ClinicalTrials.gg
CompletedNCT02205177Updated Aug 5, 2019Results posted

Youth Mayo Clinic Anxiety Coach Pilot Study

An interventional study of Mayo Clinic Anxiety Coach in Anxiety, sponsored by Stephen Whiteside. Completed at 1 site in United States. Open to participants aged 7 Years to 17 Years. Per ClinicalTrials.gov, last updated 2019-08-05.

Sponsored by Stephen Whiteside · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
7 Years to 17 Years
Sex
All
01

Study summary

This research study aims to test the feasibility and effectiveness of using the Mayo Clinic Anxiety Coach smartphone app as an addition to traditional therapy for the treatment of anxiety disorders in youth, particularly those youth who may have limited access to mental health treatment in the traditional clinical setting.

Read the detailed description

This research study aims to test the feasibility and effectiveness of using the Mayo Clinic Anxiety Coach smartphone app as an addition to traditional therapy for the treatment of anxiety disorders in youth, particularly those youth who may have limited access to mental health treatment in the traditional clinical setting. Therapist will provide CBT to patients with infrequent face-to-face contact and then will examine the acceptability, ease of use and need for contact.

02

Conditions studied

  • Anxiety

Keywords

  • Anxiety
  • Social Anxiety
  • Social Phobia
  • Separation Anxiety
  • Generalized Anxiety
  • GAD
  • Phobia
  • Panic
  • Agoraphobia
  • Obsessive Compulsive Disorder
  • OCD
  • Child
  • Adolescent
  • Smartphone
  • Teen
  • Youth
03

In context

Anxiety Disorders

5,065 studies on the registry are indexed under Anxiety Disorders; 1,408 are open to participants now.

This study's enrollment of 10 is below the median of 80 across 4,339 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Stephen Whiteside is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 7 to 17
  2. Primary diagnosis of:

    1. social phobia,
    2. separation anxiety disorder,
    3. panic disorder with and without agoraphobia,
    4. specific phobia, or
    5. obsessive compulsive disorder
  3. A parent or other primary care giver available to participate with the child in all assessment and treatment activities
  4. Estimated average intelligence
  5. English speaking

Exclusion criteria

Exclusion Criteria:

  1. History of and/or current diagnosis of:

    1. psychosis,
    2. autism,
    3. bipolar disorder,
    4. mental retardation,
    5. oppositional defiant disorder,
    6. PTSD,
    7. selective mutism, or
    8. major depressive disorder
  2. Current suicidality or recent suicidal behavior
  3. Parent to be involved in study who is unable to adequately participate due to intellectual or psychiatric difficulties
  4. Starting or changing the dosage of a psychiatric medication in the last two months
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Active comparator
    Face-to-Face w/ Anxiety Coach (FTF-AC)

    In this condition therapists will provide 6 to 12 50-minute, face-to-face therapy sessions using Anxiety Coach. The sessions are expected to initially occur weekly and be within the office although the therapist can leave the office to conduct exposure. The therapist is expected to utilize Anxiety Coach within the session, encourage the patient to use the application to complete homework, and review progress in-session via the web-based portal.

    Device: Mayo Clinic Anxiety Coach

  • Experimental
    Minimal Contact w/ Anxiety Coach (MC-AC)

    In this condition the therapist will meet with the patient and primary care giver for an initial 50-minute, face-to-face session to provide a tutorial on the use of Anxiety Coach. The therapist is expected to review the patient's progress via the web-based portal and communicate with the patient electronically at least once per week for a total of at least 6 and up to 12 weeks of intervention. Therapists will be allowed 2 additional face-to-face sessions if necessary and still remain in protocol.

    Device: Mayo Clinic Anxiety Coach

Interventions

  • DeviceMayo Clinic Anxiety Coach

    Mayo Clinic Anxiety Coach is a smartphone application based on cognitive-behavioral treatment for anxiety disorders (i.e., exposure-based therapy) that can be used as 1) a stand-alone treatment requiring minimal provider contact, and 2) an augmentation of face-to-face treatment that increases clinician fidelity and patient adherence to evidence-based treatment. The design of Anxiety Coach is based on evidence and theory suggesting that information and communication technologies (ICTs) are well-suited for encouraging behavior change through 1) scheduled reminders to engage in therapeutic exercises, 2) point of performance support, 3) individually tailored information, 4) real-time symptom assessment, and 5) readily accessible asynchronous communication.

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline in Pediatric Anxiety Rating Scale (PARS) at Treatment Completion

    The Pediatric Anxiety Rating Scale (PARS) is an interview-based tool used to assess for the presence and severity of anxiety symptoms in children and adolescents utilizing parental and youth input to guide clinician ratings. The PARS has 5 questions. Four of those questions has a scale ranging from none (1) to extreme (5). The other question has a rating of 1-5. The total score ranges from 0 - 25, with 25 being the worst.

    Time frame: Within 5 working days of Treatment Completion

Secondary outcomes

  1. Number of Participants Who Completed the Subject Safety and Treatment Adherence Interview

    The number of patients that completed the summary of the qualitative interview will be used to enhance Anxiety Coach

    Time frame: Within 5 working days of Treatment Completion

07

Results

Posted Aug 5, 2019

Participant flow

Participant flow — Overall Study
MilestoneFace-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)
Started82
Completed62
Not completed20

Outcome measures

PrimaryMean Change From Baseline in Pediatric Anxiety Rating Scale (PARS) at Treatment Completion

The Pediatric Anxiety Rating Scale (PARS) is an interview-based tool used to assess for the presence and severity of anxiety symptoms in children and adolescents utilizing parental and youth input to guide clinician ratings. The PARS has 5 questions. Four of those questions has a scale ranging from none (1) to extreme (5). The other question has a rating of 1-5. The total score ranges from 0 - 25, with 25 being the worst.

Time frame:
Within 5 working days of Treatment Completion
Reported as:
Mean · score on a scale
Mean Change From Baseline in Pediatric Anxiety Rating Scale (PARS) at Treatment Completion
score on a scaleFace-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)
Mean Change From Baseline in Pediatric Anxiety Rating Scale (PARS) at Treatment Completion11 ± 3.1-1 ± .7
SecondaryNumber of Participants Who Completed the Subject Safety and Treatment Adherence Interview

The number of patients that completed the summary of the qualitative interview will be used to enhance Anxiety Coach

Time frame:
Within 5 working days of Treatment Completion
Reported as:
Count of participants · Participants
Number of Participants Who Completed the Subject Safety and Treatment Adherence Interview
ParticipantsFace-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)
Number of Participants Who Completed the Subject Safety and Treatment Adherence Interview50

Adverse events

Collected over 11 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Face-to-Face w/ Anxiety Coach (FTF-AC)0/8 (0%)0/8 (0%)0/8 (0%)
Minimal Contact w/ Anxiety Coach (MC-AC)0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Face-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)Total
<=18 years8210
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Face-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)Total
Female527
Male303
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Face-to-Face w/ Anxiety Coach (FTF-AC)Minimal Contact w/ Anxiety Coach (MC-AC)Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White8210
More than one race000
Unknown or Not Reported000
08

Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
09

References and documents

Study documents

  • Study protocol · Jul 1, 2019
  • Statistical analysis plan · Jul 1, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2016 to primary completion in Mar 2017, 14 months.

Results were first posted in Aug 2019, 2 years 5 months after primary completion.

Of 2,720 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 31. This study's 14 months is close to that.

Counting every sponsor, half of 2,789 studies reached it within 12 months; a quarter within 5 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 29, 2014
First posted
Jul 31, 2014
StartActual
Jan 15, 2016
Primary completionActual
Mar 2017
CompletionActual
Mar 2017
Results first posted
Aug 5, 2019
Last update
Aug 5, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02205177
Lead sponsor
Stephen Whiteside
Responsible party
Stephen Whiteside (Associate Professor of Psychology, Mayo Clinic) — Sponsor-investigator
First posted
Jul 31, 2014
Start date
Jan 15, 2016
Primary completion
Mar 2017
Completion
Mar 2017
Results posted
Aug 5, 2019
Last update
Aug 5, 2019

Study contacts

Stephen Whiteside, PhD, LP
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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