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Streamlined Prevention and Early Intervention for Pediatric Anxiety Disorders: A Randomized Controlled Trial

  • Armando A. PinaEmail author
  • Nancy A. Gonzales
  • Gina L. Mazza
  • Heather J. Gunn
  • Lindsay E. Holly
  • Ryan D. Stoll
  • Julia Parker
  • Amanda Chiapa
  • Henry Wynne
  • Jenn-Yun Tein
Article
  • 17 Downloads

Abstract

There is a need to optimize the fit between psychosocial interventions with known efficacy and the demands of real-word service delivery settings. However, adaptation of evidence-based interventions (EBI) raises questions about whether effectiveness can be retained. This randomized controlled trial (RCT) evaluated a streamlined package of cognitive, behavior, and social skills training strategies known to prevent and reduce anxiety symptom and disorder escalation in youth. A total of 109 youth (Mage = 9.72; 68% girls; 54% Latinx) at risk based on high anxiety were randomized to the streamlined prevention and early intervention (SPEI) (n = 59) or control (n = 50) and were assessed at pretest, posttest, and 12-month follow-up. A main objective was to determine whether our redesign could be delivered by community providers, with acceptable levels of fidelity, quality, and impact. In terms of process evaluation results, there was high protocol fidelity, excellent clinical process skills, few protocol adaptations, and high satisfaction with the SPEI. In terms of outcomes, there were no significant main or moderated effects of the SPEI at the immediate posttest. However, at the follow-up, youth in the SPEI reported greater self-efficacy for managing anxiety-provoking situations, greater social skills, and fewer negative cognitive errors relative to controls. Collectively, findings suggest that the redesigned SPEI might be an attractive and efficient solution for service delivery settings.

Keywords

Prevention Anxiety Children Latinx Hybrid-1 effectiveness 

Notes

Funding Information

This work was supported in part by grant number K01MH086687 awarded to A. Pina from the National Institute of Mental Health.

Compliance with Ethical Standards

The content is solely the responsibility of the authors and does not represent the official views of the funding agency. All study procedures and measures were reviewed and approved by the Institutional Review Board. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Society for Prevention Research 2020

Authors and Affiliations

  1. 1.Department of PsychologyArizona State UniversityTempeUSA
  2. 2.Department of PsychologyMarquette UniversityMilwaukeeUSA

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