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The main aim of this study is to examine the effectiveness of a web-based CBT protocol (entitled Meeky Mouse) in the treatment of children with Selective Mutism in Singapore. The researchers hypothesized that the Meeky Mouse program would be associated with higher frequency of speaking behaviors, lower levels of anxiety, greater improvements in clinician-rated severity of mental illness, and higher clinician-rated improvement scores at post-treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Meeky Mouse program | Experimental | 14-week "Meeky Mouse" program consists of 8 training sessions (psychoeducation and anxiety management) followed by 6 practice sessions (exposure using social skills training) |
|
| Computer Games | Placebo Comparator | 14 weeks of interactive session with the therapist while playing computer games |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meeky Mouse program | Behavioral |
| ||
| Computer Games |
| Measure | Description | Time Frame |
|---|---|---|
| Selective Mutism Questionnaire | Changes from pre-treatment (Week 0) to post-treatment (Week 14) on SMQ scores |
| Measure | Description | Time Frame |
|---|---|---|
| Asian Children's Anxiety Scale-Caretaker Version (ACAS) | Changes from pre-treatment (Week 0) to post-treatment (Week 14) on ACAS total scores | |
| Asian Children's Anxiety Scale-Child (ACAS-C) | Changes from pre-treatment (Week 0) to post-treatment (Week 14) on ACAS-C total scores |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Fung, MBBS, MMed | Institute of Mental Health, Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Child Guidance Clinic | Singapore | 168937 | Singapore |
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| ID | Term |
|---|---|
| D009155 | Mutism |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D013064 | Speech Disorders |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
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|
| Clinical Global Impression (CGI) | Changes from pre-treatment (Week 0) to post-treatment (Week 14) on CGI-Severity and CGI-Improvement Ratings |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |