Table 3.
Analysis of secondary outcomes at 4 and 6 months post-randomization.
| Analysis | Therapist-guided cCBT intervention | Enhanced usual care intervention | Adjusted difference in means (95% CI)a | P Value | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Baseline | 4 mo | 6 mo | Baseline | 4 mo | 6 mo | 4 mo | 6 mo | 4 mo | 6 mo | |
| CATS | 19.5 (8.6) | 9.8 (8.4) | 9.5 (9.0) | 20.5 (9.5) | 14.0 (9.8) | 11.9 (9.6) | –3.76 | –1.81 | 0.002 | 0.168 |
| (n = 108) | (n = 94) | (n = 80) | (n = 108) | (n = 95) | (n = 82) | (–6.15 to -1.37) | (–4.40 to 0.77) | |||
| SPSI-RS | 9.5 (2.6) | 11.6 (3.0) | 11.5 (3.1) | 9.2 (2.4) | 10.5 (2.7) | 10.3 (2.7) | 1.01 | 1.00 | 0.009 | 0.025 |
| (n = 108) | (n = 90) | (n = 80) | (n = 107) | (n = 92) | (n = 79) | (0.26 to 1.77) | (0.13 to 1.89) | |||
| Physical well-being | 30.7 (7.5) | 36.3 (9.0) | 36.2 (7.8) | 30.0 (7.1) | 33.8 (8.2) | 34.9 (9.10) | 2.67 | 1.37 | 0.024 | 0.292 |
| (n = 108) | (n = 93) | (n = 78) | (n = 108) | (n = 92) | (n = 82) | (0.35 to 4.99) | –1.19 to 3.94) | |||
| Psychological well-being | 30.9 (6.7) | 42.9 (12.7) | 42.2 (12.7) | 29.6 (6.7) | 38.6 (10.3) | 39.6 (10.5) | 4.02 | 2.51 | 0.018 | 0.159 |
| (n = 107) | (n = 94) | (n = 78) | (108) | (n = 93) | (n = 83) | (0.70 to 7.34) | (–1.00 to 6.02) | |||
| Autonomy and parent relation | 40.3 (8.9) | 43.6 (12.0) | 43.8 (12.1) | 37.8 (10.1) | 42.0 (9.6) | 41.3 (10.4) | 0.52 | –0.28 | 0.677 | 0.842 |
| (n = 108) | (n = 94) | (n = 78) | (n = 108) | (n = 92) | (n = 82) | (–1.93 to 2.96) | (–3.10 to 2.53) | |||
| Peers and social support | 42.2 (13.5) | 46.5 (13.3) | 46.7 (15.5) | 43.0 (13.1) | 47.1 (12.5) | 47.6 (13.5) | –0.68 | –0.04 | 0.684 | 0.983 |
| (n = 108) | (n = 94) | (n = 78) | (n = 108) | (n = 94) | (n = 83) | (–3.97 to 2.61) | (–4.11 to 4.02) | |||
| School environment | 36.6 (9.1) | 44.6 (10.4) | 47.0 (10.5) | 36.8 (8.9) | 43.5 (11.2) | 42.7 (11.8) | 2.13 | 4.61 | 0.164 | 0.009 |
| (n = 105) | (n = 83) | (n = 66) | (n = 104) | (n = 83) | (n = 69) | (–0.88 to 5.15) | (1.20 to 8.02) | |||
| General HRQoL Index | 33.8 (6.1) | 41.9 (10.1) | 41.6 (9.6) | 32.3 (6.7) | 39.3 (7.6) | 39.8 (7.9) | 2.56 | 1.43 | 0.053 | 0.309 |
| (n = 104) | (n = 83) | (n = 66) | (n = 104) | (n = 83) | (n = 69) | (–0.03 to 5.15) | (–1.35 to 4.22) | |||
CATS, Children’s Automatic Thoughts Scale; cCBT: computer-assisted cognitive-behavioral therapy; SPSI-RS, Social Problem Solving-Inventory – Revised Short Form; HRQoL, Health-Related Quality of Life; mo, months.
Data are mean (standard deviation), unless otherwise specified.
a
Outcome adjusted for sex and baseline scores.