A randomised controlled trial to compare clinical and cost-effectiveness of an online parent-led treatment for child anxiety problems with usual care in the context of COVID-19 delivered in Child and Adolescent Mental Health Services in the UK (Co-CAT): a study protocol for a randomised controlled trial.
A randomised controlled trial to compare clinical and cost-effectiveness of an online parent-led treatment for child anxiety problems with usual care in the context of COVID-19 delivered in Child and Adolescent Mental Health Services in the UK (Co-CAT): a study protocol for a randomised controlled trial.
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作者：
在新冠肺炎的背景下，国民保健系统儿童和青少年心理健康服务和其他儿童心理健康服务在提供心理治疗方面面临着重大挑战，这些治疗(1)远程提供时有效，(2)可以有效地提供，以管理随着社会疏远措施的放松而转诊人数的增加。焦虑问题是转诊到CAMHS的常见原因，在新冠肺炎的背景下，先前存在焦虑问题的儿童特别容易受到影响，而且有人担心随着学校开学，儿童焦虑情绪会增加。这项拟议的研究将评估由OSI(儿童焦虑在线支持和干预)平台提供的、由CAMHS治疗师远程支持的简短在线认知行为治疗(CBT)的临床和成本效益，并将其与在整个新冠肺炎大流行期间在CAMHS和其他儿童心理健康服务中的“新冠肺炎照常治疗”(C-TAU)进行比较。我们将进行一项双臂、多地点、随机对照的非自卑试验，以评估在新冠肺炎疫情期间，在治疗师支持下的OSI与CAMHS和其他儿童精神健康服务‘新冠肺炎照常治疗’(C-TAU)相比的临床和成本效益，并探索家长和治疗师的经验。如果表现出非劣势，这项研究将提供(1)解决方案，在社交距离的同时对儿童焦虑障碍进行有效的心理治疗(针对新冠肺炎背景和未来的流行病)；(2)随着“正常服务”的恢复，提供有效的治疗手段，使CAMHS能够应对预期的转诊增加；(3)展示NHS CAMHS内对在线干预措施的快速、高质量评估和应用，以推动CAMHS环境中亟需的进一步数字创新和评估。主要受益者将是患有焦虑症的儿童及其家人、NHS CAMHS团队，以及将获得潜在有效、成本效益和高效的儿童焦虑症治疗的专员。ISRCTN ISRCTN12890382。预期于2020年10月23日注册。网上版载有补充材料，可在10.1186/s13063-022-06833-5查阅。
In the context of COVID-19, NHS Child and Adolescent Mental Health Services (CAMHS) and other children’s mental health services have faced major challenges in providing psychological treatments that (i) work when delivered remotely and (ii) can be delivered efficiently to manage increases in referrals as social distancing measures have been relaxed. Anxiety problems are a common reason for referral to CAMHS, children with pre-existing anxiety problems are particularly vulnerable in the context of COVID-19, and there were concerns about increases in childhood anxiety as schools reopened. The proposed research will evaluate the clinical and cost-effectiveness of a brief online parent-led cognitive behavioural treatment (CBT) delivered by the OSI (Online Support and Intervention for child anxiety) platform with remote support from a CAMHS therapist compared to ‘COVID-19 treatment as usual’ (C-TAU) in CAMHS and other children’s mental health services throughout the COVID-19 pandemic. We will conduct a two-arm, multi-site, randomised controlled non-inferiority trial to evaluate the clinical and cost-effectiveness of OSI with therapist support compared to CAMHS and other child mental health services ‘COVID-19 treatment as usual’ (C-TAU) during the COVID-19 outbreak and to explore parent and therapists’ experiences. If non-inferiority is shown, the research will provide (1) a solution for efficient psychological treatment for child anxiety disorders while social distancing (for the COVID-19 context and future pandemics); (2) an efficient means of treatment delivery as ‘normal service’ resumes to enable CAMHS to cope with the anticipated increase in referrals; and (3) a demonstration of rapid, high-quality evaluation and application of online interventions within NHS CAMHS to drive forward much-needed further digital innovation and evaluation in CAMHS settings. The primary beneficiaries will be children with anxiety disorders and their families, NHS CAMHS teams, and commissioners who will access a potentially effective, cost-effective, and efficient treatment for child anxiety problems. ISRCTN ISRCTN12890382. Registered prospectively on 23 October 2020. The online version contains supplementary material available at 10.1186/s13063-022-06833-5.
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DOI：
10.1016/j.jaac.2013.09.017
发表时间：
2014-01
影响因子：
13.3
作者：
Copeland, William E.;Angold, Adrian;Shanahan, Lilly;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
4.5
作者：
Bosmans, Judith E.;de Bruijne, Martine C.;van Tulder, Maurits W.
通讯作者：
van Tulder, Maurits W.
影响因子：
--
作者：
Hoffnung G;Feigenbaum E;Schechter A;Guttman D;Zemon V;Schechter I
通讯作者：
Schechter I
影响因子：
3.5
作者：
Herdman, M.;Gudex, C.;Lloyd, A.;Janssen, M. F.;Kind, P.;Parkin, D.;Bonsel, G.;Badia, X.
通讯作者：
Badia, X.
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE