title: An Open Trial of the Anxiety Action Plan (AxAP): A Brief Pediatrician-Delivered Intervention for Anxious Youth.
abstract: BACKGROUND
  Anxiety disorders in youth are among the most common psychiatric disorders, yet the majority of affected youth do not receive treatment. One approach to improving access to care is identification and intervention within the primary care setting.
  
  
  OBJECTIVE
  This manuscript presents data from a single group pre-post open trial of theAnxiety Action Plan(AxAP), a brief pediatrician-delivered intervention to reduce anxiety in youth who present in the primary care setting.
  
  
  METHODS
  Eleven pediatricians conducted the intervention with 25 youth (mean age 11.16 years; range 6-18 years) with elevated levels of anxiety in their primary care practice setting.
  
  
  RESULTS
  Pediatricians' ratings of theAxAPtraining were positive (mean overall satisfaction was 4.82 on 5 point scale). Pediatricians and parents also reported high levels of intervention satisfaction and acceptability. Parents (but not children) who completed the intervention reported significant reductions from pre- to post-intervention on measures of child anxiety severity, impairment, and caregiver burden (Cohen'sd1.06, .75, .60, respectively).
  
  
  CONCLUSIONS
  Findings suggest that a brief, pediatrician-delivered intervention in primary care settings appears feasible and beneficial to patients. Additional controlled evaluation of the intervention's efficacy is needed.
authors.affiliation: University of Connecticut Health Center Department of Psychiatry Farmington, CT.
authors.forename: Golda S
authors.initials: GS
authors.lastname: Ginsburg
authors.affiliation: The Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Baltimore, Maryland.
authors.forename: Kelly
authors.initials: K
authors.lastname: Drake
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, Maryland.
authors.forename: Heather
authors.initials: H
authors.lastname: Winegrad
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, Maryland.
authors.forename: Kate
authors.initials: K
authors.lastname: Fothergill
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, Maryland.
authors.forename: Larry
authors.initials: L
authors.lastname: Wissow