Development and usability testing of OSI: Online Support and Intervention for child anxiety (Preprint)

10.2196/preprints.29846 ◽

2021 ◽

Author(s):

Claire Hill ◽

Tessa Reardon ◽

Lucy Taylor ◽

Cathy Creswell

Keyword(s):

Phase 1 ◽

Child Anxiety ◽

Usability Testing ◽

Online Support ◽

Evidence Based ◽

User Engagement ◽

Phase 2 ◽

Structured Interviews ◽

Face To Face ◽

Online Treatment

BACKGROUND Online treatments for child anxiety may help increase access to evidence-based therapies, however user engagement, uptake and adherence within routine clinical practice remains a challenge. Involving the intended end users in the development process through co-design and usability testing is argued to be crucial for maximising user engagement and adoption of online treatments, but so far this has been lacking for online treatments for child anxiety. OBJECTIVE To develop an online treatment for child anxiety through a process of co-design (Phase 1) and usability testing (Phase 2), based on an existing evidence-based face-to-face therapist-supported, parent-led CBT intervention. It was intended that the online version of this treatment would consist of a parent website, case management system for clinicians and mobile game application for children. METHODS Parents, children and clinicians who were familiar with the face-to-face version of the treatment were recruited from 2 NHS clinics. In Phase 1, participants took part in 3 workshops to gain feedback on the overall concept, explore their wants and needs for the websites/game, generate ideas on how the treatment may look and gain feedback on initial mock-ups of the websites/game. In Phase 2, participants attended 3 individual usability testing sessions where they were presented with working prototypes of the websites/game and asked to carry out a series of tasks on the website (parents/clinicians) or play the game (children). The frequency and detail of usability errors was recorded. Participants were asked for their feedback on the website/game using a standardised usability questionnaire and semi-structured interviews. The websites/game were iterated after each round of usability testing in response to this feedback. RESULTS In Phase 1, participants approved the general concept and rated the initial mock-ups of the website/game positively. In Phase 2, working prototypes were rated positively and usability errors declined across the iterations and were mainly cosmetic or minor issues relating to aesthetic preference, with few issues regarding ability to navigate the website or technical issues affecting functionality. Feedback from the semi-structured interviews further supported the positive response of participants to the website/game and helped identify areas for improvement during the iteration process. The final iteration of the website/game is presented. CONCLUSIONS Taking an iterative approach to development through co-design and usability testing has resulted in an online treatment for child anxiety (OSI: Online Support and Intervention for child anxiety) that appears to meet the needs and expectations of the intended users (parents, children and clinicians), and is easy and enjoyable to use.

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The French Version of the Revised Child Anxiety and Depression Scale (RCADS) in a Nonclinical Sample

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000158 ◽

2015 ◽

Vol 74 (3) ◽

pp. 119-127 ◽

Cited By ~ 10

Author(s):

Martine Bouvard ◽

Anne Denis ◽

Jean-Luc Roulin

Keyword(s):

Factor Analysis ◽

Anxiety Disorder ◽

Confirmatory Factor Analysis ◽

Generalized Anxiety Disorder ◽

Child Anxiety ◽

Depression Scale ◽

Anxiety And Depression ◽

Generalized Anxiety ◽

French Version ◽

Confirmatory Factor

This article investigates the psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS). A group of 704 adolescents completed the questionnaires in their classrooms. This study examines potential confirmatory factor analysis factor models of the RCADS as well as the relationships between the RCADS and the Screen for Child Anxiety Related Emotional Disorders-Revised (SCARED-R). A subsample of 595 adolescents also completed an anxiety questionnaire (Fear Survey Schedule for Children-Revised, FSSC-R) and a depression questionnaire (Center for Epidemiological Studies Depression Scale, CES-D). Confirmatory factor analysis of the RCADS suggests that the 6-factor model reasonably fits the data. All subscales were positively intercorrelated, with rs varying between .48 (generalized anxiety disorder-major depression disorder) and .65 (generalized anxiety disorder-social phobia/obsessive-compulsive disorder). The RCADS total score and all the RCADS scales were found to have good internal consistency (> .70). The correlations between the RCADS subscales and their SCARED-R counterparts are generally substantial. Convergent validity was found with the FSSC-R and the CES-D. The study included normal adolescents aged 10 to 19. Therefore, the findings cannot be extended to children under 10, nor to a clinical population. Altogether, the French version of the RCADS showed reasonable psychometric properties.

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Psychometric Properties of the Social Phobia and Anxiety Inventory for Children (SPAI-C)

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000090 ◽

2012 ◽

Vol 28 (1) ◽

pp. 51-59 ◽

Cited By ~ 9

Author(s):

Anna Ogliari ◽

Simona Scaini ◽

Michael J. Kofler ◽

Valentina Lampis ◽

Annalisa Zanoni ◽

...

Keyword(s):

General Population ◽

Social Phobia ◽

Psychometric Properties ◽

Emotional Disorders ◽

Child Anxiety ◽

Self Report ◽

Public Performance ◽

Confirmatory Factor Analyses ◽

The Social ◽

General Populations

Reliable and valid self-report questionnaires could be useful as initial screening instruments for social phobia in both clinical settings and general populations. The present study investigates the factor structure and psychometric properties of the Social Phobia and Anxiety Inventory for Children (SPAI-C) in a sample of 228 children from the Italian general population aged 8 to 11. The children were asked to complete the Italian version of the SPAI-C and the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire. Confirmatory factor analyses revealed that social phobia can be conceptualized as a unitary construct consisting of five distinct but interrelated symptom clusters named Assertiveness, General Conversation, Physical/Cognitive Symptoms, Avoidance, and Public Performance. Internal consistency of the SPAI-C total scores and two subscales was good; correlations between SPAI-C total scores and SCARED total scores/subscales ranged from moderate to high (Generalized Anxiety Disorder, for social phobia), with the SCARED Social Phobia subscale as the best predictor of SPAI-C total scores. The results indicate that the SPAI-C is a reliable and sensitive instrument suitable for identifying Social Phobia in the young Italian general population.

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