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dc.creatorSilk, Jennifer S.
dc.creatorPramana, Gede
dc.creatorSequeira, Stefanie L.
dc.creatorLindheim, Oliver
dc.creatorKendall, Philip C.
dc.creatorRosen, Dana
dc.creatorParmanto, Bambang
dc.date.accessioned2022-07-27T14:59:51Z
dc.date.available2022-07-27T14:59:51Z
dc.date.issued2019-06-19
dc.identifier.citationSilk, J. S., Pramana, G., Sequeira, S., Lindhiem, O., Kendall, P. C., Rosen, D., & Parmanto, B. (2019). Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders. Behavior Therapy, 51(1), 69-84. https://doi.org/10.1016/j.beth.2019.05.002
dc.identifier.issn0005-7894
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/7925
dc.identifier.urihttp://hdl.handle.net/20.500.12613/7953
dc.description.abstractCognitive behavioral therapy (CBT) is an efficacious treatment for child anxiety disorders, but 40-50% of youth do not respond fully to treatment, and time commitments for standard CBT can be prohibitive for some families and lead to long waiting lists for trained CBT therapists in the community. SmartCAT 2.0 is an adjunctive mobile health program designed to improve and shorten CBT treatment for anxiety disorders in youth by providing them with the opportunity to practice CBT skills outside of session using an interactive and gamified interface. It consists of an app and an integrated clinician portal connected to the app for secure 2-way communication with the therapist. The goal of the present study was to evaluate SmartCAT 2.0 in an open trial to establish usability, feasibility, acceptability, and preliminary efficacy of brief (8 sessions) CBT combined with SmartCAT. We also explored changes in CBT skills targeted by the app. Participants were 34 youth (ages 9-14) who met DSM-5 criteria for generalized, separation, and/or social anxiety disorder. Results demonstrated strong feasibility and usability of the app/portal and high satisfaction with the intervention. Youth used the app an average of 12 times between each therapy session (M = 5.8 mins per day). At post-treatment, 67% of youth no longer met diagnostic criteria for an anxiety disorder, with this percentage increasing to 86% at two-month follow-up. Youth showed reduced symptom severity over time across raters and also improved from pre- to post-treatment in CBT skills targeted by the app, demonstrating better emotion identification and thought challenging and reductions in avoidance. Findings support the feasibility of combining brief CBT with SmartCAT. Although not a controlled trial, when benchmarked against the literature, the current findings suggest that SmartCAT may enhance the utility of brief CBT for childhood anxiety disorders. This paper is currently in press in Behavior Therapy.
dc.format.extent40 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartBehavior Therapy, Vol. 51, Iss. 1
dc.relation.isreferencedbyElsevier
dc.relation.isreferencedby© This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rightsAttribution-NonCommercial CC BY-NC
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectChild anxiety treatment
dc.subjectEgological momentary intervention
dc.subjectCognitive behavioral therapy
dc.subjectSmartphone
dc.subjectMobile health
dc.titleUsing a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders
dc.typeText
dc.type.genrePost-print
dc.description.departmentPsychology and Neuroscience
dc.relation.doihttps://doi.org/10.31234/osf.io/pyeq4
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Liberal Arts
dc.creator.orcidKendall|0000-0001-7034-6961
dc.temple.creatorKendall, Philip C.
refterms.dateFOA2022-07-27T14:59:51Z


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