title: A RANDOMIZED CONTROLLED TRIAL IN COMMUNITY MENTAL HEALTH CENTERS OF COMPUTER-ASSISTED COGNITIVE BEHAVIORAL THERAPY VERSUS TREATMENT AS USUAL FOR CHILDREN WITH ANXIETY.
abstract: OBJECTIVE
  This study aims to examine the real-world effectiveness of a computer-assisted cognitive behavioral therapy (CBT) protocol relative to treatment as usual (TAU) among anxious children presenting at community mental health centers.
  
  
  METHODS
  One hundred children (7-13 years) with clinically significant anxiety were randomized to receive either 12 weekly computer-assisted CBT sessions or TAU for an equivalent duration. Assessments were conducted by independent evaluators at screening/baseline, midtreatment, posttreatment, and 1-month followup (for computer-assisted CBT treatment responders).
  
  
  RESULTS
  There were significant between-group effects favoring the computer-assisted CBT condition on primary anxiety outcomes. Thirty of 49 (61.2%) children randomized to computer-assisted CBT responded to treatment, which was superior to TAU (6/51, 11.8%). Relative to TAU, computer-assisted CBT was associated with greater reductions in parent-rated child impairment and internalizing symptoms, but not child-rated impairment and anxiety and depressive symptoms. Treatment satisfaction and therapeutic alliance in those receiving computer-assisted CBT was high. Treatment gains in computer-assisted CBT responders were maintained at 1-month followup.
  
  
  CONCLUSIONS
  Within the limitations of this study, computer-assisted CBT is an effective and feasible treatment for anxious children when used in community mental health centers by CBT-naïve clinicians.
authors.affiliation: Rothman Center for Neuropsychiatry, Department of Pediatrics, University of South Florida, St. Petersburg, Florida.|Department of Health Policy and Management, University of South Florida, St. Petersburg, Florida.|Department of Psychiatry and Behavioral Neurosciences, University of South Florida, St. Petersburg, Florida.|Department of Psychology, University of South Florida, St. Petersburg, Florida.|Rogers Behavioral Health - Tampa Bay, Florida.|Mind-Body Branch, All Children's Hospital - Johns Hopkins Medicine, St. Petersburg, Florida.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
authors.affiliation: School of Social Work, University of South Florida, St. Petersburg, Tampa Bay, Florida.
authors.forename: Alison
authors.initials: A
authors.lastname: Salloum
authors.affiliation: Rothman Center for Neuropsychiatry, Department of Pediatrics, University of South Florida, St. Petersburg, Florida.
authors.forename: Morgan A
authors.initials: MA
authors.lastname: King
authors.affiliation: Department of Psychology, Temple University, Philadelphia, Pennsylvania.
authors.forename: Erika A
authors.initials: EA
authors.lastname: Crawford
authors.affiliation: School of Aging Studies, University of South Florida, St. Petersburg, Florida.
authors.forename: Ross
authors.initials: R
authors.lastname: Andel
authors.affiliation: Rothman Center for Neuropsychiatry, Department of Pediatrics, University of South Florida, St. Petersburg, Florida.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: McBride
authors.affiliation: Rothman Center for Neuropsychiatry, Department of Pediatrics, University of South Florida, St. Petersburg, Florida.|Department of Psychiatry and Behavioral Neurosciences, University of South Florida, St. Petersburg, Florida.|Department of Psychology, University of South Florida, St. Petersburg, Florida.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Lewin
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003155:Community Mental Health Centers; D005260:Female; D006801:Humans; D008297:Male; D013813:Therapy, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome
keywords: anxiety; children; community mental health centers; computer-assisted cognitive behavioral therapy; treatment