Predictors of dropout, time spent on the program and client satisfaction in an internet-based, telephone-assisted CBT anxiety program among elementary school children in a population-based sample.

Increasing evidence has shown that childhood anxiety can be effectively treated by Internet-based cognitive behavioral therapy (ICBT). Being able to predict why participants decide to drop out of such programs enables scarce resources to be used appropriately. The aim of this study was to report dro...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 1; pp. 249 - 259
Autores principales: Kaajalaakso, Katri, Luntamo, Terhi, Korpilahti-Leino, Tarja, Ristkari, Terja, Hinkka-Yli-Salomäki, Susanna, Sourander, Andre
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-024-02486-8
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        atl: Predictors of dropout, time spent on the program and client satisfaction in an internet-based, telephone-assisted CBT anxiety program among elementary school children in a population-based sample.
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        au:
          Kaajalaakso, Katri
          Luntamo, Terhi
          Korpilahti-Leino, Tarja
          Ristkari, Terja
          Hinkka-Yli-Salomäki, Susanna
          Sourander, Andre
        affil: https://ror.org/05dbzj528 Child psychiatry, University of Turku, Turku University Hospital, Turku, Finland
      sug:
        subj:
          Telehealth
          Anxiety Disorders Psychosocial Factors
          Anxiety Disorders Therapy
          Cognitive Therapy Methods
          Internet-Based Intervention
          Parents Psychosocial Factors
          Patient Dropouts Psychosocial Factors
          Students, Elementary
          School Health Services
          Time
          Patient Satisfaction
          Personal Satisfaction
          Risk Assessment
          Human
          Male
          Female
          Child
          Adolescence
          Finland
          Adult
          Middle Age
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Increasing evidence has shown that childhood anxiety can be effectively treated by Internet-based cognitive behavioral therapy (ICBT). Being able to predict why participants decide to drop out of such programs enables scarce resources to be used appropriately. The aim of this study was to report dropout predictors for a population-based ICBT intervention aimed at children with anxiety, together with the time they and their parents spent on the program and client satisfaction rates. The study focused on 234 Finnish children aged 10–13 who received an ICBT intervention, with telephone support, for anxiety symptoms, as a part of a randomized control trial. Their parents also had access to Internet-based material and participated in the weekly telephone calls with the coach. Possible drop out factors were explored and these included various family demographics, child and parent psychopathology and therapeutic alliance. Just under a fourth (23.9%) of the children dropped out of the intervention. The risk was higher if the child did not fulfill the criteria for any anxiety diagnosis or reported a poorer therapeutic alliance. Family demographics and the COVID-19 pandemic did not increase the risk. The families spent an average of 127 min on the webpage each week and an average of 32 min on the phone calls. The overall satisfaction with the program was 87% for the children and 95% for the parents. Both the children and the parents found the telephone calls helpful. These findings are important in clinical practice when assessing a family's eligibility for ICBT.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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