Streamlined Prevention and Early Intervention for Pediatric Anxiety Disorders: A Randomized Controlled Trial
| Autor: | Jenn-Yun Tein, Armando Pina, Ryan Stoll, Heather J. Gunn, Henry Wynne, Nancy A. Gonzales, Amanda Chiapa, Julia H. Parker, Gina L. Mazza, Lindsay E. Holly |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Service delivery framework education Psychological intervention Article law.invention 03 medical and health sciences Social skills Randomized controlled trial law Intervention (counseling) Outcome Assessment Health Care Preventive Health Services medicine Humans 0501 psychology and cognitive sciences Child 030505 public health Cognitive Behavioral Therapy business.industry 05 social sciences Public Health Environmental and Occupational Health Arizona Anxiety Disorders Health psychology Physical therapy Anxiety Female medicine.symptom 0305 other medical science business Psychosocial 050104 developmental & child psychology |
| Zdroj: | Prev Sci |
| Popis: | There is a need to optimize the fit between psychosocial interventions with known efficacy and the demands of real-word service delivery settings. However, adaptation of evidence-based interventions (EBI) raises questions about whether effectiveness can be retained. This randomized controlled trial (RCT) evaluated a streamlined package of cognitive, behavioral, and social skills training strategies known to prevent and reduce anxiety symptom and disorder escalation in youth. A total of 109 youth (M(age) = 9.72; 68% girls; 54% Latinx) at risk based on high anxiety were randomized to the streamlined prevention and early intervention (SPEI) (n = 59) or control (n = 50) and were assessed at pretest, posttest, and 1-year follow-up. A main objective was to determine whether our redesign could be delivered by community providers, with acceptable levels of fidelity, quality, and impact. In terms of process evaluation results, there was high protocol fidelity, excellent clinical process skills, few protocol adaptations, and high satisfaction with the streamlined prevention and early intervention (SPEI). In terms of outcomes, there were no significant main or moderated effects of the SPEI at the immediate posttest. However, at the follow-up, youth in the SPEI reported greater self-efficacy for managing anxiety-provoking situations, greater social skills, and fewer negative cognitive errors relative to controls. Collectively, findings suggest that the redesigned SPEI might be an attractive and efficient solution for service delivery settings. |
| Databáze: | OpenAIRE |
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