Clinical and cost-effectiveness of one-session treatment (OST) versus multisession cognitive–behavioural therapy (CBT) for specific phobias in children: protocol for a non-inferiority randomised controlled trial

Wright, Barry D; Cooper, Cindy; Scott, Alexander J; Tindall, Lucy; Ali, Shehzad; Bee, Penny; Biggs, Katie; Breckman, Trilby; Davis III, Thompson E; Gega, Lina; Hargate, Rebecca Julie; Lee, Ellen; Lovell, Karina; Marshall, David; McMillan, Dean; Teare, M Dawn; Wilson, Jonathan

Abstract

Specific phobias (intense, enduring fears of
an object or situation that lead to avoidance and severe
distress) are highly prevalent among children and young
people. Cognitive–behavioural therapy (CBT) is a wellestablished, effective intervention, but it can be time
consuming and costly because it is routinely delivered
over multiple sessions during several months. Alternative
methods of treating severe and debilitating phobias in
children are needed, like one-session treatment (OST), to
reduce time and cost, and to prevent therapeutic drift and
help children recover quickly. Our study explores whether
(1) outcomes with OST are ‘no worse’ than outcomes with
multisession CBT, (2) OST is acceptable to children, their
parents and the practitioners who use it and (3) OST offers
good value for money to the National Health Service (NHS)
and to society.

Citation

Wright, B. D., Cooper, C., Scott, A. J., Tindall, L., Ali, S., Bee, P., …Wilson, J. (2018). Clinical and cost-effectiveness of one-session treatment (OST) versus multisession cognitive–behavioural therapy (CBT) for specific phobias in children: protocol for a non-inferiority randomised controlled trial. BMJ Open, 8(8), e025031. https://doi.org/10.1136/bmjopen-2018-025031

• Journal Article Type: Article
• Online Publication Date: Aug 17, 2018
• Publication Date: 2018-08
• Deposit Date: May 30, 2023
• Journal: BMJ Open
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 8
• Issue: 8
• Pages: e025031
• DOI: https://doi.org/10.1136/bmjopen-2018-025031
• Keywords: General Medicine