| Summary: | <p><strong>Background:</strong> Online treatments for child anxiety offer a potentially costeffective and non-stigmatizing means to widen access to evidence-based
treatments and meet the increasing demand on services, however
uptake in routine clinical practice remains a challenge. This study
conducted an initial evaluation of the clinical effectiveness, feasibility,
and acceptability of OSI (Online Support and Intervention for child
anxiety) within clinical practice. OSI is a co-designed online therapistsupported, parent-led CBT treatment for pre-adolescent children with
anxiety problems.</p>
<p><strong>Method:</strong> This case-series was part of routine service evaluation in a clinic
where families were offered OSI to treat a primary anxiety difficulty
among 7–12-year-old children. Measures of anxiety symptomatology,
functional impairment, and progress towards therapeutic goals were
taken at pre-treatment, post-treatment, and 4-week follow-up.
Treatment satisfaction and engagement were also measured throughout
the intervention.</p>
<p><strong>Results:</strong> Mean anxiety symptoms significantly improved to below the
clinical cut-off post-treatment with further reduction at follow-up.
Functional impairment also significantly improved and significant
progress was made towards treatment goals. The majority of children
showed reliable change in anxiety symptoms and reliable recovery by
follow-up and were discharged without needing further treatment for
anxiety. Uptake, adherence, and engagement in OSI were excellent and
parents reported high levels of satisfaction with the treatment.</p>
<p><strong>Conclusions:</strong> We have provided initial evidence that OSI is feasible, acceptable to families, and appears to be associated with good outcomes within routine clinical practice.</p>
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