Abstract
Three occupational therapy graduate students at the University of Puget Sound partnered with a practicing pediatric occupational therapist to investigate effective interventions for anxiety in children in the literature. A Critically-Appraised-Topic (CAT) was performed on the research question: Which interventions geared towards school-aged children between 5 and 18 with anxiety and related disorders are effective in reducing symptoms and increasing participation in school and meaningful occupations as compared to no intervention?
Cognitive Behavioral Therapy (CBT) was found to have the strongest research base and the strongest positive outcomes. Gains were maintained following CBT even 10-26 weeks post-treatment. Other promising interventions with positive outcomes included social skills training, yoga, deep pressure, and play-based and occupation-based groups, although much more research is needed in these areas.
Decision support tools were created by the graduate students to aid the partnering clinician and her clinic translate knowledge from the research into practice. The students created tables listing interventions and assessments for anxiety in children found in the literature, and listed additional details such as cost, time to administer, and targeted diagnoses and ages to help the clinicians decide which interventions and outcome measures from the research to incorporate into practice.
The clinicians ultimately decided to purchase several books, such as the social stories program “Dominique’s Handy Tricks”, to use in treatment of anxiety of children at their clinic. Clinicians reported the knowledge translation tools strengthened their evidence-based practice by allowing them to easily choose interventions and tools that had positive outcomes in the literature and that best fit the clinic’s needs.
Publication Place
Tacoma, Washington
Publisher
University of Puget Sound
Project Chairperson
Yvonne Swinth, PhD, OTR/L, FAOTA
Project Chairperson
Publication Date
5-2016
Genre
Capstone Project
Format
Language
English
Copyright Information
Terms of Use for work posted in Sound Ideas: http://soundideas.pugetsound.edu/copyright.html
Degree Program
Occupational Therapy
Degree Level
Master of Science
Discipline
Occupational Therapy
School
University of Puget Sound
Recommended Citation
Handojo, Nina; Hsu-Nazzal, Christine; and Kabbani, Nadia, "Anxiety in Children: Intervention Strategies" (2016). School of Occupational Therapy Master's Capstone Projects (2016-2021). 1.
https://soundideas.pugetsound.edu/ot_capstone/1