A Mobile Health Solution for Homework During CBT

A Mobile Health Solution to Improve Between-Session Skills Practice in Youth Mental Health Treatment

The purpose of this study is to preliminarily evaluate a web-based app to improve provider implementation and patient engagement in homework (i.e., between-session practice of skills learned during therapy) during child mental health treatment by conducting a small-scale feasibility trial in community practice settings comparing Cognitive Behavioral Therapy (CBT) to CBT enhanced with the app.

Inclusion Criteria:

Providers:

• English-speaking
• Mental health providers who have obtained at least a master's degree in social work, counseling, clinical psychology, or related field
• Carry active child mental health treatment caseloads
• Have a laptop, tablet, or smartphone with internet access

Youth:

• English-speaking
• Youth Ages 7-17 years
• Clinically elevated anxiety and depression as indicated by a T-score ≥ 65 on the Revised Children's Anxiety and Depression Scale-25 Child Version (RCADS-25-Y) and/or Revised Children's Anxiety and Depression Scale-25 Parent Version (RCADS-25-P) or total score ≥ 15 on the Child and Adolescent Trauma Screen - Youth Report (CATS-Y) and/or Child and Adolescent Trauma Screen - Caregiver Report (CATS-P)
• Have a laptop, tablet, or smartphone with internet access

Caregivers:

• English-speaking
• Adult (≥18 years old)
• Caregivers of a youth who meets eligibility criteria
• Have internet and smartphone access.

Exclusion Criteria:

Youth with self- or caregiver-reported:

• Active psychotic symptoms (e.g., hallucinations, delusions)
• Significant cognitive disability, developmental delays, or pervasive developmental disorder.