Computer-Assisted Cognitive Behavioral Therapy for Child Anxiety: Results of a Randomized Clinical Trial

University of Pennsylvania, Department of Psychiatry, 3535 Market Street, Suite 600, Philadelphia, PA 19104, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 10/2010; 78(5):737-45. DOI: 10.1037/a0019739
Source: PubMed


This study examined the feasibility, acceptability, and effects of Camp Cope-A-Lot (CCAL), a computer-assisted cognitive behavioral therapy (CBT) for anxiety in youth.
Children (49; 33 males) ages 7-13 (M = 10.1 ± 1.6; 83.7% Caucasian, 14.2% African American, 2% Hispanic) with a principal anxiety disorder were randomly assigned to (a) CCAL, (b) individual CBT (ICBT), or (c) a computer-assisted education, support, and attention (CESA) condition. All therapists were from the community (school or counseling psychologists, clinical psychologist) or were PsyD or PhD trainees with no experience or training in CBT for child anxiety. Independent diagnostic interviews and self-report measures were completed at pre- and posttreatment and 3-month follow-up.
At posttreatment, ICBT or CCAL children showed significantly better gains than CESA children; 70%, 81%, and 19%, respectively, no longer met criteria for their principal anxiety diagnosis. Gains were maintained at follow-up, with no significant differences between ICBT and CCAL. Parents and children rated all treatments acceptable, with CCAL and ICBT children rating higher satisfaction than CESA children.
Findings support the feasibility, acceptability and beneficial effects of CCAL for anxious youth. Discussion considers the potential of computer-assisted treatments in the dissemination of empirically supported treatments.

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    • ", 2011 ) . Of the two studies of cCBT in children , one was considered to have high therapist input ( Khanna & Kendall , 2010 ) and the other was considered to have some therapist input ( March et al . , 2009 ) . "
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    • "With respect to child anxiety disorders specifically, there has been surprisingly few investigations in this area. Using a CD-Rom approach, Khanna and Kendall (2010) investigated the efficacy of their 'Camp-Cope-a-Lot' program for 7-13 year-old children. These authors found the program to be equally efficacious as face-to-face therapy, with participants reporting high levels of satisfaction with it. "
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    • "By 6-month follow-up, when 62% of children had completed all sessions, 75% of recruited participants were free of their primary diagnosis. Khanna and Kendall32 found Camp-Cope-A-Lot to be as effective as face-to-face CBT; 81% were free of their primary diagnosis at post-treatment with progress maintained at 3-month follow-up. "
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