Does the Delivery of CBT for Youth Anxiety Differ Across Research and Practice Settings?☆
Section snippets
Participants and Study Sites
Participants for the study included 89 youth participants from two randomized controlled trials conducted by separate research groups. Recorded treatment sessions (both audio and video) were analyzed for this study. Inclusion criteria for these recordings included: (a) a minimum of two audible sessions, and (b) received treatment from a single therapist (see Kendall et al., 2008, and Southam-Gerow et al., 2010, for more details on the participants and procedures). The youth were aged 7–15 years
Results
We first conducted sample bias analyses to examine whether our subsamples represented the full samples from the parent studies. One significant difference was found. Compared to the parent study, there was a lower percentage of African-American youth (0.00% vs. 16.70%) and a higher percentage of Caucasian youth (41.20% vs. 29.20%) in our YAS-ICBT group, χ2(3, n = 24) = 11.53, p = .009. As reported in Table 1, we also examined differences between groups (ICBT, YAS-ICBT, YAS-UC) on youth
Discussion
Does the delivery of the same treatment program, ICBT for youth anxiety, differ across research and practice settings? Therapists trained and supervised in the same ICBT program across both settings delivered similar patterns of intervention dosages (i.e., delivered strongest dosage of cognitive-behavioral interventions, followed by client-centered, family, and psychodynamic interventions), whereas therapists not trained in the ICBT program and providing UC delivered a distinct pattern of
Conflict of Interest Statement
The authors declare that there are no conflicts of interest.
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Preparation of this article was supported by a grant from the National Institute of Mental Health (RO1 MH86529; McLeod & Southam-Gerow).