One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial / Barry WRIGHT in Journal of Child Psychology and Psychiatry, 64-1 (January 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.39-49 Titre : One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Barry WRIGHT, Auteur ; Lucy TINDALL, Auteur ; Alexander J. SCOTT, Auteur ; Ellen LEE, Auteur ; Cindy COOPER, Auteur ; Katie BIGGS, Auteur ; Penny BEE, Auteur ; Han-I WANG, Auteur ; Lina GEGA, Auteur ; Emily HAYWARD, Auteur ; Kiera SOLAIMAN, Auteur ; M. Dawn TEARE, Auteur ; Thompson E. III DAVIS, Auteur ; Jon WILSON, Auteur ; Karina LOVELL, Auteur ; Dean MCMILLAN, Auteur ; Amy BARR, Auteur ; Hannah EDWARDS, Auteur ; Jennifer LOMAS, Auteur ; Chris TURTLE, Auteur ; Steve PARROTT, Auteur ; Catarina TEIGE, Auteur ; Tim CHATER, Auteur ; Rebecca HARGATE, Auteur ; Shezhad ALI, Auteur ; Sarah PARKINSON, Auteur ; Simon GILBODY, Auteur ; David MARSHALL, Auteur Article en page(s) : p.39-49 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background 5%-10% children and young people (CYP) experience specific phobias that impact daily functioning. Cognitive Behaviour Therapy (CBT) is recommended but has limitations. One Session Treatment (OST), a briefer alternative incorporating CBT principles, has demonstrated efficacy. The Alleviating Specific Phobias Experienced by Children Trial (ASPECT) investigated the non-inferiority of OST compared to multi-session CBT for treating specific phobias in CYP. Methods ASPECT was a pragmatic, multi-center, non-inferiority randomized controlled trial in 26 CAMHS sites, three voluntary agency services, and one university-based CYP well-being service. CYP aged 7-16 years with specific phobia were randomized to receive OST or CBT. Clinical non-inferiority and a nested cost-effectiveness evaluation was assessed 6-months post-randomization using the Behavioural Avoidance Task (BAT). Secondary outcome measures included the Anxiety Disorder Interview Schedule, Child Anxiety Impact Scale, Revised Children's Anxiety Depression Scale, goal-based outcome measure, and EQ-5DY and CHU-9D, collected blind at baseline and six-months. Results 268 CYPs were randomized to OST (n=134) or CBT (n=134). Mean BAT scores at 6 months were similar across groups in both intention-to-treat (ITT) and per-protocol (PP) populations (CBT: 7.1 (ITT, n=76), 7.4 (PP, n=57), OST: 7.4 (ITT, n=73), 7.6 (PP, n=56), on the standardized scale-adjusted mean difference for CBT compared to OST -0.123, 95% CI â’0.449 to 0.202 (ITT), mean difference â’0.204, 95% CI â’0.579 to 0.171 (PP)). These findings were wholly below the standardized non-inferiority limit of 0.4, suggesting that OST is non-inferior to CBT. No between-group differences were found on secondary outcomes. OST marginally decreased mean service use costs and maintained similar mean Quality Adjusted Life Years compared to CBT. Conclusions One Session Treatment has similar clinical effectiveness to CBT for specific phobias in CYP and may be a cost-saving alternative. En ligne : https://doi.org/10.1111/jcpp.13665 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial [Texte imprimé et/ou numérique] / Barry WRIGHT, Auteur ; Lucy TINDALL, Auteur ; Alexander J. SCOTT, Auteur ; Ellen LEE, Auteur ; Cindy COOPER, Auteur ; Katie BIGGS, Auteur ; Penny BEE, Auteur ; Han-I WANG, Auteur ; Lina GEGA, Auteur ; Emily HAYWARD, Auteur ; Kiera SOLAIMAN, Auteur ; M. Dawn TEARE, Auteur ; Thompson E. III DAVIS, Auteur ; Jon WILSON, Auteur ; Karina LOVELL, Auteur ; Dean MCMILLAN, Auteur ; Amy BARR, Auteur ; Hannah EDWARDS, Auteur ; Jennifer LOMAS, Auteur ; Chris TURTLE, Auteur ; Steve PARROTT, Auteur ; Catarina TEIGE, Auteur ; Tim CHATER, Auteur ; Rebecca HARGATE, Auteur ; Shezhad ALI, Auteur ; Sarah PARKINSON, Auteur ; Simon GILBODY, Auteur ; David MARSHALL, Auteur . - p.39-49. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.39-49 Index. décimale : PER Périodiques Résumé : Background 5%-10% children and young people (CYP) experience specific phobias that impact daily functioning. Cognitive Behaviour Therapy (CBT) is recommended but has limitations. One Session Treatment (OST), a briefer alternative incorporating CBT principles, has demonstrated efficacy. The Alleviating Specific Phobias Experienced by Children Trial (ASPECT) investigated the non-inferiority of OST compared to multi-session CBT for treating specific phobias in CYP. Methods ASPECT was a pragmatic, multi-center, non-inferiority randomized controlled trial in 26 CAMHS sites, three voluntary agency services, and one university-based CYP well-being service. CYP aged 7-16 years with specific phobia were randomized to receive OST or CBT. Clinical non-inferiority and a nested cost-effectiveness evaluation was assessed 6-months post-randomization using the Behavioural Avoidance Task (BAT). Secondary outcome measures included the Anxiety Disorder Interview Schedule, Child Anxiety Impact Scale, Revised Children's Anxiety Depression Scale, goal-based outcome measure, and EQ-5DY and CHU-9D, collected blind at baseline and six-months. Results 268 CYPs were randomized to OST (n=134) or CBT (n=134). Mean BAT scores at 6 months were similar across groups in both intention-to-treat (ITT) and per-protocol (PP) populations (CBT: 7.1 (ITT, n=76), 7.4 (PP, n=57), OST: 7.4 (ITT, n=73), 7.6 (PP, n=56), on the standardized scale-adjusted mean difference for CBT compared to OST -0.123, 95% CI â’0.449 to 0.202 (ITT), mean difference â’0.204, 95% CI â’0.579 to 0.171 (PP)). These findings were wholly below the standardized non-inferiority limit of 0.4, suggesting that OST is non-inferior to CBT. No between-group differences were found on secondary outcomes. OST marginally decreased mean service use costs and maintained similar mean Quality Adjusted Life Years compared to CBT. Conclusions One Session Treatment has similar clinical effectiveness to CBT for specific phobias in CYP and may be a cost-saving alternative. En ligne : https://doi.org/10.1111/jcpp.13665 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

The development, feasibility and acceptability of Empower-Autism: A new psychoeducational and psychotherapeutic programme for caregivers of children recently diagnosed with autism / Kathy LEADBITTER ; Louisa HARRISON ; Sophie LANGHORNE ; Ceri ELLIS ; Richard Smallman ; Amelia PEARSON ; Latha HACKETT ; Leo KROLL ; Alison Dunkerley ; Hilary Beach ; June Gilbert ; Amy van Gils ; Tessa Hutton ; Jonathan GREEN ; Penny BEE in Autism, 29-2 (February 2025)  

Public ISBD [article]  inAutism > 29-2 (February 2025) . - p.367-381 Titre : The development, feasibility and acceptability of Empower-Autism: A new psychoeducational and psychotherapeutic programme for caregivers of children recently diagnosed with autism : Autism Type de document : Texte imprimé et/ou numérique Auteurs : Kathy LEADBITTER, Auteur ; Louisa HARRISON, Auteur ; Sophie LANGHORNE, Auteur ; Ceri ELLIS, Auteur ; Richard Smallman, Auteur ; Amelia PEARSON, Auteur ; Latha HACKETT, Auteur ; Leo KROLL, Auteur ; Alison Dunkerley, Auteur ; Hilary Beach, Auteur ; June Gilbert, Auteur ; Amy van Gils, Auteur ; Tessa Hutton, Auteur ; Jonathan GREEN, Auteur ; Penny BEE, Auteur Article en page(s) : p.367-381 Langues : Anglais (eng) Mots-clés : autism  diagnosis  caregivers  support  acceptance  commitment therapy Index. décimale : PER Périodiques Résumé : Caregivers can experience significant challenges following their child?s autism diagnosis and often seek informational, relational and emotional support. Post-diagnostic support for caregivers has received relatively little research attention and represents a significant gap in the international evidence base. We used an iterative codesign process to develop a manualised group-based post-diagnostic programme, Empower-Autism, with associated theory of change, to address the diverse needs of caregivers and improve caregiver mental health. Empower-Autism blended evidence-informed autism psychoeducation with psychotherapeutic components grounded in Acceptance and Commitment Therapy. Three feasibility groups (two in-person and one online) were delivered with 29 clinically referred, socioeconomically diverse caregivers. We evaluated feasibility and acceptability through quantitative attendance and satisfaction data, and thematic analysis of detailed interviews with 17 participants and 5 facilitators. Attendance was satisfactory (76% participants meeting prespecified criteria) and programme satisfaction was good. Qualitative analysis suggested the programme was acceptable and accessible, and highlighted the areas for improvement. Caregivers described perceived benefits from the programme, including improved wellbeing, social connection, autism positivity and more attuned parenting. Empower-Autism is being evaluated within a large randomised controlled trial and, if shown to be clinically and cost-effective, this programme will fill an identified evidence gap in the United Kingdom and global provision. Lay Abstract What is already known about the topic? Parents and carers face many challenges following their child?s autism diagnosis. They often look for information, and social and emotional support. There has been relatively little research into how best to provide this support and this means that there is no evidence to guide the delivery of services. Studies have suggested that an approach called Acceptance and Commitment Therapy can help parents and carers with their adjustment and emotional wellbeing. What does this article add? This article describes the development of a new group-based programme to address the diverse needs of caregivers after their child?s autism diagnosis. The new programme was developed with caregivers, autistic people and professionals. It was called Empower-Autism and contained lots of information about autism and strategies to support autistic children, alongside therapeutic aspects based on Acceptance and Commitment Therapy. The programme was delivered to 29 parents/carers in three groups. Attendance at the groups was satisfactory. Both parents/carers and facilitators liked and valued the programme and found it accessible. They made suggestions for improvements. After the programme, parents and carers described improved wellbeing. They felt more positive and more connected to other people. They also described parenting their child in a more informed and sensitive way. Implications for practice, research or policy The new programme is being tested within a large clinical trial. If there are positive results, the programme could be recommended for delivery and this would address an important gap in evidence-based practice. En ligne : https://dx.doi.org/10.1177/13623613241274566 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547 [article] The development, feasibility and acceptability of Empower-Autism: A new psychoeducational and psychotherapeutic programme for caregivers of children recently diagnosed with autism : Autism [Texte imprimé et/ou numérique] / Kathy LEADBITTER, Auteur ; Louisa HARRISON, Auteur ; Sophie LANGHORNE, Auteur ; Ceri ELLIS, Auteur ; Richard Smallman, Auteur ; Amelia PEARSON, Auteur ; Latha HACKETT, Auteur ; Leo KROLL, Auteur ; Alison Dunkerley, Auteur ; Hilary Beach, Auteur ; June Gilbert, Auteur ; Amy van Gils, Auteur ; Tessa Hutton, Auteur ; Jonathan GREEN, Auteur ; Penny BEE, Auteur . - p.367-381. Langues : Anglais (eng) in Autism > 29-2 (February 2025) . - p.367-381 Mots-clés : autism  diagnosis  caregivers  support  acceptance  commitment therapy Index. décimale : PER Périodiques Résumé : Caregivers can experience significant challenges following their child?s autism diagnosis and often seek informational, relational and emotional support. Post-diagnostic support for caregivers has received relatively little research attention and represents a significant gap in the international evidence base. We used an iterative codesign process to develop a manualised group-based post-diagnostic programme, Empower-Autism, with associated theory of change, to address the diverse needs of caregivers and improve caregiver mental health. Empower-Autism blended evidence-informed autism psychoeducation with psychotherapeutic components grounded in Acceptance and Commitment Therapy. Three feasibility groups (two in-person and one online) were delivered with 29 clinically referred, socioeconomically diverse caregivers. We evaluated feasibility and acceptability through quantitative attendance and satisfaction data, and thematic analysis of detailed interviews with 17 participants and 5 facilitators. Attendance was satisfactory (76% participants meeting prespecified criteria) and programme satisfaction was good. Qualitative analysis suggested the programme was acceptable and accessible, and highlighted the areas for improvement. Caregivers described perceived benefits from the programme, including improved wellbeing, social connection, autism positivity and more attuned parenting. Empower-Autism is being evaluated within a large randomised controlled trial and, if shown to be clinically and cost-effective, this programme will fill an identified evidence gap in the United Kingdom and global provision. Lay Abstract What is already known about the topic? Parents and carers face many challenges following their child?s autism diagnosis. They often look for information, and social and emotional support. There has been relatively little research into how best to provide this support and this means that there is no evidence to guide the delivery of services. Studies have suggested that an approach called Acceptance and Commitment Therapy can help parents and carers with their adjustment and emotional wellbeing. What does this article add? This article describes the development of a new group-based programme to address the diverse needs of caregivers after their child?s autism diagnosis. The new programme was developed with caregivers, autistic people and professionals. It was called Empower-Autism and contained lots of information about autism and strategies to support autistic children, alongside therapeutic aspects based on Acceptance and Commitment Therapy. The programme was delivered to 29 parents/carers in three groups. Attendance at the groups was satisfactory. Both parents/carers and facilitators liked and valued the programme and found it accessible. They made suggestions for improvements. After the programme, parents and carers described improved wellbeing. They felt more positive and more connected to other people. They also described parenting their child in a more informed and sensitive way. Implications for practice, research or policy The new programme is being tested within a large clinical trial. If there are positive results, the programme could be recommended for delivery and this would address an important gap in evidence-based practice. En ligne : https://dx.doi.org/10.1177/13623613241274566 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547

---

1 (1 - 2 / 2)