Washington District of Columbia,
District of Columbia
This trial examines the effectiveness of training pediatric primary care providers (nurse
practitioners, doctors) to use of strategies that enhance family/youth empowerment and
engagement during office visits for children with mild to moderate problems with anxiety.
Children coming for routine care at one clinic are screened for anxiety symptoms and seen by
either a specially trained provider or one of the clinic's other regular staff members.
Children who are thought to have mild to moderate anxiety will, via their parents, be
offered the opportunity to receive treatment from their pediatric primary care provider.
Providers will either use their existing anxiety approaches or will use those approaches
combined with extra communication skills designed to promote patient and parent engagement
in care. Children will be seen for up to 4 30-minute visits at 2 week intervals, with a
follow-up telephone call 3 months later to asses the impact of treatment. Children with more
severe anxiety (or those whose parents so desire) will be referred for specialized mental
- Coming for well-child visit to designated clinical site;
- SCARED score 25 or greater
- acute medical illness, SCARED 40 or greater