Strongest Families (Formerly Family Help Program): Pediatric Anxiety (FHP-ANX)
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Purpose
The purpose of the Strongest Families (formerly Family Help Program)is to evaluate the effectiveness of the Strongest Families distance intervention compared to usual or standard care that is typically provided to children with mild to moderate Anxiety symptomology. This is a single-center trial based at the IWK Health Center. The primary outcome is change in diagnosis.
| Condition | Intervention | Phase |
|---|---|---|
|
Anxiety Disorder |
Behavioral: Strongest Families (formerly Family Help Program): Anxiety Program |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Strongest Families (Formerly Family Help Program): Primary Care Delivery by Telephone for Psychological and Behavioural Problems (Pediatric Anxiety) |
- Diagnosis using KSADS [ Time Frame: baseline, 120, 240 and 365 day follow-up. ] [ Designated as safety issue: No ]
- Symptomology frequency as evidenced by diary data; [ Time Frame: daily during treatment; 3 weeks on follow-up at 240 & 365 day post randomization ] [ Designated as safety issue: No ]
- Anxiety specific measure (MASC- self-report); [ Time Frame: baseline, 120, 240 and 365 day follow-up ] [ Designated as safety issue: No ]
- Disability Measure; [ Time Frame: weekly during treatment; baseline, 120, 240 and 365 day follow-up ] [ Designated as safety issue: No ]
- Child Health Questionnaire [ Time Frame: baseline, 120, 240 and 365 day follow-up ] [ Designated as safety issue: No ]
- Economic Outcome assessment [ Time Frame: baseline, 120, 240 and 365 day follow-up ] [ Designated as safety issue: No ]
| Enrollment: | 91 |
| Study Start Date: | August 2003 |
| Study Completion Date: | April 2008 |
| Primary Completion Date: | September 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment
50% random assignment to receive Family Help Anxiety Treatment
|
Behavioral: Strongest Families (formerly Family Help Program): Anxiety Program
Evidence-based psychological and behavioural distance intervention
Other Name: Strongest Families (formerly Family Help Program)
|
|
Experimental: Control
50% random assignment to control group to receive usual/standard care for anxiety
|
Behavioral: Strongest Families (formerly Family Help Program): Anxiety Program
Evidence-based psychological and behavioural distance intervention
Other Name: Strongest Families (formerly Family Help Program)
|
Detailed Description:
The purpose of the Strongest Families (formerly Family Help Program)is to deliver, primary care mental health services to children and their families in the comfort and privacy of their own home. Approximately 128 children (6-12 years of age)suffering from mild to moderate (but clinically significant) symptoms of pediatric anxiety will be randomized.
The intervention is delivered from a distance, using educational materials (manuals, video-tapes, audio-tapes) and telephone consultation with a trained paraprofessional "coach" who is supervised by a licensed health care professional. The telephone coach delivers consistent care based on written protocols, with on-going evaluation by a professional team.
Fifty percent of the eligible participants will receive Strongest Families (formerly Family Help Program) telephone-based treatment and 50% will be referred back to their family physician to receive standard care as determined by that physician. Those receiving standard care will be evaluated for outcome results and then compared to the Family Help treated participants. It is anticipated that Family Help treatment will be proven to be as or more effective than standard care.
Eligibility| Ages Eligible for Study: | 6 Years to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- child 6 to 12 years of age
- child had Anxiety symptoms for 6 months or longer
- access to a telephone in the home
- speak and write english
- mild to moderate anxiety symptomology
Exclusion Criteria:
- severe anxiety symptomology
- received similar intervention within past 6 months
- excessive anxiety following a significant traumatic event
Contacts and Locations| Canada, Nova Scotia | |
| IWK Health Centre | |
| Halifax, Nova Scotia, Canada, B3K 6R8 | |
| Principal Investigator: | Patrick J McGrath, PhD. | IWK Health Centre |
More Information
Additional Information:
Publications:
| Responsible Party: | IWK Health Centre |
| ClinicalTrials.gov Identifier: | NCT00267566 History of Changes |
| Other Study ID Numbers: | 2234a, CIHR CAHR-43273 |
| Study First Received: | December 19, 2005 |
| Last Updated: | December 13, 2012 |
| Health Authority: | Canada: Canadian Institutes of Health Research |
Additional relevant MeSH terms:
|
Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 17, 2013