11/3/2023 0 Comments Brave onlineCompletion rates and program satisfaction were comparable for adolescent participants. No differences between BRAVE Online and BRAVE Clinic were detected. At 12-month follow-up, participants receiving either the Online and Clinic versions of BRAVE had continued improvement in anxiety symptoms. At the 12-week follow-up, significantly fewer participants receiving BRAVE Clinic or BRAVE Online met criteria for anxiety disorders.ÂÂ These participants also had significantly greater improvements in anxiety severity and overall functioning. Only the participants assigned to BRAVE Online or BRAVE Clinic completed the 6-month and 12-month assessments. All participants completed baseline and 12-week follow-up assessments. The waitlist control group received no treatment. Both BRAVE programs included the same number of sessions and content, but differed in delivery format. After completing phone and online screening and assessment, those diagnosed with a current anxiety disorder (N=115) were randomly assigned to BRAVE Online, BRAVE Clinic, or a waitlist control. Adolescents with anxiety disorders were recruited through media advertisements and referrals from mental health professionals. Summary: Online (BRAVE Online) and the clinic-based (BRAVE Clinic) versions of the BRAVE program were compared in a randomized controlled trial. Journal of Consulting and Clinical Psychology. Spence SH, Donovan CL, March S, Gamble A, Anderson RE, Prosser S, Kenardy J. A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety.Engagement with the program was low, however, and future research should examine facilitators and barriers to program use. Take Away: Study demonstrated preliminary efficacy for BRAVE Online in reducing youth self-reported anxiety symptom severity relative to no treatment. For young people that completed BRAVE Online, anxiety symptoms continued to improve from the 10-week to 6-month follow-up. There was a significantly greater improvement in self-reported anxiety severity in the BRAVE Online condition relative to control. Changes in clinician-rated anxiety severity were comparable between the BRAVE Online and waitlist control groups at 10 weeks. The proportion of children meeting criteria for any anxiety disorders decreased significantly from baseline to 10-weeks, but did not differ significantly between conditions. At the 10-week follow-up only 33% of children and 60% of parents had completed BRAVE Online. While all participants completed a baseline assessment and a 10-week follow-up, only participants receiving BRAVE Online completed a 6-month follow-up. Children meeting diagnostic criteria for anxiety disorders (N=73) were randomized to BRAVE Online or to a waitlist control group. Youth and parents completed anxiety screening questionnaires online and were assessed over the phone by a clinician. Summary: In this randomized controlled trial of BRAVE Online, children (7-12 years) were referred to the study website by parents, teachers, and guidance counselors.
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