Video-visit Behavior Therapy for Anxiety and Depression in Youth

Study Overview
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Brief Summary
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This project focuses on adapting and pilot testing an efficacious brief behavioral therapy (STEP-UP) for youths with anxiety or depression to be delivered as a telehealth intervention by clinic staff in low-resource community health centers (CHCs).

Official Title
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Video-visit Behavior Therapy for Anxiety and Depression in Youth

Conditions
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Anxiety, Depression

Intervention / Treatment
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* Behavioral: Brief Behavioral Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Youth is a patient at a participating community health center (CHC) site Youth is clinically referred by a provider and / or has anxiety and / or depression as a diagnosis or target problem in their medical record Youth is in the physical and legal custody of the caretaker and is not currently involved in the foster care system Youth is able and willing to conduct study assessments and intervention sessions in English Primary caretaker is able and willing to conduct study assessments and intervention sessions in English or in Spanish Youth is functioning at or above the academic level of a typical 8-year-old child (i.e., placed in at least the second-grade level school across all subjects in a general education classroom) Primary caretaker agrees that focusing on anxiety and / or depression would be a useful primary target for treatment Youth has clinically significant symptoms of anxiety and / or depression by youth or caretaker report Exclusion Criteria: Youth is receiving an alternate intervention for anxiety or depression Youth or parent reports that the youth is experiencing active suicidal ideation with plan or intent (i.e., within last three months) and / or has made a suicide attempt within the last six months Youth or parent reports that the youth is currently engaging in non-suicidal self-injury (i.e., within last three months) Youth or parent reports that the youth has experienced recent physical or sexual abuse (i.e., within last three months).

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: STEP-UP (brief behavioral therapy)<br>Intervention arm of open trial | Behavioral: Brief Behavioral Therapy<br>* 8-12 sessions of brief behavioral therapy administered by behavioral health / mental health staff at participating community health centers (CHCs)<br>* Other names: BBT;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Minimum attendance | Receipt of a minimum dose of intervention | Week 16 (post-intervention) | 
| Client Satisfaction Scale - Parent (CSQ-8-P) | Parent ratings of satisfaction with the intervention | Week 16 (post-intervention) | 
| Client Satisfaction Scale - Child (CSQ-8-C) | Child ratings of satisfaction with the intervention | Week 16 (post-intervention) | 
| Participant Acceptability Questionnaire - Parent (PAQ-P) | Parent ratings of the acceptability of the intervention and study procedures | Week 16 (post-intervention) | 
| Participant Acceptability Questionnaire - Child (PAQ-C) | Child ratings of the acceptability of the intervention and study procedures | Week 16 (post-intervention) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Screen for Child Anxiety and Related Disorders - Parent (SCARED-P) | Parent-report of child anxiety symptoms | Week 16 (post-intervention) | 
| Screen for Child Anxiety and Related Disorders - Child (SCARED-C) | Child self-report of anxiety symptoms | Week 16 (post-intervention) | 
| Mood and Feelings Questionnaire - Parent (MFQ-P) | Parent-report of child depression symptoms | Week 16 (post-intervention) | 
| Mood and Feelings Questionnaire - Child (MFQ-C) | Child self-report of depression symptoms | Week 16 (post-intervention) | 
| Symptom Impairment Scale - Parent (SIS-P) | Parent rating of child impairment from symptoms of anxiety and depression | Week 16 (post-intervention) | 
| Symptom Impairment Scale - Child (SIS-C) | Child rating of impairment from symptoms of anxiety and depression | Week 16 (post-intervention) | 
| Child Avoidance Measure - Parent (CAMP) | Parent rating of child avoidance behaviors | Week 16 (post-intervention) | 
| Child Avoidance Measure - Child (CAMP) | Child rating of avoidance behaviors | Week 16 (post-intervention) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Child, Adolescent