Digitally augmented, parent-led CBT versus treatment as usual for child anxiety problems in child mental health services in England and Northern Ireland: a pragmatic, non-inferiority, clinical effectiveness and cost-effectiveness randomised controlled trial

Abstract

Anxiety problems are common in children, yet few affected children access evidence-based treatment.

Digitally augmented psychological therapies bring potential to increase availability of effective help for children with mental health problems.

This study aimed to establish whether therapist-supported, digitally augmented, parent-led cognitive behavioural therapy (CBT) could increase the efficiency of treatment without compromising clinical effectiveness and acceptability.

Citations

Cathy Creswell, Lucy Taylor, Sophie Giles, Sophie Howitt, Lucy Radley, Emily Whitaker, Emma Brooks, Fauzia Knight, Vanessa Raymont, Claire Hill, James van Santen, Nicola Williams, Sam Mort, Victoria Harris, Shuye Yu, Jack Pollard, Mara Violato, Polly Waite, Ly-Mee Yu, (2024) 'Digitally augmented, parent-led CBT versus treatment as usual for child anxiety problems in child mental health services in England and Northern Ireland: a pragmatic, non-inferiority, clinical effectiveness and cost-effectiveness randomised controlled trial,' The Lancet Psychiatry, 11:3 193-209

Page last reviewed: 12 June, 2025