Abstract：
Increasing evidence has shown that childhood anxiety can be effectively treated by Internet-based cognitive behavioral therapy (ICBT). Being able to predict why participants decide to drop out of such programs enables scarce resources to be used appropriately. The aim of this study was to report dropout predictors for a population-based ICBT intervention aimed at children with anxiety, together with the time they and their parents spent on the program and client satisfaction rates. The study focused on 234 Finnish children aged 10-13 who received an ICBT intervention, with telephone support, for anxiety symptoms, as a part of a randomized control trial. Their parents also had access to Internet-based material and participated in the weekly telephone calls with the coach. Possible drop out factors were explored and these included various family demographics, child and parent psychopathology and therapeutic alliance. Just under a fifth (23.9%) of the children dropped out of the intervention. The risk was higher if the child did not fulfill the criteria for any anxiety diagnosis or reported a poorer therapeutic alliance. Family demographics and the COVID-19 pandemic did not increase the risk. The families spent an average of 127 min on the webpage each week and an average of 32 min on the phone calls. The overall satisfaction with the program was 87% for the children and 95% for the parents. Both the children and the parents found the telephone calls helpful. These findings are important in clinical practice when assessing a family\'s eligibility for ICBT.
摘要：
越来越多的证据表明，基于互联网的认知行为疗法（ICBT）可以有效地治疗儿童焦虑。能够预测参与者决定退出此类计划的原因，可以适当地使用稀缺资源。这项研究的目的是报告针对焦虑症儿童的基于人群的ICBT干预措施的辍学预测因素，以及他们和他们的父母在项目上花费的时间和客户满意度。该研究集中于234名接受ICBT干预的10-13岁芬兰儿童，在电话支持下,焦虑症状，作为随机对照试验的一部分。他们的父母还可以访问基于互联网的材料，并参加了每周与教练的电话通话。探讨了可能的辍学因素，其中包括各种家庭人口统计，儿童和父母的精神病理学和治疗联盟。不到五分之一（23.9％）的儿童退出了干预措施。如果儿童不符合任何焦虑诊断的标准或报告较差的治疗联盟，则风险更高。家庭人口统计学和COVID-19大流行并没有增加风险。这些家庭每周平均在网页上花费127分钟，平均在电话上花费32分钟。儿童对该计划的总体满意度为87％，父母为95％。孩子和父母都发现电话很有帮助。这些发现在临床实践中评估一个家庭的ICBT资格时很重要。
