title: Evaluation of therapist-supported parent-implemented CBT for anxiety disorders in rural children.
abstract: Supplementing bibliotherapy with therapist-client communication has been shown to be an effective way of providing services to under-resourced and isolated communities. The current study examined the efficacy of supplementing bibliotherapy for child anxiety disorders with therapist-initiated telephone or email sessions, or with client-initiated contact in a randomised trial using a waitlist control. Participants were 100 anxiety-disordered children and their parents from rural and remote communities. All treatment conditions resulted in improvement on self-report measures and clinician rated severity. Telephone sessions produced superior outcomes with 79% of children being anxiety disorder free post-treatment compared with 33% of email and 31% of client-initiated participants. The results suggest that therapist supplemented bibliotherapy could provide an efficacious treatment option for families isolated from traditional treatment services.
authors.affiliation: Macquarie University Anxiety Research Unit, Department of Psychology, Macquarie University, Sydney NSW 2109, Australia. heidi.lyneham@psy.mq.edu.au
authors.forename: Heidi J
authors.initials: HJ
authors.lastname: Lyneham
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Rapee
mesh_terms: D001008:Anxiety Disorders / Q000175:diagnosis / Q000628:therapy*; D001638:Bibliotherapy / Q000379:methods*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales; D019114:Remote Consultation / Q000379:methods; D012423:Rural Health; D012959:Socioeconomic Factors