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The Efficacy of an Internet-Based Cognitive-Behavioral Therapy Intervention for Child Anxiety Disorders
Open accessAbstract
OBJECTIVE: To evaluate the efficacy of an Internet-based cognitive-behavioral therapy (CBT) approach to the treatment of child anxiety disorders. METHODS: Seventy-three children with anxiety disorders, aged 7-12 years, and their parents were randomly assigned to either an Internet-based CBT (NET) or wait-list (WL) condition. Clinical diagnostic assessment and parent and child questionnaires were completed before and after treatment. The NET condition was reassessed at 6-month follow-up. RESULTS: At posttreatment assessment, children in the NET condition showed small but significantly greater reductions in anxiety symptoms and increases in functioning than WL participants. These improvements were enhanced during the 6-month follow-up period, with 75% of NET children free of their primary diagnosis. CONCLUSIONS: Internet delivery of CBT for child anxiety offers promise as a way of increasing access to treatment for this population. Future research is needed to examine ways to increase treatment compliance and further enhance the impact of treatment.
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“Internet-based cognitive behavioral therapy (iCBT) for child and adolescent anxiety has demonstrated efficacy in randomized controlled trials”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“The demonstrated effect sizes for reductions in anxiety from the baseline to Session 9 in this study (Cohen d=0.83-1.01) are similar to the effect sizes observed in previous RCTs (Cohen d=0.91-1.23 for the full Spence Children’s Anxiety Scale) [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“Thus, the sample was somewhat less severe than those examined in previous RCTs of iCBT for child anxiety [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“our previous research has demonstrated high consumer acceptability and satisfaction [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“Interestingly, satisfaction reported by users of this self-help version of the program was highly similar and in some cases, higher than that reported by youth participating in the therapist-assisted version of the program in our previous randomized controlled trials (RCTs; child program, mean satisfaction rating 3.6/5) [10] (adolescent program, mean satisfaction rating 3.53/5) [11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“However, there was a slightly higher proportion of females (61%) in this study than in previous trials that had a more even gender distribution [10,11].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
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“The evidence base for the therapist-assisted program is strong [9-12], and the program is recognized internationally as the only “probably efficacious” iCBT intervention for childhood anxiety [13].”
From Large-scale dissemination of internet-based cognitive behavioral therapy for youth anxiety: Feasibility and acceptability study (2018) · cites this paper as [10]
Experimental — accuracy not yet measuredIn the citing paper
“Of the 15 studies that mention adapting the design of the intervention to increase adherence, 8 studies do so without any theoretical basis or reference [64-71]”
From Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions (2012) · cites this paper as [66]
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Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
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Metadata
- Authors
- March, S., Spence, S. H., & Donovan, C. L.
- Affiliations
- The University of Queensland (AU)
- Griffith University (AU)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-09-15
- Volume
- 34
- Issue
- 5
- Pages
- 474-487
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2123809053
- Cited by
- 315
- References
- 52
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 14 · 2023: 12 · 2022: 11 · 2021: 19 · 2020: 15 · 2019: 24 · 2018: 16 · 2017: 28 · 2016: 24 · 2015: 27 · 2014: 31 · 2013: 20 · 2012: 21
- FWCI
- 14.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- Medical Research Council
- National Health and Medical Research Council
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- internet-based cognitive behavioral therapy, childhood anxiety disorders, childhood anxiety, treatment efficacy, waitlist control, parental involvement, medication adherence, access to mental health care, symptom relief, functioning
- MeSH terms
- Anxiety Disorders, Child, Female, Follow-Up Studies, Humans, Male, Parents, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome, Internet
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