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The aim of the study is to evaluate the effectiveness of a digitalized cognitive-behavioral treatment for anxiety among school aged children. The participants are screened from the general population, as a part of the routine school health care check-ups. Half of the children with anxiety will receive the digitalized treatment program, while the other half will receive education about anxiety in internet.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Digitalized cognitive-behavioral intervention | Experimental |
| |
| Psychoeducation about anxiety | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Digitalized cognitive-behavioral intervention for anxiety | Behavioral | An internet-based CBT, including telephone coaching |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline to 6 months follow up; the Screen for Child Anxiety Related Disorders - child and parent reports | Comprises of 41 items assessing symptoms of general anxiety, separation anxiety, panic disorder, social anxiety, and school phobia; scoring 0-82 (higher score meaning more symptoms) | Change from baseline to 6 months follow up; symptoms during the last three months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline to 6 months follow up; the Child Anxiety Impact Scale - child and parent reports | Comprises of 27 items assessing the impact of anxiety on the daily life of the children at home, school and with friends; scoring 0-81 (higher score meaning higher impact of anxiety) | Change from baseline to 6 months follow up; impact of anxiety during the last month |
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Inclusion Criteria:
- Scoring ≥22 on SCARED
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Child Psychiatric Research Center, University of Turku | Turku | 20500 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39914585 | Derived | Sourander A, Korpilahti-Leino T, Kaajalaakso K, Ristkari T, Hinkka-Yli-Salomaki S, Stahlberg T, Luntamo T. Internet-Based Cognitive-Behavioral Therapy Intervention Master Your Worries With Telephone Coaching for Anxious Finnish Children Aged 10-13 Years: A Population-Based Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry. 2025 Nov;64(11):1281-1294. doi: 10.1016/j.jaac.2024.11.024. Epub 2025 Feb 4. | |
| 34162641 |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Psychoeducation about anxiety | Behavioral | Psychoeducative material about anxiety in internet |
|
| Change from Baseline to 6 months follow up (in the Intervention group); the Development and Well-Being Assessment - child and parent reports | A diagnostic interview to assess anxiety disorders among 2-17-year-old children | Change from baseline to 6 months follow up; varying time windows for different diagnoses |
| Change from Baseline to 6 months follow up; the Revised Children Quality of Life - Questionnaire - child and parent reports | Comprises of 24 items assessing the health-related quality of life divided into six subscales: physical, psychological, self-esteem, family, social life, and school; scoring 24-96 (higher score meaning higher QoL) | Change from baseline to 6 months follow up; QoL during the last week |
| Change from Baseline to 6 months follow up; the Child Depression inventory - child report | Comprises of 28 items assessing the child's depressive symptoms; scoring 0-54 (higher score meaning more symptoms) | Change from baseline to 6 months follow up; symptoms during the last two weeks |
| Change from Baseline to 6 months follow up; the Strengths and Difficulties Questionnaire, extended version - parent report | Comprises of 25 items assessing the child's psychiatric symptoms and positive attributes, and an impact supplement; scoring 0-40 (prosocial scale is not included in the total score) (higher score meaning more problems) | Change from baseline to 6 months follow up; symptoms during the last six months |
| Change from Baseline to 6 months follow up of the relations with peers and school (not a standardized scale) | Experience of being bullied (traditional and cyberbullying), and feelings about school and teachers | Change from baseline to 6 months follow up |
| Change from Baseline to 6 months follow up; the Brief resilience scale - parent report (parental resilience) | Comprises of six items assessing resilience; scoring 6-36 (higher score meaning higher resilience) | Change from baseline to 6 months follow up; experience of the current resilience |
| Change from Baseline to 6 months follow up; the Depression Anxiety and Stress Scale Short Form - parent report (parental depression, anxiety and stress) | Comprises of 21 items assessing parental depression, anxiety and stress; scoring 0-63 (higher score meaning more symptoms) | Change from baseline to 6 months follow up; symptoms during the last week |
| Change from Baseline to 6 months follow up; the Customised Client Receipt Inventory Questionnaire - parent report | Assesses the child's use of school support services, and social and health care services | Change from baseline to 6 months follow up; service use during the last six months |
| Derived |
| Luntamo T, Korpilahti-Leino T, Ristkari T, Hinkka-Yli-Salomaki S, Kurki M, Sinokki A, Lamminen K, Saanakorpi K, Saarinen S, Maunuksela M, Sourander S, Toivonen K, Zadkova A, Suilamo M, Casagrande L, Palmroth J, Sourander A. Internet-assisted cognitive behavioural therapy with telephone coaching for anxious Finnish children aged 10-13 years: study protocol for a randomised controlled trial. BMJ Open. 2021 Jun 23;11(6):e045474. doi: 10.1136/bmjopen-2020-045474. |