Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study

Victoria Williamson; Michael Larkin; Tessa Reardon; Samantha Pearcey; Claire Hill; Paul Stallard; Susan H. Spence; Maria Breen; Ian MacDonald; Obioha Ukoumunne; Tamsin Ford; Mara Violato; Falko Sniehotta; Jason Stainer; Alastair Gray; Paul Brown; Michelle Sancho; Cathy Creswell

doi:10.1136/bmjopen-2020-044852

Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study

Victoria Williamson^*, Michael Larkin, Tessa Reardon, Samantha Pearcey, Claire Hill, Paul Stallard, Susan H. Spence, Maria Breen, Ian MacDonald, Obioha Ukoumunne, Tamsin Ford, Mara Violato, Falko Sniehotta, Jason Stainer, Alastair Gray, Paul Brown, Michelle Sancho, Cathy Creswell

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children's access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools-Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties. Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures-or â € pathway'-to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis. Ethics and dissemination The iCATS i2i study was approved by the University of Oxford's Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder's experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics.

Original language	English
Article number	e044852
Journal	BMJ Open
Volume	11
Issue number	4
DOIs	https://doi.org/10.1136/bmjopen-2020-044852
Publication status	Published - 20 Apr 2021

Keywords

anxiety disorders
child & adolescent psychiatry
mental health
protocols & guidelines
qualitative research

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1136/bmjopen-2020-044852

Cite this

Williamson, V., Larkin, M., Reardon, T., Pearcey, S., Hill, C., Stallard, P., Spence, S. H., Breen, M., MacDonald, I., Ukoumunne, O., Ford, T., Violato, M., Sniehotta, F., Stainer, J., Gray, A., Brown, P., Sancho, M., & Creswell, C. (2021). Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study. BMJ Open, 11(4), Article e044852. https://doi.org/10.1136/bmjopen-2020-044852

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title = "Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study",

abstract = "Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children's access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools-Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties. Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures-or {\^a} € pathway'-to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis. Ethics and dissemination The iCATS i2i study was approved by the University of Oxford's Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder's experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics. ",

keywords = "anxiety disorders, child & adolescent psychiatry, mental health, protocols & guidelines, qualitative research",

author = "Victoria Williamson and Michael Larkin and Tessa Reardon and Samantha Pearcey and Claire Hill and Paul Stallard and Spence, {Susan H.} and Maria Breen and Ian MacDonald and Obioha Ukoumunne and Tamsin Ford and Mara Violato and Falko Sniehotta and Jason Stainer and Alastair Gray and Paul Brown and Michelle Sancho and Cathy Creswell",

note = "Funding Information: Funding Obioha Ukoumunne was supported by the National Institute for Health Research Applied Research Collaboration South West Peninsula. Mara Violato receives funding from the National Institute for Health Research (NIHR) Applied Research Collaboration Oxford and Thames Valley at Oxford Health NHS Foundation Trust, and the NIHR Oxford Biomedical Research Centre. Cathy Creswell received funding from the National Institute for Health Research (NIHR; RP-PG-0218-20010). Disclaimer The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health and Social Care. Competing interests None declared. Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details. Publisher Copyright: {\textcopyright} 2021 Author(s) (or their employer(s). Re-use permitted under CC BY. Published by BMJ. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = apr,

day = "20",

doi = "10.1136/bmjopen-2020-044852",

language = "English",

volume = "11",

journal = "BMJ Open",

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Williamson, V, Larkin, M, Reardon, T, Pearcey, S, Hill, C, Stallard, P, Spence, SH, Breen, M, MacDonald, I, Ukoumunne, O , Ford, T, Violato, M, Sniehotta, F, Stainer, J, Gray, A, Brown, P, Sancho, M & Creswell, C 2021, 'Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study', BMJ Open, vol. 11, no. 4, e044852. https://doi.org/10.1136/bmjopen-2020-044852

TY - JOUR

T1 - Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery

T2 - A protocol, mixed-methods feasibility study

AU - Williamson, Victoria

AU - Larkin, Michael

AU - Reardon, Tessa

AU - Pearcey, Samantha

AU - Hill, Claire

AU - Stallard, Paul

AU - Spence, Susan H.

AU - Breen, Maria

AU - MacDonald, Ian

AU - Ukoumunne, Obioha

AU - Ford, Tamsin

AU - Violato, Mara

AU - Sniehotta, Falko

AU - Stainer, Jason

AU - Gray, Alastair

AU - Brown, Paul

AU - Sancho, Michelle

AU - Creswell, Cathy

N1 - Funding Information: Funding Obioha Ukoumunne was supported by the National Institute for Health Research Applied Research Collaboration South West Peninsula. Mara Violato receives funding from the National Institute for Health Research (NIHR) Applied Research Collaboration Oxford and Thames Valley at Oxford Health NHS Foundation Trust, and the NIHR Oxford Biomedical Research Centre. Cathy Creswell received funding from the National Institute for Health Research (NIHR; RP-PG-0218-20010). Disclaimer The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health and Social Care. Competing interests None declared. Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details. Publisher Copyright: © 2021 Author(s) (or their employer(s). Re-use permitted under CC BY. Published by BMJ. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/4/20

Y1 - 2021/4/20

N2 - Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children's access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools-Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties. Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures-or â € pathway'-to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis. Ethics and dissemination The iCATS i2i study was approved by the University of Oxford's Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder's experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics.

AB - Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children's access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Through Schools-Identification to Intervention (iCATS i2i) study, which aims to develop acceptable school-based procedures to identify and support child anxiety difficulties. Methods and analysis iCATS i2i will use a mixed-methods approach to codesign and deliver a set of procedures-or â € pathway'-to improve access to evidence-based intervention for child anxiety difficulties through primary schools in England. The study will consist of four stages, initially involving in-depth interviews with parents, children, school staff and stakeholders (stage 1) to inform the development of the pathway. The pathway will then be administered in two primary schools, including screening, feedback to parents and the offer of treatment where indicated (stage 2), with participating children, parents and school staff invited to provide feedback on their experience (stages 3 and 4). Data will be analysed using Template Analysis. Ethics and dissemination The iCATS i2i study was approved by the University of Oxford's Research Ethics Committee (REF R64620/RE001). It is expected that this codesign study will lead on to a future feasibility study and, if indicated, a randomised controlled trial. The findings will be disseminated in several ways, including via lay summary report, publication in academic journals and presentation at conferences. By providing information on child, parent, school staff and other stakeholder's experiences, we anticipate that the findings will inform the development of an acceptable evidence-based pathway for identification and intervention for children with anxiety difficulties in primary schools and may also inform broader approaches to screening for and treating youth mental health problems outside of clinics.

KW - anxiety disorders

KW - child & adolescent psychiatry

KW - mental health

KW - protocols & guidelines

KW - qualitative research

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U2 - 10.1136/bmjopen-2020-044852

DO - 10.1136/bmjopen-2020-044852

M3 - Article

C2 - 33879487

AN - SCOPUS:85104600240

SN - 2044-6055

VL - 11

JO - BMJ Open

JF - BMJ Open

IS - 4

M1 - e044852

ER -

Codesign and development of a primary school based pathway for child anxiety screening and intervention delivery: A protocol, mixed-methods feasibility study

Abstract

Keywords

UN SDGs

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