[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100585460":3},{"organization":4,"armGroups":7,"interventions":30,"overallOfficials":46,"centralContacts":50,"locations":55,"responsibleParty":70,"collaborators":72,"id":76,"slug":77,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":81,"acronym":35,"eligibilityCriteria":82,"healthyVolunteers":78,"sex":83,"minAge":84,"maxAge":85,"enrollmentInfo":86,"targetDuration":35,"studyType":89,"phases":90,"briefSummary":92,"conditions":93,"keywords":100,"overallStatus":57,"whyStopped":35,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"Karolinska Institutet","OTHER",[8,14,19,24],{"label":9,"type":10,"description":11,"interventionNames":12},"Internet-based parenting support","EXPERIMENTAL","5 weeks of internet-based parenting support provided as a first step for all parents (Step 1 in the stepped care model).",[13],"Behavioral: Internet-based parenting support",{"label":15,"type":10,"description":16,"interventionNames":17},"\"YourSkills\" for children\u002Fyouth","A cognitive-behavioral program for children and youth with up to 10 individual, face-to-face, weekly sessions, where role-plays can be conducted in virtual reality. (Step 2 in the stepped care model)",[18],"Behavioral: \"YourSkills\" for children\u002Fyouth",{"label":20,"type":10,"description":21,"interventionNames":22},"Step-by-step parent support","A parent training program with between 6 and 10 individual, face-to-face, weekly sessions with parents. Role-plays may be conducted in virtual reality. (Step 2 in the stepped care model)",[23],"Behavioral: Step-by-step parent support",{"label":25,"type":26,"description":27,"interventionNames":28},"Intervention\u002Fsupports as usual and prolonged use of internet-based parenting support","ACTIVE_COMPARATOR","Based on other available support at the units and prolonged use of internet-based parenting support program. (Step 2 in the stepped-care model)",[29],"Behavioral: Intervention\u002Fsupport as usual and prolonged use of internet-based parenting support",[31,36,39,42],{"type":32,"name":9,"description":33,"armGroupLabels":34,"otherNames":35},"BEHAVIORAL","An internet-based parent training program with 5 active modules and a final summarizing module, based on social learning theory\u002Fcognitive behavior therapy. All parents participate in this intervention (Step 1) before being randomized to the other three arms of the stepped care model in the randomized controlled trial (Step 2).",[9],null,{"type":32,"name":15,"description":37,"armGroupLabels":38,"otherNames":35},"Cognitive behavioral therapy for children\u002Fyouth with role-plays in virtual reality. A program for children\u002Fyouth with anger problems or aggressive behaviors based on social learning theory and cognitive behavior therapy (CBT), incorporating virtual reality (VR) when conducting brief role-plays. The program includes similar strategies as other CBT-oriented programs for anger problems, with the addition of VR for practicing skills.",[15],{"type":32,"name":20,"description":40,"armGroupLabels":41,"otherNames":35},"A parent training program based on social learning theory and cognitive behavioral therapy (CBT), including some sessions where virtual reality may be used for training in brief role plays. The program includes similar strategies as other common CBT-parent training programs for parents of children with behavior problems, with the difference that virtual reality can be used as an additional way to practice skills.",[20],{"type":32,"name":43,"description":44,"armGroupLabels":45,"otherNames":35},"Intervention\u002Fsupport as usual and prolonged use of internet-based parenting support","Based on other available support, interventions, courses at the units. Parents have access to the internet-based parenting support provided in Step 1 (the first intervention of the study). After 10 weeks with intervention\u002Fsupport as usual, the parents are asked if they want to participate in the CBT-VR-intervention for children (YourSkills) or for parents (Step-by-Step parent support).",[25],[47],{"name":48,"affiliation":5,"role":49},"Pia Enebrink, PhD","PRINCIPAL_INVESTIGATOR",[51],{"name":48,"role":52,"phone":53,"phoneExt":35,"email":54},"CONTACT","+46852487738","pia.enebrink@ki.se",[56],{"facility":5,"status":57,"city":58,"state":35,"zip":35,"country":59,"countryCode":60,"cosmosGeoPoint":61,"geoPoint":66,"contacts":67},"RECRUITING","Solna","Sweden","SE",{"type":62,"coordinates":63},"Point",[64,65],18.00086,59.36004,{"lat":65,"lon":64},[68],{"name":69,"role":52,"phone":35,"phoneExt":35,"email":35},"Pia Enebrink",{"type":49,"investigatorFullName":69,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":35,"oldOrganization":35},"Associate professor",[73],{"name":74,"class":75},"Region Stockholm","OTHER_GOV","100585460","step-by-step-evaluation-of-a-stepped-care-model-100585460",false,"NCT06902649","Step-by-Step: Evaluation of a Stepped Care Model","Step-by-Step: Evaluation of a Stepped Care Model for Anger, Defiant, or Aggressive Behavior in Children and Adolescents","Inclusion Criteria:\n\n* Families with children aged 8-16 years who have difficulty controlling anger or exhibit defiant or aggressive behavior. The child\u002Fadolescent meets 3 of the diagnostic criteria for Oppositional Defiant Disorder or 2 criteria for Conduct Disorder indicating aggressive behavior.\n* Medication for the child can remain stable.\n* Parents need to be able to read and engage with materials in Swedish\n\nExclusion Criteria:\n\n* Families with children younger than 8 years old or who have already turned 17, or who do not exhibit defiant or aggressive behaviors according to the first inclusion criterion.\n* Children with severe depression, suicidal behavior, bipolar disorder, psychosis, eating disorders, severe autism (level 2 and 3), diagnosed intellectual disability, or ongoing criminal behavior assessed to require interventions other than the study's interventions are excluded.\n* Children\u002Fadolescents with other ongoing psychological treatments for the same condition or assessed by the clinician in need of other interventions\n* Parents and children with epilepsy or migraines","ALL","8 Years","16 Years",{"count":87,"type":88},210,"ESTIMATED","INTERVENTIONAL",[91],"NA","The primary aim of this project is to examine the effectiveness of a stepped care model of interventions for children's defiant or aggressive behavior problems. The stepped model consists of a brief internet-based parenting support program (Step 1). For those with continued need of additional interventions, Step 2 includes access to one of following interventions: b) a Cognitive Behavior Therapy (CBT) -Virtual Reality (VR)-assisted parenting support program, b) a Cognitive Behavior Therapy -Virtual Reality-assisted child intervention, or c) standard interventions\u002Fsupport at the family's unit\u002Fclinic and continued access to the study's internet-based parenting support program, after which the family may choose CBT-VR for the child or the parent.",[94,95,96,97,98,99],"Child Behavior Problem","Disruptive Behavior","Oppositional Defiant Disorder","Conduct Problems","Aggression","Anger",[95,94,101,102,103],"Cognitive behavior therapy","Virtual Reality","Parenting support program","2026-03-04",{"date":106,"type":107},"2026-03-06","ACTUAL",{"date":109,"type":107},"2025-04-02",{"date":111,"type":88},"2027-08-31",{"name":5,"class":6},1]