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Cool Kids is a cognitive-behavioural skills-based program that teaches children, teenagers and their caregivers how to better manage anxiety. The suite also contains an adaptation for young people on the autistic spectrum.
- Overview of Methods
- Recruitment and Participants
- Selection Criteria
- Allocation
- Intervention
- Outcome Measurement
- Sample Size
- Data Analyses
- Process Evaluation
- Economic Evaluation
Figure 1 summarises the time line of the trial. It shows graphically the features at each stage that are common to both the intervention and control groups, and unique to the intervention group, in the manner suggested by Perera et al. . Cool Little Kids is prospectively registered with an international clinical trials registry (ISRCTN30996662), wi...
Extending Cool Little Kids to a population randomised trial requires more than evidence supporting intervention effectiveness. It requires 1) a universal service system attended by all or almost all 4 year olds, and 2) an acceptable screening tool to systematically identify the children at risk. Primary health care settings were not considered to b...
Inclusion criteria
Parents will be eligible for the universal screening component of the study (completing the brief parent-report questionnaire) if their child is enrolled for their preschool year (i.e. the year prior to school) at a participating preschool/kindergarten service. They will be eligible to join the trial if the child scores ≥85th percentile on the inhibition subscale of the Short Temperament Scales .
Exclusion criteria
Exclusion criteria are (1) parents with insufficient English to participate (determined by parent or teacher report, or by the study team following up on insufficiently completed screening questionnaires) and (2) children with major health or developmental problems who are considered unlikely to benefit from the intervention. Major health or developmental problems will be discussed on a case-by-case basis, which mirrors what would happen when subsequently translated to the broader population....
After recruitment and consent, the statistician will coordinate a concealed web-based randomisation process. Computer-generated sequences of random numbers will be used to determine the trial arm status of each child. A block randomisation process, stratified for each preschool separately, will minimise the imbalance between the numbers of interven...
Content
For this population-level randomised trial, the Cool Little Kids parenting intervention consists of manualised parenting group sessions as previously tested in Rapee's efficacy research . Parents will receive a 'workbook' at the first parenting session that presents information on the nature of inhibition, fears, anxiety and emotional distress, and the developmental trajectory of internalising problems. Thereafter, it details instructions in exposing children to their specific triggers fo...
Process - Intervention group
The intervention includes six group sessions of 90 minutes. These sessions focus on the principles outlined in the manual. Sessions involve setting readings from the manual, scheduling and motivating implementation and practice, and trouble-shooting difficulties arising during practice at home. The first two group sessions are one week apart to ensure comprehension of materials, discuss motivation and encourage implementation of the earliest strategies. The next three sessions are at fortnigh...
Process - Control group
Families in the control arm will receive usual teaching and care from their preschool, early childhood and health services in the community. This may include advice on children's behaviour, but would not include a structured, evidence-based parenting program for temperamental inhibition or internalising problems.
Approximately one (2012) and two (2013) years after baseline, a clinician blind to group allocation will interview parents to ascertain child internalising diagnoses (see Table 1). These interviews will be conducted by telephone, which has demonstrated validity and is less expensive than face-to-face interviews . A questionnaire mailed to parents w...
The randomised trial will have a sample size of around 500 inhibited children, providing 80% power at the 5% level of significance to detect the level of reduction in internalising problems found in Rapee's prior efficacy trials, namely a 14% reduction in child internalising disorders between the intervention (50%) and control (64%) groups . This s...
Regression analyses will compare child outcomes and costs at school-entry (1 and 2 years after baseline) between the intervention and control arms using the intention-to-treat principle, where participants are analysed in the groups to which they were randomised. Logistic regression will be used for binary outcomes (presenting the percentages for e...
Parents and group facilitators will also be mailed questionnaires at the end of the intervention (late 2011) to evaluate the screening process and intervention, where applicable. All parents will report on perceived harms and benefits of screening. Intervention parents and group facilitators will report on intervention acceptability, extent to whic...
Economic evaluation will also be conducted to determine whether population application of Cool Little Kidsprovides value for money to governments (if dissemination were publicly funded), families and society in general. Economic evaluation is a comparative technique of an intervention's costs and consequences to a comparator's costs and consequence...
- Jordana K Bayer, Ronald M Rapee, Harriet Hiscock, Harriet Hiscock, Obioha C Ukoumunne, Obioha C Ukou...
- 2011
The Cool Kids Anxiety Program is a skills-based treatment programme designed to manage anxiety in young persons aged 7-17 years who have anxiety as their primary disorder.
The Cool Kids Program is a world renowned cognitive behavioural therapy program developed at Macquarie University, Centre for Emotional Health, to teach children and parents skills that address anxiety disorders.
Jan 14, 2022 · The Cool Kids program is a manualized CBT program for anxiety disorders in youth (age 7–18 years). Its main components include psychoeducation, cognitive restructuring, child management strategies and graded exposure with additional optional modules addressing social skills, teasing and assertiveness.
The program is based on the principles of cognitive behaviour therapy (CBT) and is backed by scientific studies showing its effectiveness in preventing anxiety problems in young children. The online version, Cool Little Kids Online, was developed by a team of psychologists and researchers from Macquarie University, the Lifespan Health and ...
May 18, 2016 · The ‘Cool Little Kids’ parenting group program aims to intervene early in life to protect children at known risk for anxiety disorders during development (Rapee et al., 2005). The program targets preschool-aged children with high levels of temperamental inhibition.
