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Although anxiety is one of the most common and debilitating mental health conditions affecting children and adolescents, the vast majority of sufferers do not receive effective treatment. Cognitive-behavioral therapy (CBT) is an evidence-based, frontline treatment for pediatric anxiety, yet many community-based practitioners do not implement CBT with high fidelity, which can detrimentally affect its clinical impact. The goal of this study is to develop and test an online platform to support community providers' effective use of CBT for pediatric anxiety.
Stemming from implementation science and, specifically, the Theory of Planned Behavior, investigators are working alongside community stakeholders to develop a novel, online consultation platform. This platform, termed Internet-based Consultation or Networking (or i-CAN) will utilize a professional navigator (i.e., a provider with CBT expertise), online support and resources, and parallel peer consultation to create a user-friendly and supportive community for providers to get support as they implement CBT. Once finalized, the platform will be tested in the context of a preliminary randomized controlled trial (RCT) with approximately 100 mental healthcare providers who work with anxious children and adolescents. Providers who enroll will be randomly assigned to either the experimental condition (i-CAN) or the control condition (wait-list for i-CAN). The primary outcome of interest is change in intentions to use CBT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| i-CAN | Experimental | 18 weeks of access to the online consulting platform |
|
| waitlist control | No Intervention | No offered support or consultation |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| i-CAN | Behavioral | online support and consultation to providers |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reasoned Action Questionnaire | Questionnaire that assesses instrumental beliefs, perceived norms, and self-efficacy (all related to use of cognitive-behavioral therapy). On the Reasoned Action Questionnaire, higher scores indicate greater intention to use the therapeutic approach. Scores can range from 14 to 90. | 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence-based practice attitude scale | Questionnaire that assesses views toward cognitive-behavioral therapy. Higher scores indicate more positive views. Scores can range from 0 to 60. | 18 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Susan W White, PhD | UA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Youth Development and Intervention | Tuscaloosa | Alabama | 35487 | United States |
Data will be shared to NDA, and data requests can be issued directly to NDA.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 23, 2026 | |
| Reset | Apr 13, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 23, 2026 | Apr 13, 2026 |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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The RCT is a parallel group design, in which those in Control will be offered i-CAN after the 18 week waiting period.
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