Improving interventions for anxious youth: developing understanding and treatment of parents' cognitions and behaviours

Lead Research Organisation: University of Reading
Department Name: Sch of Psychology and Clinical Lang Sci

Abstract

Cognitive-behaviour therapy (CBT) is a treatment approach that has achieved tremendous success in the treatment of many psychological disorders. It specifically focuses on helping patients to change their thinking styles and behaviours to help them to overcome distress. In recent years the approach has been imported to work with children, with varying degrees of success. One explanation for the mixed results is likely to relate to how children‘s caregivers are involved in the treatment. A good example of this is the treatment of child anxiety, in which treatment outcomes have varied enormously across studies (39-84% remitted following treatment). In recent years parental thinking styles and behaviours have been identified that may contribute to the development of emotional problems in young people. Based on a series of experiments with clinical and non-clinical groups of people, the proposed research aims to identify key thinking styles experienced by parents of clinically anxious children and examine how these thinking styles influence parents‘ behaviours, and consequently how children feel and behave. This research has the potential to have a significant impact on the development of clinical practice by providing understanding and therapeutic techniques for the successful adaptation of CBT to young populations.

Technical Summary

Aims
Personal, health and economic costs of emotional disorders are considerable and rising. Cognitive-behaviour therapy (CBT) is recognised as the first-line approach for many emotional disorders (in particular anxiety) both for adults and children. Outcomes for children, however, have been variable. One explanation for this is likely to relate to the manner in which caregivers are involved in treatment. There is evidence to suggest that caregivers engage in cognitive and behavioural processes that contribute to the development and maintenance of child disorders. The aims of the proposed research are to test a model of cognitive-behavioural family processes in the development of child anxiety and to establish effective CBT strategies for changing these processes.
Objectives
1. In parents of children with anxiety disorders and a non-clinical comparison group, to compare parental behaviours associated with child anxiety (verbal and non-verbal fear responses, reduced autonomy-granting and negativity) and parental cognitions (specifically: cognitions relating to threat and anticipated distress; expectations about their child‘s perceived threat and distress; and perceived control over their child‘s anxious behaviour); and to examine the association between these behaviours and cognitions.
2. In caregivers of a non-clinical population, to assess change in the identified parental behaviours and child response following experimentally inducing cognitive biases.
3. In caregivers of clinically anxious children, to assess change in identified parental behaviours and child response following a reduction in maladaptive cognitive biases.
Design
These objectives will be addressed by a series of experiments.
1. Measures will assess caregivers‘ cognitive biases such as interpretation of ambiguity. A video-mediated recall procedure will also be used to elicit parental cognitions following a challenging task with their child. Reliable coders will objectively assess parental behaviour during the task.
2. Interpretation biases in caregivers will be modified using established training methods that constrain solutions to ambiguous scenarios in a manner that is consistent or inconsistent with one of the key cognitive biases under investigation. Changes in caregiver behaviour and child response during a challenging task will be assessed and related to induced bias.
3. Benign interpretation biases will be induced with caregivers of clinically anxious children, using cognitive behavioural techniques and training procedures. Changes in parenting behaviour and child response to a challenging task will be assessed.
Scientific and medical opportunities
The proposed research will (i) increase understanding of the development of child anxiety, and (ii) provide specific clinical interventions that could significantly improve treatments for child anxiety disorder.

Publications

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publication icon
Coleman JR (2016) Genome-wide association study of response to cognitive-behavioural therapy in children with anxiety disorders. in The British journal of psychiatry : the journal of mental science

 
Description CYP IAPT
Geographic Reach National 
Policy Influence Type Participation in advisory committee
Impact CyP IAPT has now trained CAMHS practitioners across the UK in the delivery of evidence-based treatments
 
Description Influenced training of practitioners (PWPs)
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Trained psychological wellbeing practitioners to deliver cost-effective treatment for child anxiety disorders, to meet need for accessible, effective interventions
 
Description NCCMH e-therapies review
Geographic Reach National 
Policy Influence Type Participation in advisory committee
 
Description NICE QSAC
Geographic Reach National 
Policy Influence Type Participation in advisory committee
 
Description NICE guideline
Geographic Reach National 
Policy Influence Type Membership of a guidance committee
Impact NICE guideline has provided clear guidance on evidence based assessment and treatment for children, young people and adults with social anxiety disorder.
 
Description British Psychological Society Undergraduate Research Asst Bursary Scheme/British Psychological Society
Amount £1,600 (GBP)
Organisation British Psychological Society (BPS) 
Sector Charity/Non Profit
Country United Kingdom
Start 06/2010 
End 08/2010
 
Description ESRC DTC Studentship
Amount £50,770 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 10/2011 
End 09/2014
 
Description ESRC project grant
Amount £495,492 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 01/2014 
End 01/2016
 
Description MRC Clinical Training Fellowship
Amount £244,996 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 01/2009 
End 03/2016
 
Description MRC Clinical Training fellowship (supervisor)
Amount £272,300 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2011 
End 06/2015
 
Description MRC PhD Studentship
Amount £94,955 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2009 
End 09/2012
 
Description MRC-ESRC Interdisciplinary Studentship
Amount £61,300 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 10/2009 
End 09/2012
 
Description NIHR Research Professorship
Amount £1,268,499 (GBP)
Funding ID NIHR-RP-2014-04-018 
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 10/2014 
End 09/2019
 
Description NIHR Research for Patient Benefit
Amount £249,000 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start 11/2011 
End 02/2015
 
Description NIHR Research for Patient Benefit
Amount £175,000 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start 01/2008 
End 12/2009
 
Description NIHR Research for Patient Benefit
Amount £231,586 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2013 
End 01/2015
 
Description RETF Pump Priming
Amount £2,189 (GBP)
Organisation University of Reading 
Sector Academic/University
Country United Kingdom
Start 01/2009 
End 06/2009
 
Description University of Reading Occupational Placement (UROP)
Amount £1,600 (GBP)
Organisation University of Reading 
Sector Academic/University
Country United Kingdom
Start 06/2011 
End 08/2011
 
Description Bath PTSD 
Organisation University of Bath
Department Department of Psychology
Country United Kingdom 
Sector Academic/University 
PI Contribution Collaboration on grant and studentship; input re assessment and clinical implications
Collaborator Contribution Study lead, PTSD perspective
Impact None yet
Start Year 2012
 
Description Berkshire Healthcare NHS Foundation Trust 
Organisation Berkshire Healthcare NHS Foundation Trust
Country United Kingdom 
Sector Public 
PI Contribution Funded clinical research
Collaborator Contribution Access to NHS research participants and clinical support
Impact Published journal articles and funding for studentships
Start Year 2008
 
Description DNA 
Organisation King's College London
Department MRC Social Genetic and Developmental Psychiatry Centre (SDGP)
Country United Kingdom 
Sector Academic/University 
PI Contribution Collecting DNA for large multicentre collaboration
Collaborator Contribution Analysis of DNA material
Impact none yet
Start Year 2010
 
Description Experimental medicine 
Organisation King's College London
Department MRC Social Genetic and Developmental Psychiatry Centre (SDGP)
Country United Kingdom 
Sector Academic/University 
PI Contribution Clinical advisor
Collaborator Contribution PI on grant
Impact None yet
Start Year 2012
 
Description Griffith University 
Organisation Griffith University
Department School of Applied Psychology
Country Australia 
Sector Academic/University 
PI Contribution Shared dataset
Collaborator Contribution Shared dataset
Impact None yet
Start Year 2012
 
Description Newcastle 
Organisation Newcastle University
Department School of Psychology
Country United Kingdom 
Sector Academic/University 
PI Contribution Shared dataset
Collaborator Contribution Shared dataset
Impact International conference presentation
Start Year 2012
 
Description Oxfordshire PCAMHS 
Organisation Oxford Health NHS Foundation Trust
Department Primary Child and Adolescent Mental Health Service Oxfordshire
Country United Kingdom 
Sector Public 
PI Contribution Development of research protocol and coordination of research project
Collaborator Contribution Collaborators on NIHR funded treatment study
Impact The study findings support the feasibility of guided self-help cognitive behaviour therapy (CBT) for childhood anxiety in primary care. The findings have been presented at the following conferences: - British Association of Behavioural and Cognitive Psychotherapy, Exeter, July 2009 - Joint conference of the Association of Child and Adolescent Mental Health (ACAMH) and BABCP, London, December 2009 - A paper reporting the outcomes has been published and a further grant application has been submitted to evaluate the approach further.
Start Year 2007
 
Description Oxfordshire PCAMHS 
Organisation Oxford Health NHS Foundation Trust
Department Primary Child and Adolescent Mental Health Service Oxfordshire
Country United Kingdom 
Sector Public 
PI Contribution I am PI on a successful collaborative grant application
Collaborator Contribution The collaboration has led to the development of further grant funding.
Impact We have successfully been awarded an NIHR Reserach for Patient benefit grant.
Start Year 2007
 
Description Sheffield 
Organisation University of Sheffield
Department School of Clinical Dentistry Sheffield
Country United Kingdom 
Sector Academic/University 
PI Contribution Collaboration on research grant; input re treatment for dental anxiety
Collaborator Contribution Dentistry perspective
Impact None yet
Start Year 2012
 
Title BRAVE pilot 
Description RCT of computerised treatment for anxiety disorders in adolescence 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status Under active development/distribution
Clinical Trial? Yes
Impact ongoing RCT 
URL http://www.isrctn.com/ISRCTN79652741
 
Title Mach Trial 
Description Comparison of effect of adjunct interventions to treat child anxiety disorders in context of maternal anxiety disorder 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status Under active development/distribution
Clinical Trial? Yes
Impact Established positive outcomes for individual child CBT with parental support 
URL http://www.isrctn.com/ISRCTN19762288
 
Title NIHR PCAMHS 
Description Brief parent-led treatment for childhood anxiety disorders 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status Under active development/distribution
Clinical Trial? Yes
Impact ongoing 
URL http://www.isrctn.com/ISRCTN07627865
 
Title Overcoming UoR 
Description Brief parent-led treatment for childhood anxiety disorders 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status Under active development/distribution
Clinical Trial? Yes
Impact Demonstrated benefits of brief parent-led treatment for childhood anxiety disorders 
URL http://www.isrctn.com/ISRCTN92977593
 
Title TCNE trial 
Description RCT of parent-led intervention for childhood anxiety disorders in context of high parental anxiety 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2013
Development Status Under active development/distribution
Clinical Trial? Yes
Impact established effective extension of brief parent-led treatment for child anxiety disorders to those who usually have poor prognosis (ie in context of high levels of parental anxiety) 
URL http://www.isrctn.com/ISRCTN77196667
 
Description 2 day workshop Chessington TAMHS (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Participants asked questions, engaged in discussion and practiced treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders in children and young people
Year(s) Of Engagement Activity 2013,2014
 
Description 2 day workshop Copenhagen (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Participants asked questions, engaged in discussion and practised treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders in children and young people
Year(s) Of Engagement Activity 2013
 
Description ACAMH 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact 60 mental health professional attended a talk, with questions and discussion

Not known
Year(s) Of Engagement Activity 2011
 
Description ADAA, Washington 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Paper Presentation
Geographic Reach International
Primary Audience Health professionals
Results and Impact 30 health professional attended a presentation of recent findings and discussion of implications for treatment

Received request for clinical internship from US health professional
Year(s) Of Engagement Activity 2012
 
Description AFC- cyp IAPT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Practitioners rehearsed new methods to use in clinical practice and state objective to use.

Invited back.
Year(s) Of Engagement Activity 2014
 
Description Aarhus 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact 100 clinical psychologists and trainees attendeda talk, with questions and discussion

I was approached a s result of this re a future internship in my lab
Year(s) Of Engagement Activity 2011
 
Description Advances in CBT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation at a one day conference for health professionals, which sparked questions and discussion

Recieved numerous requests for further information by professional seeking to use the practices described in their clinical work.
Year(s) Of Engagement Activity 2010
 
Description BABCP 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Convened symposium and presented information at annual conference of British Association of Behavioural and Cognitive Psychotherapies (BABCP) to audience of clinical psychologists, psychiatrists, CBT therapists and other health professionals.

No measurable impacts
Year(s) Of Engagement Activity 2009
 
Description BABCP Annual conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact 50 academics and healthcare professionals attended a talk on the NICE guideline for social anxiety disorder

Increased awareness of NICE guideline in this area
Year(s) Of Engagement Activity 2013
 
Description BABCP Leeds 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited address to 100 healthcare providers

Discussion of treatment implications
Year(s) Of Engagement Activity 2012
 
Description BABCP London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Workshop to share clinical developments. Sparked discussion and interest

Several requests for further information and materials
Year(s) Of Engagement Activity 2014
 
Description BABCP Manchester 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact One day oractical workshop for CBT therapists. excelelnt feedback and attendees reported that they would change their practice as a result of the workshop
Year(s) Of Engagement Activity 2015
 
Description BABCP workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Health professionals
Results and Impact 30 health professionals attended a one day workshop

Clinicians reported would influence their practice
Year(s) Of Engagement Activity 2013
 
Description BABCP-ACAMH 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation to child psychiatrists/ psychologists, CBT therapists and other health professionals

none known
Year(s) Of Engagement Activity 2009
 
Description BBC Berkshire 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Interview on BBC Radio Berkshire Breakfast Show

Increased referrals to Berkshire Child Anxiety Clinic
Year(s) Of Engagement Activity 2009
 
Description BBC Breakfast 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Interview on BBC Breakfast to raise awareness of recognition and treatment of childhood anxiety disorders

Contact from many affected parents for further advice
Year(s) Of Engagement Activity 2013
 
Description BHFT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Presentation to approx 40 health professionals for Berkshire Healthcare Foundation NHS Trust

none measurable
Year(s) Of Engagement Activity 2010
 
Description BPS DCP 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk to approx 100 clinical psychologists

Not known
Year(s) Of Engagement Activity 2011
 
Description BPS DevPsy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Talk to mixed audience of academic and clinical psychologusts, including students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description Berkshire Research Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact 100 health professionals attended a talk, which sparked questions and discussion

None specific
Year(s) Of Engagement Activity 2013
 
Description CAMHS conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk spared questions and discussion

None known
Year(s) Of Engagement Activity 2014
 
Description CWI PWP 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee primary wellbeing practitioners to train in treatment approached developed through research
Year(s) Of Engagement Activity 2017
 
Description Cambridge 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Talk to approx 50 health profesionals on development ad treatment of child anxiety

Not known
Year(s) Of Engagement Activity 2011
 
Description Charlie Waller 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation to 40 health professionals.

Not measurable
Year(s) Of Engagement Activity 2010
 
Description Conference Roehampton 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited address to 150 healthcare professionals

Discussion of treatmnt implications
Year(s) Of Engagement Activity 2012
 
Description Copenhagen 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact 30 clinical psychologists attended a talk on the development and treatment of child anxiety

Not known
Year(s) Of Engagement Activity 2011
 
Description DClinPsy conference Bath 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Invited presentation to clinical psychology trainees.
Questions and discussion followed.
Year(s) Of Engagement Activity 2015
 
Description EABCT Morrocco 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact 60 health care professionals and academics attended a talk

None specific known
Year(s) Of Engagement Activity 2013
 
Description EABCT keynote 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international audience including clinicians and postgrad students. Sparked discussion and requests for more information.
Year(s) Of Engagement Activity 2018
 
Description EABCT workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Workshop to international audience of clinicians and postgrad students. Sparked discussion, requests for more information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description ESCAP Madrid 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote presentation to psychiatrists and related disciplines at international conference.
Questions and discussion followed.
Year(s) Of Engagement Activity 2015
 
Description Grenada International Clinical Psychology Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international audience of clinicians and postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description Griffith talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international research group, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description Institute of Education 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact 200 people attended a talk- the audience were primarily policy makers, charity organisations and practioners

not known
Year(s) Of Engagement Activity 2011
 
Description International conference on anxiety and depression 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Invited address at the international conference on anxiety and depression in childhood, London, to audience of GPs, psychiatrists and other health professionals

No measurable impacts
Year(s) Of Engagement Activity 2008
 
Description Kings College London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact 40 cinicians (and clinical acedmics) attended a talk, sparked questions and discussion and potential future collaboration
Year(s) Of Engagement Activity 2017
 
Description Kings PWPs 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee primary wellbeing practitioners who will implement treatment developed through research
Year(s) Of Engagement Activity 2017
 
Description Kristiansand, Norway 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation to Norwegian national organisation for child and adolescent mental health practitioners. Sparked questions, discussion and requests for further information to promote implementation.
Year(s) Of Engagement Activity 2017
 
Description London PWPs workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee clinicians. Sparked discussion and requests for more information to support implementation
Year(s) Of Engagement Activity 2018
 
Description London PWPs workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee psychological wellbeing practitioners. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description MHA public event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Sparked question and discussion. Very positive feedback received with requests for future similar events.

Multiple requests for similar events
Year(s) Of Engagement Activity 2014
 
Description Mindtech conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Talk to broad audience. Sparked discussion and requests for more information
Year(s) Of Engagement Activity 2018
 
Description Munich talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international research group, including postgrad students and clinicians. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description Northhampton PWP workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee PWPs and their supervisors. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description OCTC 2 day workshop (PW) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Health professionals
Results and Impact Participants asked questions, engaged in discussion and practiced treatment techniques

Increased awareness and improved identification and treatment of anxiety disorders
Year(s) Of Engagement Activity 2013,2014
 
Description OCTC workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Workshop for CBT therapists. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description OxAHSN 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Talk sparked questiosn and discussion. Invited to prepare clinical research case example for NHS England.

Invited to prepare clinical research case example for NHS England.
Year(s) Of Engagement Activity 2014
 
Description Oxford DClinPsy Open Module 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Postgraduate students
Results and Impact Talk to trainee clinical psychologists and others. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description Press articles 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Numerous press articles citing my work including 'The Mirror', 'The Express', 'Sainsburys Magazine', 'Prima-Baby', The Times

No measurable impact
Year(s) Of Engagement Activity 2008,2013
 
Description Reading seminar 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Health professionals
Results and Impact Talk on recent research findings to 100 health professionals

Discussion of treatment implications followed
Year(s) Of Engagement Activity 2012
 
Description Red Cross 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Talk to mixed audience at public lecture, stimulated discussion/ questiosn and requests for further information
Year(s) Of Engagement Activity 2017
 
Description Royal College Psychiatrists 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Talk to about 30 psychiatrists. Sparked interest in treatment approach and application in practice.
Year(s) Of Engagement Activity 2016
 
Description Thames Valley Mental Health Research Network 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Invited address at Thames Valley Mental Health Research Network conferemce, University of Reading, UK, to audience including NHS managers, GPs, psychiatrists, clinical psychologists and other health professionals

No measurable impacts
Year(s) Of Engagement Activity 2009
 
Description University Queensland talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international reserach group, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description University Sydney- talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to international colleagues, including postgrad students. Sparked discussion, requests for more information and discussions about ongoing collaboration
Year(s) Of Engagement Activity 2018
 
Description UoR PWP workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Workshop for trainee psychological therapists. Sparked question, discussion and requests for further information to facilitate implementation
Year(s) Of Engagement Activity 2018
 
Description World Congress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Talk to approx 40 clinicians, academics and postgraduate students. Sparked interest in treatment approach and requests for further information to promote application in practice.
Year(s) Of Engagement Activity 2016