Objective: This pilot study explored the feasibility and preliminary efficacy of a therapist-facilitated telecare cognitive behavioural anxiety program delivered through schools to children within rural communities. Method: Sixteen children aged 9–12 years (82.5% male), with a principal diagnosis of an anxiety disorder, and their mothers participated in the pilot study. The treatment program was an adaption of the Cool Kids Child and Adolescent Anxiety Management Program. Treatment was delivered by clinical psychologists and involved 10 weekly sessions with children via an interactive, real-time videoconferencing online platform at their school. Parents also received 4 phone calls during the treatment program. Outcome measures included clinician-rated diagnostic status and child- and parent-reported symptoms and interference. Results: According to combined parent and child reports, 62.5% of children no longer met diagnostic criteria for their primary anxiety disorder, and 31.25% did not meet diagnostic criteria for any anxiety disorder post-treatment. Results indicated that the severity of anxiety symptoms, functional impact of anxiety symptoms, externalising difficulties, and depressive symptoms in children decreased significantly post-treatment, as reported by both parents and children. Conclusions: A telecare model of therapy could be a feasible and effective way of delivering evidence-based intervention to children in rural communities.

中文翻译：

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向农村社区儿童提供治疗师协助的远程护理焦虑计划：一项试点研究

客观的：这项试点研究探讨了通过学校向农村社区儿童提供的由治疗师协助的远程护理认知行为焦虑计划的可行性和初步效果。方法：16 名年龄在 9-12 岁的儿童（82.5% 为男性），主要诊断为焦虑症，他们的母亲参加了试点研究。该治疗计划是对酷孩子儿童和青少年焦虑管理计划的改编。治疗由临床心理学家提供，每周通过学校的交互式实时视频会议在线平台与儿童进行 10 次治疗。在治疗计划期间，父母还接到了 4 个电话。结果测量包括临床医生评定的诊断状态以及儿童和父母报告的症状和干扰。结果：根据亲子联合报告，62.5%的儿童不再符合原发性焦虑症的诊断标准，31.25%的儿童在治疗后不符合任何焦虑症的诊断标准。结果表明，正如父母和孩子所报告的那样，儿童焦虑症状的严重程度、焦虑症状的功能影响、外化困难和抑郁症状在治疗后显着下降。结论：远程护理治疗模式可能是向农村社区儿童提供循证干预的一种可行且有效的方式。