NCT06273982
Behavioral Telehealth in Low-resource Primary Care Settings for Anxiety and Depression in Youth
Enrolling by Invitation
NAAges 8–16InterventionalTreatmentSan Diego State UniversityInvestigator-initiated
~220 participants
Updated 2026-04-13 on ClinicalTrials.gov
What's tested:STEP-UP (transdiagnostic behavioral therapy for pediatric anxiety and depression)ARC (assisted referral to community care)
At a glance
Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Children's Global Assessment Scale (CGAS)
Measured over Measured at baseline (Week 0) and follow-up assessments (Week 16 and Week 32)
+2 more outcomes measured
Conditions
Where it's being run
1 sites across 1 statesOregon1
Study leadership
- V. Robin Weersing, PhD · PRINCIPAL_INVESTIGATOR · San Diego State University
- Frances Lynch, PhD · PRINCIPAL_INVESTIGATOR · Kaiser Permanente
Who to contact
This trial hasn't published a contact. View it on ClinicalTrials.gov
Do you actually qualify for this trial?
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Eligibility criteria
Inclusion
Youth is a patient in a participating community health center.
Youths meet criteria for clinically significant anxiety and / or depression as indexed at baseline assessment by either:
research diagnosis of anxiety (Social Anxiety Disorder, Generalized Anxiety Disorder, Separation Anxiety Disorder) and / or depressive disorder (Major Depressive Disorder, Persistent Depressive Disorder).
scores in the clinically elevated range on a standardized anxiety and / or depression symptom measure .
Youth lives with a legal guardian (hereafter referred to as "parent") \>= 50% of the time who consents to study participation.
Youth speaks English.
Parent speaks English or Spanish.
Exclusion
Youth requires alternate treatment as indexed by:
current clinically significant Post-Traumatic Stress Disorder symptoms (meets diagnostic criteria in research interview and / or scores in the clinically elevated range on a standardized symptom measure) at baseline.
current suicidal ideation with plan at baseline and / or suicidal behavior within the last year.
current substance dependence at baseline.
experience of physical or sexual abuse within the six months prior to baseline.
parent /guardian does not identify anxiety and / or depression as a treatment priority at baseline.
Youth is in an active, alternate psychosocial intervention for anxiety or depression that would be concurrent with study participation.
Youth is on an unstable regimen of psychotropic medication (i.e., receives medication but has not been at a stable dose for at least 8 weeks, or if medication has been discontinued for less than 4 weeks) at baseline.
Youth is receiving lithium or and anti-psychotic medication at baseline.
Youth is placed in a special education program for greater than 50% of the school day and / or youth school placement is below the second-grade level at baseline.
Youth is placed in foster care at baseline.
What this trial measures
- Children's Global Assessment Scale (CGAS)Measured at baseline (Week 0) and follow-up assessments (Week 16 and Week 32)
Interviewer-rated youth functioning. Scores range from 1 to 100, and higher score indcate superior functioning.
- Pediatric Anxiety Rating Scale (PARS)Measured at baseline (Week 0) and follow-up assessments (Week 16 and Week 32). The PARS total severity score ranges from 0 to 30, with higher scores indicating greater anxiety severity.
Interviewer-rated symptoms of anxiety disorders, combining parent and youth report
- Children's Depression Rating Scale -- Revised (CDRS-R)Measured at baseline (Week 0) and follow-up assessments (Week 16 and Week 32). The CDRS-R total severity score ranges from 17 to 113, with higher scores indicating greater depression symptom severity.
Interviewer rated symptoms of depressive disorders, combining parent and youth report