An important movement supported by the American Psychological Association (APA) and the American Academy of Child and Adolescent Psychiatry (AACAP) is the provision of evidence-based practice (EBP) to youth with mental health needs. However, research suggests that youth do not receive EBP in the community. The school setting may be a preferred service provision setting in which to transport EBP given that youth spend the majority of their time at school and qualified individuals (e.g., school counselors, school psychologists) are available to provide services. The proposed study is a [three-phase] five-year project examining the transportation, implementation, and sustainability of a computer-assisted cognitive-behavioral treatment (CACBT) for youth anxiety. CACBT is a computer-assisted version of cognitive-behavioral treatment for child anxiety, an EBP. The study uses a cohort-sequential design and follows [20] separate schools for three years each within a five-year period, with a total of [80 therapist] participants. Each school will provide at least four individuals (e.g., counselors, social workers, school psychologists, and teachers) who can implement the intervention. [Phase I involves one semester of data collection to determine the prevalence of anxiety disorders in 1st to 4th grade children and document the schools'usual approach for addressing anxiety disorders in children (Treatment-As-Usual: TAU). Phase II involves one semester of training school personnel in the implementation of CACBT. Any child in 1st to 4th grade with distressing anxiety, as assessed by teacher-report via the Behavioral Assessment System for Children, Second Edition, Teacher Rating Scale (BASC-2 TRS), will be invited to participate. Phase III involves two years of data collection to (a) examine the sustainability of the program (i.e., the school's continued use of CACBT and the BASC-2 TRS) and (b) evaluate organizational social context variables as predictors of sustainability of CACBT and the BASC-2 TRS. The outcome of the project will be measured in terms of school personnel's increased use of CACBT and increased identification of youth with distressing anxiety via the BASC-2 TRS. Systems variables (e.g., culture, organizational climate) will be assessed as predictors of sustainability. Exploratory variables (e.g., therapist training, knowledge, adherence, skill) that may differentially affect the transportation of EBP to school settings will also be examined.] The results of the proposed study will inform the field regarding the dissemination, implementation, and sustainability of EBP in the school setting.

Public Health Relevance

The proposed project will improve public health by increasing access to an empirically-supported treatment (cognitive-behavioral therapy for child anxiety). By disseminating this treatment into schools we will not only expand the number of youth who are served by this treatment but also train new personnel to administer it.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Project (R01)
Project #
Application #
Study Section
Special Emphasis Panel (ZRG1-DIRH-J (01))
Program Officer
Chambers, David A
Project Start
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Budget Start
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Temple University
Schools of Arts and Sciences
United States
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Wei, Chiaying; Kendall, Philip C (2014) Child Perceived Parenting Behavior: Childhood Anxiety and Related Symptoms. Child Fam Behav Ther 36:1-18
Wei, Chiaying; Cummings, Colleen M; Villabø, Marianne A et al. (2014) Parenting behaviors and anxious self-talk in youth and parents. J Fam Psychol 28:299-307
Kerns, Connor Morrow; Kendall, Philip C; Berry, Leandra et al. (2014) Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. J Autism Dev Disord 44:2851-61
Settipani, Cara A; O'Neil, Kelly A; Podell, Jennifer L et al. (2013) Youth anxiety and parent factors over time: directionality of change among youth treated for anxiety. J Clin Child Adolesc Psychol 42:9-21
Edmunds, Julie M; Beidas, Rinad S; Kendall, Philip C (2013) Dissemination and Implementation of Evidence-Based Practices: Training and Consultation as Implementation Strategies. Clin Psychol (New York) 20:152-165
Villabo, Marianne A; Cummings, Colleen M; Gere, Martina K et al. (2013) Anxious youth in research and service clinics. J Anxiety Disord 27:16-24
Settipani, Cara A; Kendall, Philip C (2013) Social functioning in youth with anxiety disorders: association with anxiety severity and outcomes from cognitive-behavioral therapy. Child Psychiatry Hum Dev 44:1-18
Kerns, Connor M; Read, Kendra L; Klugman, Joshua et al. (2013) Cognitive behavioral therapy for youth with social anxiety: differential short and long-term treatment outcomes. J Anxiety Disord 27:210-5
Benjamin, Courtney L; Harrison, Julie P; Settipani, Cara A et al. (2013) Anxiety and related outcomes in young adults 7 to 19 years after receiving treatment for child anxiety. J Consult Clin Psychol 81:865-76
Villabo, Marianne; Gere, Martina; Torgersen, Svenn et al. (2012) Diagnostic efficiency of the child and parent versions of the Multidimensional Anxiety Scale for Children. J Clin Child Adolesc Psychol 41:75-85

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