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โ† Trials
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Step-by-Step: Evaluation of a Stepped Care Model

RecruitingNAAges 8 Years - 16 YearsAllKarolinska Institutet
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In plain words

What the trial is, and whether it could suit you

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.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * 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 Exclusion Criteria: * 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
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What it tests

  • Internet-based parenting support
  • "YourSkills" for children/youth
  • Step-by-step parent support
  • Intervention/support as usual and prolonged use of internet-based parenting support
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Where

1 site
Karolinska Institutet
Solna, Sweden
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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