What Caregivers Like the Most (and Least) About Cognitive Behavioral Therapy for Youth Anxiety: A Mixed Methods Approach
(2023) In Journal of Anxiety Disorders 98.- Abstract
- Cognitive behavioral therapy (CBT) is an efficacious therapy for youth anxiety disorders. Caregivers are key stakeholders in youth therapy, and their feedback on treatment can help to inform intervention personalization. This mixed-methods study applied a systematic inductive thematic analysis to identify themes among most- and least-liked CBT features reported by caregivers using open-ended responses on the Client Satisfaction Questionnaire (CSQ-8). The sample included 139 caregivers of youth ages 7-17 (M = 12.21, SD = 3.05; 59% female; 79.1% Caucasian, 5.8% Black, 2.9% Asian, 2.2% Hispanic, 7.9% multiracial, 2.2% Other) with principal anxiety diagnoses who completed 16-sessions of CBT. CSQ-8 quantitative satisfaction scores (M = 29.18,... (More)
- Cognitive behavioral therapy (CBT) is an efficacious therapy for youth anxiety disorders. Caregivers are key stakeholders in youth therapy, and their feedback on treatment can help to inform intervention personalization. This mixed-methods study applied a systematic inductive thematic analysis to identify themes among most- and least-liked CBT features reported by caregivers using open-ended responses on the Client Satisfaction Questionnaire (CSQ-8). The sample included 139 caregivers of youth ages 7-17 (M = 12.21, SD = 3.05; 59% female; 79.1% Caucasian, 5.8% Black, 2.9% Asian, 2.2% Hispanic, 7.9% multiracial, 2.2% Other) with principal anxiety diagnoses who completed 16-sessions of CBT. CSQ-8 quantitative satisfaction scores (M = 29.18, SD = 3.30; range: 16-32) and survey-based treatment response rates (responders n = 93, 67%) were high. Most-liked treatment features included: coping skills (i.e., exposure, understanding/identifying anxiety, rewards, homework), therapist factors (interpersonal style/skill, relationship, accessibility), caregiver involvement, one-on-one time with a therapist, structure, consistency, and personally tailored treatment. Least-liked treatment features included: questionnaires, logistical barriers, telehealth, need for more sessions, non-anxiety concerns not addressed, insufficient caregiver involvement, and aspects of exposure tasks. Proportional frequencies of most- and least-liked themes differed by treatment responder status (e.g., responders cited exposure and homework as most-liked more frequently). (Less)
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https://lup.lub.lu.se/record/ec3752ae-bd12-41bf-9e60-cb00c5d34a25
- author
- Norris, Lesley ; Rabner, Jonathan ; Crane, Margaret ; Cervin, Matti LU ; Ney, Julia ; Benito, Kristen ; Kendall, Philip and Frank, Hannah
- organization
- publishing date
- 2023-06-16
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Anxiety Disorders
- volume
- 98
- article number
- 102742
- publisher
- Elsevier
- external identifiers
-
- scopus:85162114305
- pmid:37343420
- ISSN
- 1873-7897
- DOI
- 10.1016/j.janxdis.2023.102742
- language
- English
- LU publication?
- yes
- id
- ec3752ae-bd12-41bf-9e60-cb00c5d34a25
- date added to LUP
- 2023-06-16 10:42:25
- date last changed
- 2025-04-04 14:48:55
@article{ec3752ae-bd12-41bf-9e60-cb00c5d34a25,
abstract = {{Cognitive behavioral therapy (CBT) is an efficacious therapy for youth anxiety disorders. Caregivers are key stakeholders in youth therapy, and their feedback on treatment can help to inform intervention personalization. This mixed-methods study applied a systematic inductive thematic analysis to identify themes among most- and least-liked CBT features reported by caregivers using open-ended responses on the Client Satisfaction Questionnaire (CSQ-8). The sample included 139 caregivers of youth ages 7-17 (M = 12.21, SD = 3.05; 59% female; 79.1% Caucasian, 5.8% Black, 2.9% Asian, 2.2% Hispanic, 7.9% multiracial, 2.2% Other) with principal anxiety diagnoses who completed 16-sessions of CBT. CSQ-8 quantitative satisfaction scores (M = 29.18, SD = 3.30; range: 16-32) and survey-based treatment response rates (responders n = 93, 67%) were high. Most-liked treatment features included: coping skills (i.e., exposure, understanding/identifying anxiety, rewards, homework), therapist factors (interpersonal style/skill, relationship, accessibility), caregiver involvement, one-on-one time with a therapist, structure, consistency, and personally tailored treatment. Least-liked treatment features included: questionnaires, logistical barriers, telehealth, need for more sessions, non-anxiety concerns not addressed, insufficient caregiver involvement, and aspects of exposure tasks. Proportional frequencies of most- and least-liked themes differed by treatment responder status (e.g., responders cited exposure and homework as most-liked more frequently).}},
author = {{Norris, Lesley and Rabner, Jonathan and Crane, Margaret and Cervin, Matti and Ney, Julia and Benito, Kristen and Kendall, Philip and Frank, Hannah}},
issn = {{1873-7897}},
language = {{eng}},
month = {{06}},
publisher = {{Elsevier}},
series = {{Journal of Anxiety Disorders}},
title = {{What Caregivers Like the Most (and Least) About Cognitive Behavioral Therapy for Youth Anxiety: A Mixed Methods Approach}},
url = {{http://dx.doi.org/10.1016/j.janxdis.2023.102742}},
doi = {{10.1016/j.janxdis.2023.102742}},
volume = {{98}},
year = {{2023}},
}