Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time

BackgroundCognitive behavioral therapy (CBT) has shown to be highly effective for treating youth anxiety; yet, there is ongoing debate as to whether involving parents improves outcomes. For example, parents who attend may learn CBT skills to help their child in an ongoing way...

Full description

Bibliographic Details
Main Authors: Simon Byrne, Meg Richardson, Marcos Riba, Kana Imuta
Format: Article
Language:English
Published: JMIR Publications 2023-06-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e48077
_version_ 1797733988550311936
author Simon Byrne
Meg Richardson
Marcos Riba
Kana Imuta
author_facet Simon Byrne
Meg Richardson
Marcos Riba
Kana Imuta
author_sort Simon Byrne
collection DOAJ
description BackgroundCognitive behavioral therapy (CBT) has shown to be highly effective for treating youth anxiety; yet, there is ongoing debate as to whether involving parents improves outcomes. For example, parents who attend may learn CBT skills to help their child in an ongoing way; yet, they could also distract their child from treatment depending on how they interact. As evidence has accumulated, reviews and meta-analyses have attempted to examine the most effective treatment format. These reviews often have high impact in the field; however, they use varied methodologies and draw on different primary studies. Different formats of CBT for youth anxiety have been developed in relation to parental involvement, including youth-only CBT (Y-CBT; where the youth alone attends treatment), youth and parent or family CBT (F-CBT; where youths and their parents attend together), and, most recently, parent-only CBT (P-CBT; where the parent alone attends). ObjectiveThis protocol describes an overview of systematic reviews comparing the relative efficacy of different formats of CBT for youth anxiety (Y-CBT, F-CBT, and P-CBT) over the study period. The protocol will also examine the moderating effects of variables on the efficacy of different formats; for example, youths’ age and long-term outcomes. MethodsWe will analyze the results of systematic reviews that compare different levels and types of parental involvement in CBT for youth anxiety over the study period. A systematic review of medical and psychological databases (PsycINFO, PubMed, SCOPUS, Web of Science, Cochrane Library, and Embase) will identify reviews comparing the efficacy of different formats of parent involvement in CBT for youth anxiety. Data extraction will include (1) author names (and year of publication), (2) review design, (3) age range, (4) analysis type, (5) conclusions, and (6) moderators. This overview will present the relative efficacy of formats chronologically in a table and then describe the main results longitudinally in a narrative summary. A Measurement Tool to Assess Systematic Reviews, 2nd Edition (AMSTAR 2), quality rating will be given to each review, and the amount of primary study overlap across reviews will be quantified. ResultsThe last search was conducted on July 1, 2022. The reviews were published between 2005 and 2022. We found a total of 3529 articles, of which we identified 25 for the final analysis. ConclusionsThis overview will compare and report the relative efficacy of Y-CBT, P-CBT, and F-CBT for youth anxiety over the study period, describe the heterogeneity across reviews and primary studies, and consider the moderating effect of relevant variables. It will describe the limitations of an overview, including the potential for nuance in the data to be lost, and provide conclusions and recommendations for conducting systematic reviews regarding parental involvement for CBT for youth anxiety. International Registered Report Identifier (IRRID)RR1-10.2196/48077
first_indexed 2024-03-12T12:36:37Z
format Article
id doaj.art-c9470f12f72148aa9da73bca42503455
institution Directory Open Access Journal
issn 1929-0748
language English
last_indexed 2024-03-12T12:36:37Z
publishDate 2023-06-01
publisher JMIR Publications
record_format Article
series JMIR Research Protocols
spelling doaj.art-c9470f12f72148aa9da73bca425034552023-08-29T00:08:17ZengJMIR PublicationsJMIR Research Protocols1929-07482023-06-0112e4807710.2196/48077Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over TimeSimon Byrnehttps://orcid.org/0000-0002-2729-1907Meg Richardsonhttps://orcid.org/0009-0006-5667-0603Marcos Ribahttps://orcid.org/0000-0002-0540-8916Kana Imutahttps://orcid.org/0000-0002-6513-6254 BackgroundCognitive behavioral therapy (CBT) has shown to be highly effective for treating youth anxiety; yet, there is ongoing debate as to whether involving parents improves outcomes. For example, parents who attend may learn CBT skills to help their child in an ongoing way; yet, they could also distract their child from treatment depending on how they interact. As evidence has accumulated, reviews and meta-analyses have attempted to examine the most effective treatment format. These reviews often have high impact in the field; however, they use varied methodologies and draw on different primary studies. Different formats of CBT for youth anxiety have been developed in relation to parental involvement, including youth-only CBT (Y-CBT; where the youth alone attends treatment), youth and parent or family CBT (F-CBT; where youths and their parents attend together), and, most recently, parent-only CBT (P-CBT; where the parent alone attends). ObjectiveThis protocol describes an overview of systematic reviews comparing the relative efficacy of different formats of CBT for youth anxiety (Y-CBT, F-CBT, and P-CBT) over the study period. The protocol will also examine the moderating effects of variables on the efficacy of different formats; for example, youths’ age and long-term outcomes. MethodsWe will analyze the results of systematic reviews that compare different levels and types of parental involvement in CBT for youth anxiety over the study period. A systematic review of medical and psychological databases (PsycINFO, PubMed, SCOPUS, Web of Science, Cochrane Library, and Embase) will identify reviews comparing the efficacy of different formats of parent involvement in CBT for youth anxiety. Data extraction will include (1) author names (and year of publication), (2) review design, (3) age range, (4) analysis type, (5) conclusions, and (6) moderators. This overview will present the relative efficacy of formats chronologically in a table and then describe the main results longitudinally in a narrative summary. A Measurement Tool to Assess Systematic Reviews, 2nd Edition (AMSTAR 2), quality rating will be given to each review, and the amount of primary study overlap across reviews will be quantified. ResultsThe last search was conducted on July 1, 2022. The reviews were published between 2005 and 2022. We found a total of 3529 articles, of which we identified 25 for the final analysis. ConclusionsThis overview will compare and report the relative efficacy of Y-CBT, P-CBT, and F-CBT for youth anxiety over the study period, describe the heterogeneity across reviews and primary studies, and consider the moderating effect of relevant variables. It will describe the limitations of an overview, including the potential for nuance in the data to be lost, and provide conclusions and recommendations for conducting systematic reviews regarding parental involvement for CBT for youth anxiety. International Registered Report Identifier (IRRID)RR1-10.2196/48077https://www.researchprotocols.org/2023/1/e48077
spellingShingle Simon Byrne
Meg Richardson
Marcos Riba
Kana Imuta
Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
JMIR Research Protocols
title Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
title_full Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
title_fullStr Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
title_full_unstemmed Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
title_short Parent Versus Individual Cognitive Behavioral Therapy for Youth Anxiety: Protocol for an Overview of Systematic Reviews Over Time
title_sort parent versus individual cognitive behavioral therapy for youth anxiety protocol for an overview of systematic reviews over time
url https://www.researchprotocols.org/2023/1/e48077
work_keys_str_mv AT simonbyrne parentversusindividualcognitivebehavioraltherapyforyouthanxietyprotocolforanoverviewofsystematicreviewsovertime
AT megrichardson parentversusindividualcognitivebehavioraltherapyforyouthanxietyprotocolforanoverviewofsystematicreviewsovertime
AT marcosriba parentversusindividualcognitivebehavioraltherapyforyouthanxietyprotocolforanoverviewofsystematicreviewsovertime
AT kanaimuta parentversusindividualcognitivebehavioraltherapyforyouthanxietyprotocolforanoverviewofsystematicreviewsovertime