About this trial
This Phase II trial will examine engagement in telehealth for children undergoing psychotherapy. Specifically, the trial will examine patient engagement in Teleo, a virtual therapy platform specifically designed for psychotherapy with youth, as compared to standard video conferencing.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with a mood and/or anxiety disorder
Have proficiency to participate in psychotherapy in English
Scheduled to begin therapy at one of the study sites
RCADS score > 65
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Teleo
Other interventionTherapist-led psychotherapy sessions implemented within the Teleo virtual therapy platform.
Standard Videoconferencing
Other interventionTherapist-led psychotherapy sessions implemented in standard (non-Teleo) video platform.
Treatment groups
Trial outcomes
Primary outcomes
Child Involvement Rating Scale (CIRS)
Observational coding questionnaire designed to assess child engagement in therapy. Consists of 6 items (4 positively-framed, 2 negatively-framed), each on a 0-5 scale. To calculate a summary score, the two negatively-framed items are reverse scored and scores on all six items are averaged. Summary scores range from 0-5, with higher scores representing greater child engagement in therapy.
Secondary outcomes
My Thoughts About Therapy Scale - Caregiver (MTT-CG)
Caregivers will complete the MTT-GC questionnaire to measure their child's engagement in psychotherapy across dimensions of the REACH client engagement framework - Relationship, Expectancy, Attendance, Clarity, and Homework. Scores range from 0-105, higher scores indicate 'better' outcome.
My Thoughts About Therapy Scale - Youth (MTT-Y)
Youth will complete questionnaires to measure self-reported engagement in psychotherapy across dimensions of the REACH client engagement framework - Relationship, Expectancy, Attendance, Clarity, and Homework. Scores range from 0-105, higher scores indicate 'better' outcome.
Revised Children's Anxiety and Depression Scale (RCADS)
Caregivers will complete questionnaire to assess child participants' symptoms of anxiety and mood disorders across six dimensions: separation anxiety disorder, social phobia, generalized anxiety disorder, panic disorder, obsessive compulsive disorder, and low mood (major depressive disorder). Standardized T-scores will be calculated for each subscale and for the overall scale. T-scores range from 30-90, with lower scores representing better outcomes.
Rate of therapy session cancellations, no-shows, and treatment dropout
Participants' electronic health records (EHR) will be used to track session cancellations, no-shows, and treatment dropout.
Sponsors and contacts
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Stanford University
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
MainSquare Co. (dba 'Teleo')
Collaborator