Cullen, Laura (2020) Does Compliance and Interactivity Predict Outcome with Self-Help Online Treatment for Child Anxiety? Honours thesis, University of Southern Queensland. (Unpublished)
Abstract
Childhood anxiety is a major health concern in Australia and around the world. Research shows the majority of children with clinically elevated levels of anxiety do not receive evidence based psychological treatments. There are a number of reasons for this, including a paucity of trained professionals and high cost of services. Efforts to address such barriers have turned to the use of digital health interventions. Online intervention programs such as BRAVE Online have been shown to be effective treating anxiety in children and adolescents. Despite such positive outcomes, online interventions often have low levels of compliance and high levels of attrition - limiting the possible effectiveness of these programs. The purpose of this study is to examine the levels of compliance and disclosure in the activities completed in the BRAVE Online program. Specifically, it was hypothesised that compliance (number of sessions completed) would predict treatment outcome (reported anxiety symptoms) and this relationship would be moderated by disclosure (word count). Further to this the role of early compliance and treatment outcome was hypothesised to predict final treatment outcome. Compliance did predict outcome. Disclosure, though related to both constructs, was not s significant moderator. Early compliance and outcome were predictive of final treatment outcome. The results of this study indicate that sessions completed is a robust measure of treatment compliance. Compliance and outcome in the first three sessions was found to be a good early indicator of final treatment outcome in the BRAVE program for children. The findings also indicate disclosure, compliance and outcome are part of a more complex construct of iCBT use. The other factors that predict compliance need to be identified to further understand compliance with online self-help programs and who they may be best suited to.
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| Item Type: | Thesis (Non-Research) (Honours) |
|---|---|
| Item Status: | Live Archive |
| Additional Information: | Current UniSQ staff and students can request access to this thesis. Please email research.repository@unisq.edu.au with a subject line of SEAR thesis request and provide: Name of the thesis requested and Your name and UniSQ email address |
| Faculty/School / Institute/Centre: | Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021) |
| Supervisors: | Govind Krishnamoorthy |
| Qualification: | Bachelor of Science (Honours) |
| Date Deposited: | 09 Jul 2025 04:17 |
| Last Modified: | 09 Jul 2025 04:17 |
| Uncontrolled Keywords: | Compliance; disclosure; iCBT; children; online interventions |
| Fields of Research (2008): | 17 Psychology and Cognitive Sciences > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified |
| Fields of Research (2020): | 52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified |
| URI: | https://sear.unisq.edu.au/id/eprint/52242 |
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