Optimizing CBT Implementation Among Community Providers Through Internet-based Consultation and Networking (i-CAN)

University of Alabama, Tuscaloosa

Status: Completed

Conditions: CBT; Anxiety

Treatments: Behavioral: i-CAN

Study type: Interventional

Funder types: Other

Identifiers

NCT05580081

A22-0473

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• provide direct mental healthcare to anxious youth
• practice in general community within state of Alabama
• agree to try i-CAN

Exclusion criteria

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

i-CAN

Experimental group

Description:

18 weeks of access to the online consulting platform

Treatment:

Behavioral: i-CAN

waitlist control

No Intervention group

Description:

No offered support or consultation