Step-by-Step: Evaluation of a Stepped Care Model
Recruiting now · Not applicable
Conditions studied: Child Behavior Problem, Disruptive Behavior, Oppositional Defiant Disorder, Conduct Problems, Aggression, Anger
In brief
The primary aim of this project is to examine the effectiveness of a stepped care model of interventions for children's defiant or aggressive behavior problems. The stepped model consists of a brief internet-based parenting support program (Step 1). For those with continued need of additional interventions, Step 2 includes access to one of following interventions: b) a Cognitive Behavior Therapy (CBT) -Virtual Reality (VR)-assisted parenting support program, b) a Cognitive Behavior Therapy -Virtual Reality-assisted child intervention, or c) standard interventions/support at the family's unit/clinic and continued access to the study's internet-based parenting support program, after which the family may choose CBT-VR for the child or the parent.
Key facts
- Study ID
- NCT06902649
- Run by
- Karolinska Institutet
- People needed
- 210
- Starts
- 2025-04-02
- Expected to finish
- 2027-08-31
- Last updated by the study team
- 2026-03-06
Who can join
Age: 8 and older, up to 16. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Families with children aged 8-16 years who have difficulty controlling anger or exhibit defiant or aggressive behavior. The child/adolescent meets 3 of the diagnostic criteria for Oppositional Defiant Disorder or 2 criteria for Conduct Disorder indicating aggressive behavior.
- Medication for the child can remain stable.
- Parents need to be able to read and engage with materials in Swedish
You may not qualify if…
- Families with children younger than 8 years old or who have already turned 17, or who do not exhibit defiant or aggressive behaviors according to the first inclusion criterion.
- Children with severe depression, suicidal behavior, bipolar disorder, psychosis, eating disorders, severe autism (level 2 and 3), diagnosed intellectual disability, or ongoing criminal behavior assessed to require interventions other than the study's interventions are excluded.
- Children/adolescents with other ongoing psychological treatments for the same condition or assessed by the clinician in need of other interventions
- Parents and children with epilepsy or migraines
Where it is running
- Karolinska Institutet — Solna, Sweden (enrolling)
Full record on ClinicalTrials.gov
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