Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study

Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children’s access to treatment. This article describes the design, methods and expected data...

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Main Authors: Tamsin Ford, Alastair Gray, Cathy Creswell, Victoria Williamson, Obioha Ukoumunne, Falko Sniehotta, Mara Violato, Ian Macdonald, Paul Brown, Paul Stallard, Michael Larkin, Tessa Reardon, Samantha Pearcey, Claire Hill, Susan H Spence, Maria Breen, Jason Stainer, Michelle Sancho
Format: Article
Language:English
Published: BMJ Publishing Group 2021-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/4/e044852.full
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author Tamsin Ford
Alastair Gray
Cathy Creswell
Victoria Williamson
Obioha Ukoumunne
Falko Sniehotta
Mara Violato
Ian Macdonald
Paul Brown
Paul Stallard
Michael Larkin
Tessa Reardon
Samantha Pearcey
Claire Hill
Susan H Spence
Maria Breen
Jason Stainer
Michelle Sancho
author_facet Tamsin Ford
Alastair Gray
Cathy Creswell
Victoria Williamson
Obioha Ukoumunne
Falko Sniehotta
Mara Violato
Ian Macdonald
Paul Brown
Paul Stallard
Michael Larkin
Tessa Reardon
Samantha Pearcey
Claire Hill
Susan H Spence
Maria Breen
Jason Stainer
Michelle Sancho
author_sort Tamsin Ford
collection DOAJ
description Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children’s access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools – Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties.Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures—or ‘pathway’—to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis.Ethics and dissemination The iCATS i2i study was approved by the University of Oxford’s Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder’s experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics.
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spelling doaj-art-7b29cc872b7f47c48736fc6d44973f612024-11-18T07:15:08ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-044852Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility studyTamsin Ford0Alastair Gray1Cathy Creswell2Victoria Williamson3Obioha Ukoumunne4Falko Sniehotta5Mara Violato6Ian Macdonald7Paul Brown8Paul Stallard9Michael Larkin10Tessa Reardon11Samantha Pearcey12Claire Hill13Susan H Spence14Maria Breen15Jason Stainer16Michelle Sancho17University of Cambridge, Cambridge, UK1 Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK6 Department of Experimental Psychology, University of Oxford, Oxford, UK2 King’s College London, London, UKNIHR Applied Research Collaboration South West Peninsula, Department of Health and Community Sciences, Faculty of Health and Life Sciences University of Exeter, University of Exeter, Exeter, UKPopulation Health Science Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, UKNuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, UKCharlie Waller Memorial Trust, First Floor, Rear Office, ThatchamPathology department, Aberdeen Royal Infirmary, Aberdeen, UK1 Department for Health, University of Bath, Bath, UKInstitute of Health and Neurodevelopment, Aston University, Birmingham, UKDepartment of Experimental Psychology, Anna Watts Building, University of Oxford, Oxford, Oxfordshire, EnglandDepartment of Experimental Psychology, Anna Watts Building, University of Oxford, Oxford, Oxfordshire, EnglandCentre for Public Health, Queen`s University Belfast, Belfast, UKGriffith University, 16 Russell Street South Bank, Brisbane, Queensland, AustraliaSchool of Psychology & Clinical Language Sciences, University of Reading, Reading, UKStanley Primary School, Strathmore Road, London, UKWest Berkshire Council, Council Offices, Market St, Newbury, UKIntroduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children’s access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools – Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties.Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures—or ‘pathway’—to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis.Ethics and dissemination The iCATS i2i study was approved by the University of Oxford’s Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder’s experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics.https://bmjopen.bmj.com/content/11/4/e044852.full
spellingShingle Tamsin Ford
Alastair Gray
Cathy Creswell
Victoria Williamson
Obioha Ukoumunne
Falko Sniehotta
Mara Violato
Ian Macdonald
Paul Brown
Paul Stallard
Michael Larkin
Tessa Reardon
Samantha Pearcey
Claire Hill
Susan H Spence
Maria Breen
Jason Stainer
Michelle Sancho
Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
BMJ Open
title Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
title_full Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
title_fullStr Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
title_full_unstemmed Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
title_short Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: a protocol, mixed-methods feasibility study
title_sort codesign and development of a primary school based pathway for child anxiety screening and intervention delivery a protocol mixed methods feasibility study
url https://bmjopen.bmj.com/content/11/4/e044852.full
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