BIP in Jämtland Härjedalen: Increased Access to CBT Within Regular Health Care in Northern Sweden (BIPBJÖRN)

Increased Access to Psychological Treatment for Children and Adolescents Through Internet-delivered CBT - a Pragmatic Evaluation Within Regular Health Care in a Rural Area of Sweden

The purpose of this study is to test internet-delivered cognitive behavior therapy for children and adolescents with anxiety disorders and obsessive-compulsive disorder in a routine clinical setting in a rural part of Sweden.

Aim The aim of this study is to conduct a pragmatic evaluation of ICBT for children and adolescents with anxiety disorders and OCD within routine health care in a rural area. Research questions Is ICBT an acceptable method for the patient group? Is ICBT effective in a clinical setting? Is further treatment needed after ICBT? What are the long-term effects of ICBT? What predicts treatment outcome? How does ICBT work in a clincal setting? (time spent, negative effects etc)? Design This is a uncontrolled intervention study where included families and children will be recruited consecutively during two years from a routine care CAMHS unit. All participants will be offered ICBT and assessed pre- and post-treatment, and at three-month follow-up through clinician ratings and self-report measures. The primary outcome measure is clinician rated severity of principal disorder at three-month follow-up. Long-term results will be assessed through study of medical records two years after completed ICBT.

Inclusion Criteria: Fulfills diagnostic criteria for an anxiety disorder or OCD Access to a computer and internet connection Read and speak Swedish Exclusion Criteria: ICBT is currently not assessed to be a suitable treatment Acute psychiatric problem (eg. severe depression or suicidality) Current psychosocial problems in the family (i.e substance abuse, abuse, neglect)