Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: A consensus statement with recommendations from the #iCBTLorentz Workshop Group

Hill, Claire; Creswell, Cathy; Vigerland, Sarah; Nauta, Maaike; March, Sonja; Donovan, Caroline L.; Wolters, Lidewij H.; Spence, Susan H.; Martin, Jennifer; Wozney, Lori; McLellan, Lauren F.; Kreuze, Leonie; Gould, Karen; Jolstedt, Maral; Nord, Martina; Hudson, Jennifer L.; Utens, Elisabeth M. W. J.; Ruwaard, Jeroen; Albers, Casper J.; Khanna, Muniya; Albano, Anne Marie; Serlachius, Eva; Hrastinski, Stefan; Kendall, Philip C.

doi:10.1016/j.invent.2018.02.002

Cited by 42 publications

(47 citation statements)

References 76 publications

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“…Despite its limitations, the findings of this study are encouraging and certainly justify further research in an RCT or similar design to confirm the effectiveness of this type of intervention. Historically, there has been a lack of formalized approaches to the dissemination of iCBT interventions [ 14 ], yet there are some recent design recommendations that may be appropriate. To address the challenges of conducting controlled trials in real-world implementation settings, it may be necessary to conduct a stepped-wedge cluster design, which is increasingly recommended for evaluation of service delivery interventions [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…There has been relatively little research examining the implementation of iCBT programs for child and adolescent anxiety in real-world clinical and community contexts (eg, outside university-based research trials); furthermore, there are no formalized guidelines for a large-scale dissemination [ 14 ]. One small feasibility study has very recently been reported by Jolstedt et al [ 15 ], where an evidence-based iCBT program for anxiety was implemented in a small sample (N=20) of anxious children in an outpatient clinic in Sweden.…”

Section: Introductionmentioning

confidence: 99%

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Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study

March¹,

Spence²,

Donovan³

et al. 2018

J Med Internet Res

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BackgroundInternet-based cognitive behavioral therapy (iCBT) for child and adolescent anxiety has demonstrated efficacy in randomized controlled trials, but it has not yet been examined when disseminated as a public health intervention. If effective, iCBT programs could be a promising first-step, low-intensity intervention that can be easily accessed by young people.ObjectiveThe objective of our study was to examine the feasibility and acceptability of a publicly available online, self-help iCBT program (BRAVE Self-Help) through exploration of program adherence, satisfaction, and changes in anxiety.MethodsThis study was an open trial involving the analysis of data collected from 4425 children and adolescents aged 7-17 years who presented with elevated anxiety at registration (baseline) for the iCBT program that was delivered through an open-access portal with no professional support. We assessed the program satisfaction via a satisfaction scale and measured adherence via the number of completed sessions. In addition, anxiety severity was assessed via scores on the Children’s Anxiety Scale, 8-item (CAS-8) at four time points: baseline, Session 4, Session 7, and Session 10.ResultsParticipants reported moderate satisfaction with the program and 30% completed three or more sessions. Statistically significant reductions in anxiety were evident across all time points for both children and adolescents. For users who completed six or more sessions, there was an average 4-point improvement in CAS-8 scores (Cohen d=0.87, children; Cohen d=0.81, adolescents), indicating a moderate to large effect size. Among participants who completed nine sessions, 57.7% (94/163) achieved recovery into nonelevated levels of anxiety and 54.6% (89/163) achieved statistically reliable reductions in anxiety.ConclusionsParticipant feedback was positive, and the program was acceptable to most young people. Furthermore, significant and meaningful reductions in anxiety symptoms were achieved by many children and adolescents participating in this completely open-access and self-directed iCBT program. Our results suggest that online self-help CBT may offer a feasible and acceptable first step for service delivery to children and adolescents with anxiety.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study

March¹,

Spence²,

Donovan³

et al. 2018

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

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“…After the end of the workshop, the paper has been finalized by means of an open online document combined with email conversations and Skype meetings. The trustworthiness and credibility of such a collaborative approach to the analysis of data and scientific writing has earlier been applied by some of the participating researchers (Hill et al 2018;Jandrić 2019;Jandrić et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Critical Imaginaries and Reflections on Artificial Intelligence and Robots in Postdigital K-12 Education

et al. 2019

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It is commonly suggested that emerging technologies will revolutionize education. In this paper, two such emerging technologies, artificial intelligence (AI) and educational robots (ER), are in focus. The aim of the paper is to explore how teachers, researchers and pedagogical developers critically imagine and reflect upon how AI and robots could be used in education. The empirical data were collected from discussion groups that were part of a symposium. For both AI and ERs, the need for more knowledge about these technologies, how they could preferably be used, and how the emergence of these technologies might affect the role of the teacher and the relationship between teachers and students, were outlined. Many participants saw more potential to use AI for individualization as compared with ERs. However, there were also more concerns, such as ethical issues and economic interests, when discussing AI. While the researchers/developers to a greater extent imagined ideal future technology-rich educational practices, the practitioners were more focused on imaginaries grounded in current practice.

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“…Service user involvement has been encouraged in Government policy for over 15 years (Department of Health andSocial Care, 2005, 2006; European Group on Ethics in Science and New Technologies, 2015) but is rarely achieved or well described, especially at the initial stages of trials (Briel et al, 2016;O'Cathain, Thomas, Drabble, Rudolph, & Hewison, 2013). One of the key challenges is how to support service users' participation in the research process in a truly meaningful way (Hill et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Co‐designing a virtual world with young people to deliver social cognition therapy in early psychosis

Realpe

Elahi

Bucci

et al. 2019

Early Intervention Psych

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Aims: Co-design implies genuine partnership in the generation of knowledge between service users and researchers. Service user involvement in research has been encouraged in government policy, but it is rarely achieved, especially at trial initial stages. Co-designed with service users, we adapted existing manualised social cognition intervention for people with a first episode of psychosis to a virtual world environment. Methods:We invited a group of young people who have used mental health services to codesign a virtual environment to deliver an accessible social cognition intervention to a hard to engage service user group. We used an iterative process with young service users and the design team that included developing initial ideas, creating a prototype and testing the virtual world. Results: Twenty young service users of local mental healthcare services provided feedback on the design and delivery of the intervention. Reflecting the demographic of the sample, young people felt the virtual environment should be familiar, urban spaces, akin to therapy rooms or classrooms they have used in real-life situations rather than non-traditional therapy spaces that were initially proposed. Conclusion: The co-design process led to the development of a specific design, approach and protocol to be tested in a proof-of-concept trial. Young service users were integral to an agile and iterative design. Technological innovations should be routinely co-designed and coproduced if they are to realise their potential to deliver acceptable and affordable mental health interventions. K E Y W O R D S co-design, first episode psychosis, psychosis, social cognition therapy, virtual worlds, young people

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Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: A consensus statement with recommendations from the #iCBTLorentz Workshop Group

Cited by 42 publications

References 76 publications

Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study

Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study

Critical Imaginaries and Reflections on Artificial Intelligence and Robots in Postdigital K-12 Education

Co‐designing a virtual world with young people to deliver social cognition therapy in early psychosis

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