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Testing Delivery Modalities of Team-Based CBT for Pediatric Anxiety in Community Health Settings.

Key facts

Who runs it
Bradley Hospital
Where
East Providence, United StatesSee the site
Trial code
Status
Recruiting
People taking part
501 people, planned
Started
1 Nov 2025
Expected to end
1 Aug 2029
Type of study
Interventional, 3 groups
Treatments tested
  • Team-delivered, exposure-based CBT
Record updated
31 July 2026

Who can take part

Age
5 years to 18 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 10 criteriaShow less

Who can take part

  • Age 5-18 inclusive
  • Primary or co-primary DSM-V diagnosis of anxiety or OCD
  • Symptom duration of at least 3 months
  • Outpatient care needed
  • Presence of a stable parent, or guardian, who can participate in treatment

Who cannot take part

  • Concurrent psychotherapy
  • Treatment with psychotropic medication that is not stable
  • Other primary or co-primary psychiatric disorder which requires initiation of other active current treatment
  • Chronic medical illness that would preclude their active participation in treatment
  • Acute suicidality

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 5 and 18 years old?

Where in United States

  • Bradley HospitalEast Providence, United StatesContact: Jennifer Freeman, PhDTaking people

About the trial

What the trial wants to find out

The purpose of this study is to test how the delivery of Cognitive Behavioral Therapy (CBT) for pediatric anxiety and OCD via different methods might increase its availability and effectiveness. CBT involves teaching the patient skills to enable them to gradually come into contact with feared situations. This process of gradually approaching feared situations is called exposure. Although CBT with exposure has the best evidence for treating anxiety disorders, not all children have equal access or respond the same way to CBT. As part of this study, patients will receive weekly CBT treatment sessions involving a combination of weekly visits with an exposure coach and one visit a month with a licensed provider (e.g., social worker) who also provides weekly supervision for the exposure coach. This treatment will be delivered using one of three methods: 1) in-person (face-to-face sessions, occurring in the office and the home/community), or 2) telehealth (entirely remote sessions via web-based video conference), or 3) flexible (individualized mix of in-person and/or telehealth sessions). Eligible participants will be randomly assigned to one of these three methods. Results of this study will help determine which treatment method works best for whom.

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Treatment as described above will occur as part of care at partnering community care sites in Rhode Island. Providers from the following partnering community care sites will make up patient treatment teams: Blackstone Valley Community Health Care, Family Services of Rhode Island, Gateway Healthcare, Newport Mental Health, and Thrive Behavioral Health.

The research study is being conducted by the Pediatric Anxiety Research Center at Brown University Health. The research team will conduct the study assessments that patients will be asked to participate in as study participants. Patients will be asked to complete assessments prior to starting treatment, at two time points during treatment, at the end of treatment, and at two timepoints 3 and 6 months following the end of treatment. Participants will be compensated for their time completing research assessments.

The 3 groups in the trial

  • FlexibleOther group

    Families and providers will collaboratively choose treatment delivery modality (in-person versus telehealth) on a session-by-session basis.

    Treatment: Team-delivered, exposure-based CBT

  • In-personOther group

    Families will only attend sessions in-person. Sessions may occur at the family's home, in the community, or in the provider's office.

    Treatment: Team-delivered, exposure-based CBT

  • TelehealthOther group

    Families will only attend sessions via a secure remote video platform.

    Treatment: Team-delivered, exposure-based CBT

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Testing Delivery Modalities of Team-Based Cognitive Behavioral Treatment (CBT) for Pediatric Anxiety in Community Health Settings: Developing Pathways to Health Equity
Fit questions
Built from NCT06934525, who can take part
Record updated
31 July 2026