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Symposia

Dissemination & Implementation Science

Session: Listening to Patients: Consumer Perspectives on Treatment

3 - (SYM 21) What Caregivers Like the Most (and Least) About Cognitive Behavioral Therapy for Youth Anxiety: A Mixed Methods Approach

Friday, November 17, 2023

10:30 AM – 12:00 PM PST

Location: Sol Duc (708), Level 7

Speaker(s)

LN

Lesley Norris, Ph.D. (she/her/hers)

The Warren Alpert Medical School of Brown University
Providence, Rhode Island

Co-author(s)

JR

Jonathan C. Rabner, MA

Graduate Student
Department of Psychology, Temple University, Philadelphia, PA, USA
Philadelphia, Pennsylvania
MC

Margaret E. Crane, Ph.D.

The Warren Alpert Medical School of Brown University
Philadelphia, Pennsylvania
MC

Matti Cervin, PhD

Associate Professor
Department of Clinical Sciences Lund, Lund University, Lund, Sweden
Lund, Skane Lan, Sweden
JN

Julia S. Ney, MA

Graduate Student
Department of Psychology, Temple University, Philadelphia, PA, USA
Philadelphia, Pennsylvania
KB

Kristen G. Benito, PhD

Associate Professor
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
Providence, Rhode Island
PK

Philip C. Kendall, PhD

Distinguished University Professor, Laura H. Carnell Professor
Department of Psychology, Temple University, Philadelphia, PA, USA
Philadelphia, Pennsylvania
HF

Hannah E. Frank, PhD

Assistant Professor
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
Providence, Rhode Island

Cognitive behavioral therapy (CBT) is an efficacious therapy for youth anxiety disorders. Caregivers are key stakeholders in youth therapy, and their feedback on treatment can help to inform intervention personalization. The current mixed-methods study applied a systematic inductive thematic analysis to identify themes among most- and least-liked CBT features reported by caregivers using open-ended responses on the Client Satisfaction Questionnaire (CSQ-8). The purposive sample included 139 caregivers of youth ages 7-17 (M = 12.21, SD = 3.05; 60% female; 79.1% Caucasian, 6.5% Black, 2.9% Asian, 2.2% Hispanic, 9.4% Other) with principal anxiety diagnoses who completed 16-sessions of CBT. CSQ-8 quantitative satisfaction scores (M = 29.18, SD = 3.30; range: 16-32) and survey-based response rates (responders n = 93, 67%) were high. Most-liked treatment features included: coping skills (i.e., exposure, understanding/identifying anxiety, rewards, homework), therapist factors (interpersonal style/skill, relationship, accessibility), parent involvement, one-on-one time with a therapist, structure, consistency, and personally tailored treatment. Least-liked treatment features included: questionnaires, cost/payment logistics, telehealth, distance, need for more sessions, non-anxiety concerns not addressed, more parent involvement, and aspects of exposure tasks. Proportional frequencies of most- and least-liked themes differed by responder status (e.g., responders cited exposure and homework as most-liked more frequently).