{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T15:35:10Z","timestamp":1794411310077,"version":"4.9.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000664","name":"Health Technology Assessment Programme","doi-asserted-by":"publisher","award":["15\/38\/04"],"award-info":[{"award-number":["15\/38\/04"]}],"id":[{"id":"10.13039\/501100000664","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>5%\u201310% children and young people (CYP) experience specific phobias that impact daily functioning. Cognitive Behaviour Therapy (CBT) is recommended but has limitations. One Session Treatment (OST), a briefer alternative incorporating CBT principles, has demonstrated efficacy. The Alleviating Specific Phobias Experienced by Children Trial (ASPECT) investigated the non\u2010inferiority of OST compared to multi\u2010session CBT for treating specific phobias in CYP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ASPECT was a pragmatic, multi\u2010center, non\u2010inferiority randomized controlled trial in 26 CAMHS sites, three voluntary agency services, and one university\u2010based CYP well\u2010being service. CYP aged 7\u201316\u2009years with specific phobia were randomized to receive OST or CBT. Clinical non\u2010inferiority and a nested cost\u2010effectiveness evaluation was assessed 6\u2010months post\u2010randomization using the Behavioural Avoidance Task (BAT). Secondary outcome measures included the Anxiety Disorder Interview Schedule, Child Anxiety Impact Scale, Revised Children's Anxiety Depression Scale, goal\u2010based outcome measure, and EQ\u20105DY and CHU\u20109D, collected blind at baseline and six\u2010months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      268 CYPs were randomized to OST (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009134) or CBT (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009134). Mean BAT scores at 6 months were similar across groups in both intention\u2010to\u2010treat (ITT) and per\u2010protocol (PP) populations (CBT: 7.1 (ITT,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200976), 7.4 (PP,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200957), OST: 7.4 (ITT,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973), 7.6 (PP,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956), on the standardized scale\u2010adjusted mean difference for CBT compared to OST \u20100.123, 95% CI \u22120.449 to 0.202 (ITT), mean difference \u22120.204, 95% CI \u22120.579 to 0.171 (PP)). These findings were wholly below the standardized non\u2010inferiority limit of 0.4, suggesting that OST is non\u2010inferior to CBT. No between\u2010group differences were found on secondary outcomes. OST marginally decreased mean service use costs and maintained similar mean Quality Adjusted Life Years compared to CBT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>One Session Treatment has similar clinical effectiveness to CBT for specific phobias in CYP and may be a cost\u2010saving alternative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13665","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T22:34:05Z","timestamp":1659393245000},"page":"39-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["One session treatment (OST) is equivalent to multi\u2010session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non\u2010inferiority randomized controlled trial"],"prefix":"10.1111","volume":"64","author":[{"given":"Barry","family":"Wright","sequence":"first","affiliation":[{"name":"Leeds and York Partnership NHS Foundation Trust  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7486-5037","authenticated-orcid":false,"given":"Lucy","family":"Tindall","sequence":"additional","affiliation":[{"name":"Leeds and York Partnership NHS Foundation Trust  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Scott","sequence":"additional","affiliation":[{"name":"Keele University  Keele UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Cooper","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Biggs","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny","family":"Bee","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han\u2010I","family":"Wang","sequence":"additional","affiliation":[{"name":"University of York  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Gega","sequence":"additional","affiliation":[{"name":"University of York  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Hayward","sequence":"additional","affiliation":[{"name":"Leeds and York Partnership NHS Foundation Trust  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiera","family":"Solaiman","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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