathews, Andrew James Williams, Daniel Hale

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06657014 (Caregiver Mind-Mindedness Training as an Early Intervention for Reducing Social Anxiety in Preschool-Aged Children), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06657014 nanot yet recruitingnot on this map

Caregiver Mind-Mindedness Training as an Early Intervention for Reducing Social Anxiety in Preschool-Aged Children: A Randomized Controlled Trial

TypeinterventionalSponsorHeriot-Watt UniversityRan2024 to 2025Enrolled100ConditionsSocial Anxiety Disorder of ChildhoodArmsmind-mindedness
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Hiva JavadianPsychology Department, Heriot-Watt University, Edinburgh, United Kingdom.ORCID 0009-0006-3782-3280
Mary E StewartPsychology Department, Heriot-Watt University, Edinburgh, United Kingdom.
Minu MathewsDepartment of Psychology, Heriot-Watt University, Dubai, United Arab Emirates.ORCID 0009-0004-6168-882X
Andrew James WilliamsScottish Collaboration for Public Health Research and Policy, University of Edinburgh, Edinburgh, United Kingdom.
Daniel HalePsychology Department, Heriot-Watt University, Edinburgh, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis paper describes a randomised controlled trial (RCT) protocol aimed at investigating the efficacy of caregivers' Mind-Mindedness training as an early intervention for preschoolers with social anxiety. Mind-mindedness, a caregiver's ability to recognise and respond to a child as an individual with their own thoughts, feelings, and intentions, is associated with secure attachment and socioemotional skills. While previous studies indicate brief Mind-Mindedness training may increase caregiver mentalisation in high-risk groups, there is a lack of rigorous evidence assessing its impact specifically on child social anxiety symptoms. Building on the well-established link between caregivers' Mind-Mindedness and positive socioemotional outcomes in children, this study aims to bridge the existing research gap by directly testing the impact of Mind-Mindedness training on social anxiety.

methodsThis randomised controlled trial aims to recruit 100 caregivers of preschool-aged 4-7-year-old children with social anxiety from the UK and Iran. The caregivers will be randomly assigned to either a mind-mindedness training group (n = 50) or a peer support (control) group(n = 50). The mind-mindedness training will involve three online sessions, each of one hour duration, focused on teaching strategies for using mind-minded comments with their children, across three consecutive weeks. The peer support (control) group will have access to a private online peer-support platform for sharing experiences. Measures of mind-mindedness, child social anxiety, attachment, and theory of mind will be assessed at baseline, post-intervention, and 3-month follow-up using established assessment tools. DISCUSSION: The study aims to evaluate the effectiveness of a mind-mindedness parental intervention for social anxiety in children and to uncover the potential mediating roles of attachment and theory of mind in the relationship between mind-mindedness and child anxiety. The cross-cultural design, involving participants from the UK and Iran, will offer valuable information on the cultural aspect of the intervention. The training group is hypothesised to lead to increased mind-mindedness and reduced child social anxiety versus a peer support (control) group. This research can establish evidence for mind-mindedness training as an early intervention approach for childhood social anxiety, with implications for global mental health strategies targeting early caregiver-child relationships.

trial registrationProspectively registered on ClinicalTrials.gov (ID: NCT06657014; registered on 23rd October 2024) and on the Iranian Registry of Clinical Trials (IRCT) Version 1 (ID: 80088; approved on 2nd November 2024). These registrations promote transparency and ensure compliance with international standards for reporting clinical trials.

Indexed as

AnxietyCaregiversChildChild, PreschoolFemaleHumansIranMaleRandomized Controlled Trials as TopicUnited Kingdom

Identifiers

PMID40982456
PMCPMC12453178

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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.