Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Controlled Trial

Article

March, S., Spence, S., Myers, L., Ford, M., Smith, G. and Donovan, C.. 2025. "Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Controlled Trial." JMIR Mental Health. 12. https://doi.org/10.2196/57405
Article Title

Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Controlled Trial

ERA Journal ID210773
Article CategoryArticle
AuthorsMarch, S., Spence, S., Myers, L., Ford, M., Smith, G. and Donovan, C.
Journal TitleJMIR Mental Health
Journal Citation12
Year2025
ISSN2368-7959
Digital Object Identifier (DOI)https://doi.org/10.2196/57405
Web Address (URL)https://mental.jmir.org/2025/1/e57405
Abstract

Background:
Self-guided internet-delivered cognitive behavioral therapy (ICBT) achieves greater reach than ICBT delivered with therapist guidance, but demonstrates poorer engagement and fewer clinical benefits. Alternative models of care are required that promote engagement and are effective, accessible, and scalable.

Objective:
This randomized trial evaluated whether a stepped care approach to ICBT using therapist guidance via videoconferencing for the step-up component (ICBT-SC[VC]) is noninferior to ICBT with full therapist delivery by videoconferencing (ICBT-TG[VC]) for child and adolescent anxiety.

Methods:
Participants included 137 Australian children and adolescents aged 7 to 17 years (male: n=61, 44.5%) with a primary anxiety disorder who were recruited from participants presenting to the BRAVE Online website. This noninferiority randomized trial compared ICBT-SC[VC] to an ICBT-TG[VC] program, with assessments conducted at baseline, 12 weeks, and 9 months after treatment commencement. All ICBT-TG[VC] participants received therapist guidance (videoconferencing) after each session for all 10 sessions. All ICBT-SC[VC] participants completed the first 5 sessions online without therapist guidance. If they demonstrated response to treatment after 5 sessions (defined as reductions in anxiety symptoms to the nonclinical range), they continued sessions without therapist guidance. If they did not respond, participants were stepped up to receive supplemental therapist guidance (videoconferencing) for the remaining sessions. The measures included a clinical diagnostic interview (Anxiety Disorders Interview Schedule) with clinician-rated severity rating as the primary outcome and parent- and child-reported web-based surveys assessing anxiety and anxiety-related interference (secondary outcomes).

Results:
Although there were no substantial differences between the treatment conditions on primary and most secondary outcome measures, the noninferiority of ICBT-SC[VC] compared to ICBT-TG[VC] could not be determined. Significant clinical benefits were evident for participants in both treatments, although this was significantly higher for the ICBT-TG[VC] participants. Of the 89 participants (38 in ICBT-SC[VC] and 51 in ICBT-TG[VC]) who remained in the study, 26 (68%) in ICBT-SC[VC] and 45 (88%) in ICBT-TG[VC] were free of their primary anxiety diagnosis by the 9-month follow-up. For the intention-to-treat sample (N=137), 41% (27/66) ICBT-SC[VC], and 69% (49/71) ICBT-TG[VC] participants were free of their primary anxiety diagnosis. Therapy compliance was lower for the ICBT-SC[VC] participants (mean 7.39, SD 3.44 sessions) than for the ICBT-TG[VC] participants (mean 8.73, SD 3.08 sessions), although treatment satisfaction was moderate to high in both conditions.

Conclusions:
This study provided further support for the benefits of low-intensity ICBT for children and adolescents with a primary anxiety disorder and highlighted the excellent treatment outcomes that can be achieved through therapist-guided ICBT delivered via videoconferencing. Although noninferiority of the stepped care adaptive approach could not be determined, it was acceptable to families, produced good outcomes, and could assist in increasing access to evidence-based care.

Trial Registration:
Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12618001418268; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=1261...

Keywordsinternet-delivered cognitive behavioral therapy, ICBT, anxiety, child, adolescent, stepped care, videoconferencing
Article Publishing Charge (APC) Amount Paid3500.0
Article Publishing Charge (APC) FundingProject Funding
ANZSRC Field of Research 2020321302. Infant and child health
420313. Mental health services
321301. Adolescent health
Byline AffiliationsSchool of Psychology and Wellbeing
Centre for Health Research (Operations)
Griffith University
Centre for Health Research
Centre for Health Research (Research)
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https://research.usq.edu.au/item/zx4vq/integrating-videoconferencing-therapist-guidance-into-stepped-care-internet-delivered-cognitive-behavioral-therapy-for-child-and-adolescent-anxiety-noninferiority-randomized-controlled-trial

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Pillay, Yosheen, Brownlow, Charlotte and March, Sonja. 2021. "Transition Services for Young Adults on the Autism Spectrum in Australia." Education and Training in Autism and Developmental Disabilities. 56 (1), pp. 101-111.
Deciding to enrol in a cancer trial: a systematic review of qualitative studies
Viljoen, Bianca, Chambers, Suzanne, Dunn, Jeff, Ralph, Nicholas and March, Sonja. 2020. "Deciding to enrol in a cancer trial: a systematic review of qualitative studies." Journal of Multidisciplinary Healthcare. 13, pp. 1257-1281. https://doi.org/10.2147/JMDH.S266281
Prevalence of Mental Disorders by Socioeconomic Status in Australia: A Cross-Sectional Epidemiological Study
Hashmi, Rubayyat, Alam, Khorshed, Gow, Jeff and March, Sonja. 2021. "Prevalence of Mental Disorders by Socioeconomic Status in Australia: A Cross-Sectional Epidemiological Study." American Journal of Health Promotion. 35 (4), pp. 533-542. https://doi.org/10.1177/0890117120968656
There is no stopping interprofessional education research
Martin, Priya, Graham, Nicky, Ford, Martelle, Hill, Anne and Argus, Geoff. 2021. "There is no stopping interprofessional education research." Partyline. (75).
Does an Online CBT Program for Anxiety Impact Upon Sleep Problems in Anxious Youth?
Donovan, Caroline L., Spence, Susan H. and March, Sonja. 2017. "Does an Online CBT Program for Anxiety Impact Upon Sleep Problems in Anxious Youth?" Journal of Clinical Child and Adolescent Psychology. 46 (2), pp. 211-221. https://doi.org/10.1080/15374416.2016.1188700
A worrying trend in Social Anxiety: To what degree are worry and its cognitive factors associated with youth Social Anxiety Disorder?
Hearn, Cate S., Donovan, Caroline L., Spence, Susan H. and March, Sonja. 2017. "A worrying trend in Social Anxiety: To what degree are worry and its cognitive factors associated with youth Social Anxiety Disorder?" Journal of Affective Disorders. 208, pp. 33-40. https://doi.org/10.1016/j.jad.2016.09.052
Schools and Natural Disaster Recovery: The Unique and Vital Role That Teachers and Education Professionals Play in Ensuring the Mental Health of Students Following Natural Disasters
Le Brocque, Robyn, De Young, Alexandra, Montague, Gillian, Pocock, Steven, March, Sonja, Triggell, Nikki, Rabaa, Claire and Kenardy, Justin. 2017. "Schools and Natural Disaster Recovery: The Unique and Vital Role That Teachers and Education Professionals Play in Ensuring the Mental Health of Students Following Natural Disasters." Journal of Psychologists and Counsellors in Schools. 27 (1), pp. 1-23. https://doi.org/10.1017/jgc.2016.17
Autism and inclusive practices: mothers speak out
Pillay, Yosheen, Brownlow, Charlotte, March, Sonja, Pillay Y., Brownlow C. and March S.. 2023. "Autism and inclusive practices: mothers speak out." International Journal of Inclusive Education. 27 (4), pp. 419-434. https://doi.org/10.1080/13603116.2020.1842521
Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries
Mahumud, Rashidul Alam, Gow, Jeff, Keramat, Syed Afroz, March, Sonja, Dunn, Jeff, Alam, Khorshed and Renzaho, Andre M. N.. 2020. "Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries." BMC Public Health. 20, pp. 1-15. https://doi.org/10.1186/s12889-020-09557-w
“Don’t … Break Down on Tuesday Because the Mental Health Services are Only in Town on Thursday”: A Qualitative Study of Service Provision Related Barriers to, and Facilitators of Farmers’ Mental Health Help‑Seeking
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2021. "“Don’t … Break Down on Tuesday Because the Mental Health Services are Only in Town on Thursday”: A Qualitative Study of Service Provision Related Barriers to, and Facilitators of Farmers’ Mental Health Help‑Seeking." Administration and Policy in Mental Health and Mental Health Services Research. 48 (3), pp. 514-527. https://doi.org/10.1007/s10488-020-01085-4
Implementation Strategies for Interventions Aiming to Increase Participation in Mail-Out Bowel Cancer Screening Programmes: A Realist Review
Myers, Larry, Goodwin, Belinda, Ralph, Nicholas, Castro, Oscar and March, Sonja. 2020. "Implementation Strategies for Interventions Aiming to Increase Participation in Mail-Out Bowel Cancer Screening Programmes: A Realist Review." Frontiers in Oncology. 10, pp. 1-14. https://doi.org/10.3389/fonc.2020.543732
Research Review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders - an international consensus statement
Creswell, Cathy, Nauta, Maaike H., Hudson, Jennifer L., March, Sonja, Reardon, Tessa, Arendt, Kristian, Bodden, Denise, Cobham, Vanessa E., Donovan, Caroline, Halldorsson, Brynjar, In-Albon, Tina, Ishikawa, Shin-ichi, Johnsen, Daniel Bach, Jolstedt, Maral, de Jong, Rachel, Kreuze, Leonie, Mobach, Lynn, Rapee, Ronald M., Spence, Susan H., ..., Kendall, Philip C.. 2021. "Research Review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders - an international consensus statement." Journal of Child Psychology and Psychiatry. 62 (3), pp. 255-269. https://doi.org/10.1111/jcpp.13283
Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response
Spence, Susan H, Prosser, Samantha, March, Sonja and Donovan, Caroline. 2020. "Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response." Journal of Child Psychology and Psychiatry. 61 (8), pp. 914-927. https://doi.org/10.1111/jcpp.13257
Stressors and protective factors among regional and metropolitan Australian medical doctors: A mixed methods investigation
Clough, Bonnie A., Ireland, Michael J., Leane, Sheena, March, Sonja, Clough B.A., Ireland M.J., Leane S. and March S.. 2020. "Stressors and protective factors among regional and metropolitan Australian medical doctors: A mixed methods investigation." Journal of Clinical Psychology. 76 (7), pp. 1362-1389. https://doi.org/10.1002/jclp.22940
‘Farming is not Just an Occupation [but] a Whole Lifestyle’: A Qualitative Examination of Lifestyle and Cultural Factors Affecting Mental Health Help-Seeking in Australian Farmers
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2020. "‘Farming is not Just an Occupation [but] a Whole Lifestyle’: A Qualitative Examination of Lifestyle and Cultural Factors Affecting Mental Health Help-Seeking in Australian Farmers." Sociologia Ruralis. 60 (1), pp. 151-173. https://doi.org/10.1111/soru.12274
Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ireland, Michael J., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review." European Journal of Cancer Care. 28 (3), pp. 1-16. https://doi.org/10.1111/ecc.13072
Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis
Goodwin, Belinda C., Ireland, Michael J., March, Sonja, Myers, Larry, Crawford-Williams, Fiona, Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis." Systematic Reviews. 8 (1), pp. 1-11. https://doi.org/10.1186/s13643-019-1170-x
Physical Activity in Peri-Urban Communities: Testing Intentional and Implicit Processes within an Ecological Framework
Olson, Jenny L., Ireland, Michael J., March, Sonja, Biddle, Stuart J. H., Hagger, Martin S., Olson J.L., Ireland M.J., March S., Biddle S.J.H. and Hagger M.S.. 2020. "Physical Activity in Peri-Urban Communities: Testing Intentional and Implicit Processes within an Ecological Framework." Applied Psychology: Health and Well-Being. 12 (2), pp. 357-383. https://doi.org/10.1111/aphw.12182
Not quite city and not quite rural: Active lifestyle beliefs in peri-urban Australians
Olson, Jenny L., March, Sonja, Clough, Bonnie, Biddle, Stuart J. H. and Ireland, Michael. 2019. "Not quite city and not quite rural: Active lifestyle beliefs in peri-urban Australians." Health Promotion Journal of Australia. 30 (S1), pp. 72-84. https://doi.org/10.1002/hpja.234
Stakeholder perspectives on evidence for digital mental health interventions: Implications for accreditation systems
Batterham, Philip J., Calear, Alison L., O'Dea, Bridianne, Larsen, Mark E., Kavanagh, David J., Titov, Nickolai, March, Sonja, Hickie, Ian, Teesson, Maree, Dear, Blake F., Reynolds, Julia, Lowinger, Jocelyn, Thornton, Louise and Gorman, Patrick. 2019. "Stakeholder perspectives on evidence for digital mental health interventions: Implications for accreditation systems." Digital Health. 5 (1-7), pp. 1-7. https://doi.org/10.1177/2055207619878069
Social Support as a Predictor of Treatment Adherence and Response in an Open-Access, Self-Help, Internet-delivered Cognitive Behavior Therapy Program for Child and Adolescent Anxiety
Spence, Susan H., March, Sonja and Donovan, Caroline L.. 2019. "Social Support as a Predictor of Treatment Adherence and Response in an Open-Access, Self-Help, Internet-delivered Cognitive Behavior Therapy Program for Child and Adolescent Anxiety." Internet Interventions. 18. https://doi.org/10.1016/j.invent.2019.100268
Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis
Myers, Larry, Goodwin, Belinda, March, Sonja and Dunn, Jeff. 2019. "Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis." Translational Behavioral Medicine. 10 (2), pp. 384-393. https://doi.org/10.1093/tbm/ibz081
Using stepped-care approaches within internet-based interventions for youth anxiety: Three case studies.
March, Sonja, Donovan, Caroline L., Baldwin, Sarah, Ford, Martelle and Spence, Susan H.. 2019. "Using stepped-care approaches within internet-based interventions for youth anxiety: Three case studies." Internet Interventions. 18, pp. 1-13. https://doi.org/10.1016/j.invent.2019.100281
General practitioner endorsement of mail-out colorectal cancer screening: The perspective of nonparticipants
Goodwin, Belinda C., Crawford-Williams, Fiona, Ireland, Michael J., March, Sonja, Goodwin B.C., Crawford-Williams F., Ireland M.J. and March S.. 2020. "General practitioner endorsement of mail-out colorectal cancer screening: The perspective of nonparticipants." Translational Behavioral Medicine. 10 (2), pp. 366-374. https://doi.org/10.1093/tbm/ibz011
Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking
Goodwin, Belinda C., March, Sonja, Ireland, Michael, Crawford-Williams, Fiona, Manski, Donna, Ford, Martelle and Dunn, Jeff. 2019. "Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking." Rural and Remote Health. 19 (3), pp. 1-10. https://doi.org/10.22605/RRH4957
Does an online CBT program for anxiety impact upon sleep programs in anxious youth?
Donovan, Caroline L., Spence, Susan H. and March, Sonja. 2018. "Does an online CBT program for anxiety impact upon sleep programs in anxious youth?" Meltzer, Lisa J. (ed.) Sleep and developmental psychopathology. Milton Park, United Kingdom. Routledge. pp. 42-52
New technologies to deliver CBT: computer and web-based programs, mobile applications and virtual reality
Spence, Susan H., March, Sonja and Donovan, Caroline L.. 2019. "New technologies to deliver CBT: computer and web-based programs, mobile applications and virtual reality." Farrell, Lara J., Ollendick, Thomas H. and Muris, Peter (ed.) Innovations in CBT for childhood anxiety, OCD, and PTSD: improving access and outcomes. Cambridge, United Kingdom. Cambridge University Press. pp. 73-105
'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs
Goodwin, Belinda C., March, Sonja, Crawford-Williams, Fiona, Chambers, Suzanne K. and Dunn, Jeff. 2020. "'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs." Translational Behavioral Medicine. 10 (6), pp. 1515-1524. https://doi.org/10.1093/tbm/ibz096
Developing and delivering computer-based CBT for anxiety disorders in young people
Cunningham, Mike J., Donovan, Caroline L. and March, Sonja. 2007. "Developing and delivering computer-based CBT for anxiety disorders in young people." Einstein, Danielle A. (ed.) Innovations and advances in cognitive behaviour therapy. Bowen Hills, Qld, Australia. Australian Academic Press. pp. 83-99
Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study
March, Sonja, Spence, Susan H., Donovan, Caroline L. and Kenardy, Justin A.. 2018. "Large-Scale Dissemination of Internet-Based Cognitive Behavioral Therapy for Youth Anxiety: Feasibility and Acceptability Study." Journal of Medical Internet Research. 20 (7). https://doi.org/10.2196/jmir.9211
Inactive lifestyles in peri‐urban Australia: a qualitative examination of social and physical environmental determinants
Olson, Jenny L., March, Sonja, Brownlow, Charlotte, Biddle, Stuart J. H. and Ireland, Michael. 2019. "Inactive lifestyles in peri‐urban Australia: a qualitative examination of social and physical environmental determinants." Health Promotion Journal of Australia. 30 (2), pp. 153-162. https://doi.org/10.1002/hpja.199
What prevents doctors from seeking help for stress and burnout? A mixed-methods investigation among metropolitan and regional-based Australian doctors
Clough, Bonnie A., March, Sonja, Leane, Sheena and Ireland, Michael J.. 2019. "What prevents doctors from seeking help for stress and burnout? A mixed-methods investigation among metropolitan and regional-based Australian doctors." Journal of Clinical Psychology. 75 (3), pp. 418-432. https://doi.org/10.1002/jclp.22707
Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: A consensus statement with recommendations from the #iCBTLorentz Workshop Group
Hill, Claire, Creswell, Cathy, Vigerland, Sarah, Nauta, Maaike, March, Sonja, Donovan, Caroline, Wolters, Lidewij, Spence, Susan H., Martin, Jennifer L., Wozney, Lori, McLellan, Lauren, Kreuze, Leonie, Gould, Karen, Jolstedt, Maral, Nord, Martina, Hudson, Jennifer L., Utens, Elisabeth, Ruwaard, Jeroen, Albers, Casper, ..., Kendall P.C.. 2018. "Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: A consensus statement with recommendations from the #iCBTLorentz Workshop Group." Netherlands. Elsevier. https://doi.org/10.1016/j.invent.2018.02.002
Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage
Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
Health literacy and the health status of men with prostate cancer
Goodwin, Belinda C., March, Sonja, Zajdlewicz, Leah, Osborne, Richard H., Dunn, Jeff and Chambers, Suzanne K.. 2018. "Health literacy and the health status of men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2374-2381. https://doi.org/10.1002/pon.4834
Interventions for prostate cancer survivorship: a systematic review of reviews
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ralph, Nicholas, Galvao, Daniel A., Newton, Robert U., Chambers, Suzanne K. and Dunn, Jeff. 2018. "Interventions for prostate cancer survivorship: a systematic review of reviews." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2339-2348. https://doi.org/10.1002/pon.4888
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
Collaborative development of an open online course: A-Skills online
Brownlow, Charlotte, Dowe, Amelia, March, Sonja, Abawi, Ding, Harrison, Jessica, Ducat, Jacob and Morris, Hillary. 2017. "Collaborative development of an open online course: A-Skills online." USQ Learning and Teaching Celebration (2017). Toowoomba, Australia Dec 2017
A-Skills online: supportive peer mentoring in higher education
Dowe, Amelia, Harrison, Jessica, Brownlow, Charlotte, March, Sonja, Thompson, Donna-Marie, O'Dwyer, John, Abawi, Ding, Ducat, Jacob and Morris, Hillary. 2017. "A-Skills online: supportive peer mentoring in higher education." Asia Pacific Autism Conference (APAC17). Sydney, Australia 07 - 09 Sep 2017
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey
March, Sonja, Day, Jamin, Ritchie, Gabrielle, Rowe, Arlen, Gough, Jeffrey, Hall, Tanya, Yuen, Chin Yan Jackie, Donovan, Caroline Leanne and Ireland, Michael. 2018. "Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey." Journal of Medical Internet Research. 20 (2). https://doi.org/10.2196/jmir.9109
The Interactive Child Distress Screener: development and preliminary feasibility testing
March, Sonja, Day, Jamin, Zieschank, Kirsty and Ireland, Michael. 2018. "The Interactive Child Distress Screener: development and preliminary feasibility testing." JMIR mHealth and uHealth. 6 (4), pp. 1-15. https://doi.org/10.2196/mhealth.9456
What’s the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder
Hearn, Cate S., Donovan, Caroline L., Spence, Susan H., March, Sonja and Holmes, Monique C.. 2017. "What’s the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder." Child Psychiatry and Human Development. 48 (5), pp. 786-795. https://doi.org/10.1007/s10578-016-0703-y
Can we improve parent attitudes and intentions to access computer-based therapies for their children and adolescents?
Sweeney, Grace M., Donovan, Caroline L., March, Sonja and Laurenson, Sandra D.. 2017. "Can we improve parent attitudes and intentions to access computer-based therapies for their children and adolescents?" Child and Adolescent Mental Health. 22 (3), pp. 155-162. https://doi.org/10.1111/camh.12180
Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review
Clough, Bonnie A., March, Sonja, Chan, Raymond J., Casey, Leanne M., Phillips, Rachel and Ireland, Michael J.. 2017. "Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review." Systematic Reviews. 6, pp. 1-19. https://doi.org/10.1186/s13643-017-0526-3
Efficacy of an internet-based CBT program for children with comorbid High Functioning Autism Spectrum Disorder and anxiety: A randomised controlled trial
Conaughton, Rebecca J., Donovan, Caroline L. and March, Sonja. 2017. "Efficacy of an internet-based CBT program for children with comorbid High Functioning Autism Spectrum Disorder and anxiety: A randomised controlled trial." Journal of Affective Disorders. 218, pp. 260-268. https://doi.org/10.1016/j.jad.2017.04.032
Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: A randomized controlled trial using internet delivery
Spence, Susan H., Donovan, Caroline L., March, Sonja, Kenardy, Justin A. and Hearn, Cate S.. 2017. "Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: A randomized controlled trial using internet delivery." Behaviour Research and Therapy. 90, pp. 41-57. https://doi.org/10.1016/j.brat.2016.12.003
Farmers tell us how to help improve their mental health help-seeking
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers tell us how to help improve their mental health help-seeking." 9th Australian Rural and Remote Mental Health Symposium. Albury, Australia 11 - 13 Oct 2017 Nerang, Qld, Australia.
Evidence for retarded extinction of aversive learning in anxious children
Liberman, Lisa C., Lipp, Ottmar V., Spence, Susan H. and March, Sonja. 2006. "Evidence for retarded extinction of aversive learning in anxious children." Behaviour Research and Therapy. 44 (10), pp. 1491-1502. https://doi.org/10.1016/j.brat.2005.11.004
The feasibility and outcome of clinic plus internet delivery of cognitive–behavior therapy for childhood anxiety
Spence, Susan H., Holmes, Jane M., March, Sonja and Lipp, Ottmar V.. 2006. "The feasibility and outcome of clinic plus internet delivery of cognitive–behavior therapy for childhood anxiety." Journal of Consulting and Clinical Psychology. 74 (3), pp. 614-621. https://doi.org/10.1037/0022-006X.74.3.614
Logging into therapy: Adolescent perceptions of online therapies for mental health problems
Sweeney, Grace M., Donovan, Caroline L., March, Sonja and Forbes, Yvette. 2019. "Logging into therapy: Adolescent perceptions of online therapies for mental health problems." Internet Interventions. 15, pp. 93-99. https://doi.org/10.1016/j.invent.2016.12.001
Do worry and its associated cognitive variables alter following CBT treatment in a youth population with Social Anxiety Disorder? Results from a randomized controlled trial
Hearn, Cate S., Donovan, Caroline L., Spence, Susan H. and March, Sonja. 2018. "Do worry and its associated cognitive variables alter following CBT treatment in a youth population with Social Anxiety Disorder? Results from a randomized controlled trial." Journal of Anxiety Disorders. 53, pp. 46-57. https://doi.org/10.1016/j.janxdis.2017.11.005
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
A randomized controlled trial of an audio-based treatment program for child anxiety disorders
Infantino, Alyssa, Donovan, Caroline L. and March, Sonja. 2016. "A randomized controlled trial of an audio-based treatment program for child anxiety disorders." Behaviour Research and Therapy. 79, pp. 35-45. https://doi.org/10.1016/j.brat.2016.02.007
Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors
Clough, Bonnie A., Ireland, Michael J. and March, Sonja. 2018. "Development of the SOSS-D: a scale to measure stigma of occupational stress and burnout in medical doctors." Journal of Mental Health. 28 (1), pp. 26-33. https://doi.org/10.1080/09638237.2017.1370642
Farmers are not seeking help: what does service provision have to do with it?
Vayro, C., Brownlow, C., Ireland, M. and March, S.. 2017. "Farmers are not seeking help: what does service provision have to do with it?" 14th World Rural Health Conference (Wonca 2017). Cairns, QLD 29 Apr - 02 May 2017
Farmers aren't seeking help for mental health: their partners tell us why
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2017. "Farmers aren't seeking help for mental health: their partners tell us why." Coleman, Leanne (ed.) 14th National Rural Health Conference. Cairns, Australia 26 - 29 Mar 2017 Canberra, Australia.
Stories from Queensland farmers: 'why we don't seek help for mental health'
Vayro, Caitlin, Brownlow, Charlotte, Ireland, Michael and March, Sonja. 2016. "Stories from Queensland farmers: 'why we don't seek help for mental health'." 8th Rural and Remote Mental Health Symposium (2016). Kingscliff, Australia 03 - 04 Nov 2016
Online therapy for youth anxiety works! An overview of the evidence for brave-online and predictors of therapy outcome
March, S., Donovan, C., Spence, S., Anderson, R., Prosser, S. and Kenardy, J.. 2012. "Online therapy for youth anxiety works! An overview of the evidence for brave-online and predictors of therapy outcome." Garralda, Elena and Raynaud, Jean-Philippe (ed.) 20th World Congress of the International Association of Child and Adolescent Psychiatry and Allied Professionals (IACAPAP 2012): Brain, Mind and Development. Paris, France 21 - 25 Jul 2012 Cedex, France. https://doi.org/10.1016/j.neurenf.2012.05.554
Online therapy for youth anxiety works, but does diagnostic profile predict outcome?
March, S., Spence, S., Donovan, C., Anderson, R., Prosser, S. and Kenardy, J.. 2012. "Online therapy for youth anxiety works, but does diagnostic profile predict outcome?" Hirakis, Eliana (ed.) 35th National Conference of the Australian Association for Cognitive and Behaviour Therapy (AACBT 2012): Innovations in Self-Care and Resiliency: Promoting Empowerment and Well Being. Gold Coast, Australia 17 - 21 Oct 2012 Georges Hall, Australia.
Internet-based therapies for child and adolescent emotional and behavioural problems
Spence, Susan H., March, Sonja, Vigerland, Sarah and Serlachius, Eva. 2016. "Internet-based therapies for child and adolescent emotional and behavioural problems." Lindefors, Nils and Andersson, Gerhard (ed.) Guided internet-based treatments in psychiatry. Switzerland. Springer. pp. 197-217
Pilot randomized controlled trial of a novel web-based intervention to prevent posttraumatic stress in children following medical events
Kassam-Adams, Nancy, Marsac, Meghan L., Kohser, Kristen L., Kenardy, Justin, March, Sonja and Winston, Flaura K.. 2016. "Pilot randomized controlled trial of a novel web-based intervention to prevent posttraumatic stress in children following medical events." Journal of Pediatric Psychology. 41 (1), pp. 138-148. https://doi.org/10.1093/jpepsy/jsv057
Feasibility of a screening program for at-risk children following accidental injury
March, Sonja, Kenardy, Justin A., Cobham, Vanessa E., Nixon, Reginald D. V., McDermott, Brett and De Young, Alexandra. 2015. "Feasibility of a screening program for at-risk children following accidental injury." Journal of Traumatic Stress. 28 (1), pp. 34-40. https://doi.org/10.1002/jts.21981
Systematic, theoretically grounded development and feasibility testing of an innovative, preventive web-based game for children exposed to acute trauma
Marsac, Meghan L., Winston, Flaura K., Kohser, Kristen L., Kenardy, Justin, Hildenbrand, Aimee K., March, Sonja and Kassam-Adams, Nancy. 2015. "Systematic, theoretically grounded development and feasibility testing of an innovative, preventive web-based game for children exposed to acute trauma." Clinical Practice in Pediatric Psychology. 3 (1), pp. 12-24. https://doi.org/10.1037/cpp0000080
A new method for assessing content validity in model-based creation and iteration of ehealth interventions
Kassam-Adams, Nancy, Marsac, Meghan L., Kohser, Kirsten L., Kenardy, Justin A., March, Sonja and Winston, Flaura K.. 2015. "A new method for assessing content validity in model-based creation and iteration of ehealth interventions." Journal of Medical Internet Research. 17 (4). https://doi.org/10.2196/jmir.3811
Australian mental health worker attitudes towards cCBT: what is the role of knowledge? Are there differences? Can we change them?
Donovan, Caroline L., Poole, Catherine, Boyes, Natasha, Redgate, Jennie and March, Sonja. 2015. "Australian mental health worker attitudes towards cCBT: what is the role of knowledge? Are there differences? Can we change them?" Internet Interventions. 2 (4), pp. 372-381. https://doi.org/10.1016/j.invent.2015.09.001
Logging into therapy: parent attitudes and intentions to use computer-based therapies for youth mental health
Sweeney, Grace M., Donovan, Caroline L., March, Sonja and Laurenson, Sandra D.. 2015. "Logging into therapy: parent attitudes and intentions to use computer-based therapies for youth mental health." Internet Interventions. 2 (4), pp. 437-445. https://doi.org/10.1016/j.invent.2015.11.001
Innovative mental health solutions for regional well-being and resilience
March, Sonja, Ireland, Michael, Brownlow, Charlotte, Goh, Hong Eng, Antonio, Amy, Tehan, Gerry and Keppell, Mike. 2014. "Innovative mental health solutions for regional well-being and resilience." Keppell, Mike and Reushle, Shirley (ed.) 2nd Digital Rural Futures Conference 2014. Toowoomba, Australia 25 - 27 Jun 2014 Toowoomba, Australia.
Computer-based treatment programs for youth anxiety: a systematic review
Donovan, Caroline L. and March, Sonja. 2014. "Computer-based treatment programs for youth anxiety: a systematic review." Psychopathology Review. 1 (1), pp. 130-156. https://doi.org/10.5127/pr.033613
Child and adolescent characteristics that impact on therapy
Donovan, Caroline L. and March, Sonja. 2014. "Child and adolescent characteristics that impact on therapy." Sbularti, Elizabeth S.., Lyneham, Heidi J., Schniering, Carolyn A. and Rapee, Ronald M. (ed.) Evidence-based CBT for anxiety and depression in children and adolescents: a competencies based approach. London, United Kingdom. John Wiley & Sons. pp. 49-62
Assessing trauma-related symptoms in children and adolescents
March, Sonja, De Young, Alexandra, Dow, Belinda and Kenardy, Justin. 2012. "Assessing trauma-related symptoms in children and adolescents." Beck, J. Gayle and Sloan, Denise M. (ed.) The Oxford handbook of traumatic stress disorders. New York, NY. United States. Oxford University Press. pp. 262-281
Internet treatment of youth
March, Sonja, Spence, Susan H. and Donovan, Caroline L.. 2014. "Internet treatment of youth." Emmelkamp, Paul and Ehring, Thomas (ed.) The Wiley handbook of anxiety disorders. Chichester, West Sussex. United Kingdom. John Wiley & Sons. pp. 1297-1309
The efficacy of a group-based, disorder-specific treatment program for childhood GAD: a randomized controlled trial
Holmes, Monique C., Donovan, Caroline L., Farrell, Lara J. and March, Sonja. 2014. "The efficacy of a group-based, disorder-specific treatment program for childhood GAD: a randomized controlled trial." Behaviour Research and Therapy. 61, pp. 122-135. https://doi.org/10.1016/j.brat.2014.08.002
Online CBT in the treatment of child and adolescent anxiety disorders: Issues in the development of BRAVE-ONLINE and two case illustrations
Spence, Susan H., Donovan, Caroline L., March, Sonja, Gamble, Amanda, Anderson, Renee, Prosser, Samantha, Kercher, Amy, Kenardy, Justin, Spence S., Donovan C., March S., Gamble A., Anderson R., Prosser S., Kercher A. and Kenardy J.. 2008. "Online CBT in the treatment of child and adolescent anxiety disorders: Issues in the development of BRAVE-ONLINE and two case illustrations." Behavioural and Cognitive Psychotherapy. 36 (4), pp. 411-430. https://doi.org/10.1017/S135246580800444X
The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders
March, Sonja, Spence, Susan H. and Donovan, Caroline L.. 2009. "The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders." Journal of Pediatric Psychology. 34 (5), pp. 474-487. https://doi.org/10.1093/jpepsy/jsn099
Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury
Kenardy, Justin, Cobham, Vanessa, Nixon, Reginald D. V., McDermott, Brett and March, Sonja. 2010. "Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury." BMC Psychiatry. 10, pp. 92-100. https://doi.org/10.1186/1471-244X-10-92
A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety
Spence, Susan H., Donovan, Caroline L., March, Sonja, Gamble, Amanda, Anderson, Renee E., Prosser, Samantha, Kenardy, Justin, Spence S.H., Donovan C.L., March S., Gamble A., Anderson R.E., Prosser S. and Kenardy J.. 2011. "A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety." Journal of Consulting and Clinical Psychology. 79 (5), pp. 629-642. https://doi.org/10.1037/a0024512
Working alliance in online cognitive behavior therapy for anxiety disorders in youth: Comparison with clinic delivery and its role in predicting outcome
Anderson, Renee E. E., Spence, Susan H., Donovan, Caroline L., March, Sonja, Prosser, Samantha, Kenardy, Justin, Anderson R.E.E., Spence S.H., Donovan C.L., March S., Prosser S. and Kenardy J.. 2012. "Working alliance in online cognitive behavior therapy for anxiety disorders in youth: Comparison with clinic delivery and its role in predicting outcome." 5th Scientific Meeting of the International Society for Research on Internet Interventions (ISRII 2012). Sydney, Australia 06 - 08 Apr 2011 Toronto, ON. Canada. JMIR Publications Inc.. https://doi.org/10.2196/jmir.1848
Online CBT for preschool anxiety disorders: a randomised control trial
Donovan, Caroline L. and March, Sonja. 2014. "Online CBT for preschool anxiety disorders: a randomised control trial." Behaviour Research and Therapy. 58, pp. 24-35. https://doi.org/10.1016/j.brat.2014.05.001
Application of an internet-based game for secondary prevention of posttraumatic stress following acute medical events
Marsac, Meghan, Kohser, Kristen, Kenardy, Justin, March, Sonja, Winston, Flaura and Kassam-Adams, Nancy. 2014. "Application of an internet-based game for secondary prevention of posttraumatic stress following acute medical events." Society of Pediatric Psychology Annual Conference (2014). Philadelphia, United States 27 - 29 Mar 2014
Does diagnostic profile predict outcome for online CBT for youth anxiety?
March, Sonja, Spence, Sue, Donovan, Caroline and Kenardy, Justin. 2013. "Does diagnostic profile predict outcome for online CBT for youth anxiety?" 6th Scientific Meeting of International Society for Research on Internet Interventions. Chicago, United States 16 - 18 May 2013
Using a web-based game to prevent posttraumatic stress in children following medical events: design of a randomized controlled trial
Marsac, Meghan L., Kohser, Kristen L., Winston, Flaura K., Kenardy, Justin, March, Sonja and Kassam-Adams, Nancy. 2013. "Using a web-based game to prevent posttraumatic stress in children following medical events: design of a randomized controlled trial." European Journal of Psychotraumatology. 4, p. 21311. https://doi.org/10.3402/ejpt.v4i0.21311
Using new technologies to deliver cognitive behaviour therapy with children and adolescents
Donovan, Caroline L., Spence, Susan H. and March, Sonja. 2013. "Using new technologies to deliver cognitive behaviour therapy with children and adolescents." Graham, Philip and Reynolds, Shirley (ed.) Cognitive behaviour therapy for children and families. Cambridge, United Kingdom. Cambridge University Press. pp. 351-370
Does diagnostic complexity predict response to online interventions for youth anxiety?
March, Sonja, Spence, Susan, Donovan, Caroline and Kenardy, Justin. 2013. "Does diagnostic complexity predict response to online interventions for youth anxiety?" Mohr, David C. (ed.) 6th International Society for Research on Internet Interventions Conference (ISRII 2013): Behavioral Intervention Technologies for a Healthy Future: From Design to Dissemination. Chicago, United States 16 - 18 May 2013 Charlottesville, VA. United States.
Online CBT for youth anxiety: extending BRAVE-ONLINE into the UK context
March, S., Spence, S. and Donovan, C.. 2012. "Online CBT for youth anxiety: extending BRAVE-ONLINE into the UK context." Essau, Cecilia A. (ed.) 7th International Conference on Child and Adolescent Psychopathology: Open Spaces, Open Minds. London, United Kingdom 16 - 18 Jul 2012 London, United Kingdom.
Involving parents in indicated early intervention for childhood PTSD following accidental injury
Cobham, Vanessa E., March, Sonja, De Young, Alexandra, Leeson, Fiona, Nixon, Reginald, McDermott, Brett and Kenardy, Justin. 2012. "Involving parents in indicated early intervention for childhood PTSD following accidental injury." Clinical Child and Family Psychology Review. 15 (4), pp. 345-363. https://doi.org/10.1007/s10567-012-0124-9