title: Computerized CBT (Think, Feel, Do) for depression and anxiety in children and adolescents: outcomes and feedback from a pilot randomized controlled trial.
abstract: BACKGROUND
  Research has demonstrated the effectiveness of computerized cognitive behaviour therapy (cCBT) for depression and anxiety in adults, but there has been little work with children and adolescents.
  
  
  OBJECTIVE
  To describe the development of a cCBT intervention (Think, Feel, Do) for young people, and preliminary outcomes and feedback from a pilot randomized controlled trial.
  
  
  METHODS
  Twenty participants aged 11 to 16 with depression or anxiety were randomized to receive cCBT immediately or after a delay. Standardized measures were used to assess self-reported anxiety, depression, self-esteem and cognitions, as well as parent rated strengths and difficulties. A feedback form was also completed to assess young people's views of the programme.
  
  
  RESULTS
  A total of 15 participants completed the pre and post assessments in the trial, and 17 provided feedback on the intervention. Paired samples t-tests demonstrated significant improvements on 3 subscales in the control condition, compared to 7 subscales in the cCBT condition. Feedback showed moderate to high satisfaction for participants.
  
  
  CONCLUSIONS
  This study provides encouraging preliminary results for the effectiveness and acceptability of cCBT with this age group.
authors.affiliation: Mental Health Research and Development Unit (MHRDU), School for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK. p.stallard@bath.ac.uk
authors.forename: Paul
authors.initials: P
authors.lastname: Stallard
authors.forename: Thomas
authors.initials: T
authors.lastname: Richardson
authors.forename: Sophie
authors.initials: S
authors.lastname: Velleman
authors.forename: Megan
authors.initials: M
authors.lastname: Attwood
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003196:Computer Graphics; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004644:Emotions; D005246:Feedback; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010555:Personality Inventory / Q000706:statistics & numerical data; D010865:Pilot Projects; D011594:Psychometrics; D012649:Self Concept; D012984:Software; D013813:Therapy, Computer-Assisted / Q000379:methods*; D013850:Thinking; D014741:Video Recording